Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $10,841 | 340 | 66.0% |
| Travel and Lodging | $5,521 | 15 | 33.6% |
| Education | $52.16 | 3 | 0.3% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Nuvectra Corporation | $3,659 | 12 | $0 (2018) |
| Nevro Corp. | $3,412 | 30 | $0 (2022) |
| Medtronic USA, Inc. | $2,162 | 80 | $0 (2020) |
| SI-BONE, INC. | $1,419 | 22 | $0 (2021) |
| Abbott Laboratories | $1,000 | 14 | $0 (2022) |
| Boston Scientific Corporation | $804.03 | 23 | $0 (2024) |
| Vertiflex, Inc. | $606.30 | 14 | $0 (2019) |
| Collegium Pharmaceutical, Inc. | $401.87 | 27 | $0 (2023) |
| Medtronic, Inc. | $387.49 | 4 | $0 (2024) |
| Stimwave Technologies Incorporated | $289.87 | 8 | $0 (2022) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $798.37 | 18 | Medtronic, Inc. ($312.49) |
| 2023 | $136.74 | 5 | Medtronic, Inc. ($75.00) |
| 2022 | $989.97 | 16 | Nevro Corp. ($482.35) |
| 2021 | $707.29 | 27 | Nevro Corp. ($166.86) |
| 2020 | $467.72 | 15 | Nevro Corp. ($206.52) |
| 2019 | $2,202 | 65 | Abbott Laboratories ($886.92) |
| 2018 | $7,818 | 100 | Nuvectra Corporation ($3,347) |
| 2017 | $3,296 | 112 | Medtronic USA, Inc. ($1,092) |
All Payment Transactions
358 individual payment records from CMS Open Payments — Page 1 of 15
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/06/2024 | VERTEX PHARMACEUTICALS INCORPORATED | — | Food and Beverage | In-kind items and services | $31.17 | General |
| 11/11/2024 | Stryker Corporation | MILD DEVICE KIT (Device) | Food and Beverage | In-kind items and services | $150.00 | General |
| Category: INSTRUMENTS | ||||||
| 11/08/2024 | VERTEX PHARMACEUTICALS INCORPORATED | — | Food and Beverage | In-kind items and services | $31.95 | General |
| 10/24/2024 | Medtronic, Inc. | INTELLIS ADAPTIVESTIM (Device) | Food and Beverage | In-kind items and services | $124.64 | General |
| Category: Spinal Cord Neurostimulation | ||||||
| 10/24/2024 | Curonix LLC | PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A (Device) | Food and Beverage | In-kind items and services | $16.85 | General |
| Category: PAIN MANAGEMENT | ||||||
| 10/17/2024 | Forte Bio-Pharma LLC | NALOCET (Drug), PROLATE, PROLATE | Food and Beverage | In-kind items and services | $17.69 | General |
| Category: PAIN | ||||||
| 09/23/2024 | Forte Bio-Pharma LLC | PROLATE (Drug), NALOCET, PROLATE | Food and Beverage | In-kind items and services | $16.47 | General |
| Category: PAIN | ||||||
| 07/25/2024 | Curonix LLC | PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A (Device) | Food and Beverage | In-kind items and services | $19.30 | General |
| Category: PAIN MANAGEMENT | ||||||
| 06/21/2024 | Boston Scientific Corporation | — | Food and Beverage | In-kind items and services | $56.77 | General |
| 06/11/2024 | Salix Pharmaceuticals, a division of Bausch Health US, LLC | RELISTOR (Drug) | Food and Beverage | In-kind items and services | $22.77 | General |
| Category: Gastroenterology | ||||||
| 06/04/2024 | Forte Bio-Pharma LLC | NALOCET (Drug), PROLATE, PROLATE | Food and Beverage | In-kind items and services | $19.16 | General |
| Category: PAIN | ||||||
| 05/07/2024 | Forte Bio-Pharma LLC | NALOCET (Drug), PROLATE, PROLATE | Food and Beverage | In-kind items and services | $26.65 | General |
| Category: PAIN | ||||||
| 05/03/2024 | Medtronic, Inc. | INTELLIS ADAPTIVESTIM (Device) | Food and Beverage | In-kind items and services | $12.27 | General |
| Category: Spinal Cord Neurostimulation | ||||||
| 04/25/2024 | Forte Bio-Pharma LLC | NALOCET (Drug), PROLATE, PROLATE | Food and Beverage | In-kind items and services | $20.05 | General |
| Category: PAIN | ||||||
| 04/20/2024 | Medtronic, Inc. | INTELLIS ADAPTIVESTIM (Device) | Food and Beverage | In-kind items and services | $175.58 | General |
| Category: Spinal Cord Neurostimulation | ||||||
| 04/20/2024 | Curonix LLC | PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A (Device) | Food and Beverage | In-kind items and services | $24.44 | General |
| Category: PAIN MANAGEMENT | ||||||
| 04/17/2024 | Curonix LLC | PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A (Device) | Food and Beverage | In-kind items and services | $14.17 | General |
| Category: PAIN MANAGEMENT | ||||||
| 02/26/2024 | Boston Scientific Corporation | Intracept (Device) | Food and Beverage | Cash or cash equivalent | $18.44 | General |
| Category: Pain | ||||||
| 12/21/2023 | Relievant Medsystems, Inc. | Intracept (Device), Intracept, Intracept | Food and Beverage | Cash or cash equivalent | $8.91 | General |
| Category: Pain | ||||||
| 12/14/2023 | Medtronic, Inc. | INTELLIS ADAPTIVESTIM (Device) | Food and Beverage | In-kind items and services | $75.00 | General |
| Category: Spinal Cord Neurostimulation | ||||||
| 12/13/2023 | Collegium Pharmaceutical, Inc. | XTAMPZA (Drug) | Food and Beverage | Cash or cash equivalent | $16.74 | General |
| Category: Opioid Analgesic | ||||||
| 10/18/2023 | Masimo Corporation | Patient SafetyNet System (Device) | Food and Beverage | In-kind items and services | $18.74 | General |
| Category: CARDIOVASCULAR | ||||||
| 09/06/2023 | Salix Pharmaceuticals, a division of Bausch Health US, LLC | RELISTOR (Drug) | Food and Beverage | In-kind items and services | $17.35 | General |
| Category: Gastroenterology | ||||||
| 11/03/2022 | Collegium Pharmaceutical, Inc. | Belbuca (Drug) | Food and Beverage | Cash or cash equivalent | $22.94 | General |
| Category: Opioid Analgesic | ||||||
| 06/20/2022 | Collegium Pharmaceutical, Inc. | Belbuca (Drug) | Food and Beverage | Cash or cash equivalent | $12.52 | General |
| Category: Opioid Analgesic | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 15 | 563 | 637 | $229,385 | $56,477 |
| 2022 | 17 | 950 | 1,752 | $676,524 | $166,384 |
| 2021 | 26 | 1,577 | 2,732 | $1.3M | $266,692 |
| 2020 | 25 | 1,268 | 2,339 | $931,101 | $191,002 |
All Medicare Procedures & Services
83 procedure records from CMS Medicare Utilization — Page 1 of 4
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 156 | 193 | $62,339 | $18,401 | 29.5% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 149 | 167 | $46,760 | $11,282 | 24.1% |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | Office | 2023 | 34 | 34 | $17,000 | $5,218 | 30.7% |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | Office | 2023 | 24 | 24 | $14,400 | $4,674 | 32.5% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 32 | 32 | $15,904 | $3,749 | 23.6% |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | Office | 2023 | 31 | 31 | $10,850 | $3,476 | 32.0% |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | Facility | 2023 | 25 | 27 | $15,012 | $2,655 | 17.7% |
| 64494 | Injection of lower or sacral spine facet joint using imaging guidance, second level | Facility | 2023 | 25 | 27 | $8,235 | $1,512 | 18.4% |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | Facility | 2023 | 14 | 14 | $12,518 | $1,284 | 10.3% |
| 27096 | Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | Facility | 2023 | 14 | 15 | $7,442 | $1,281 | 17.2% |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | Office | 2023 | 13 | 22 | $4,126 | $1,074 | 26.0% |
| 62323 | Injection of substance into lower spine canal using imaging guidance | Facility | 2023 | 12 | 12 | $8,340 | $882.56 | 10.6% |
| 20610 | Aspiration and/or injection of fluid from large joint | Facility | 2023 | 11 | 14 | $2,562 | $570.68 | 22.3% |
| 77002 | Fluoroscopic guidance for needle placement | Facility | 2023 | 12 | 14 | $3,402 | $282.01 | 8.3% |
| 80305 | Testing for presence of drug, read by direct observation | Office | 2023 | 11 | 11 | $495.00 | $135.85 | 27.4% |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | Office | 2022 | 94 | 207 | $123,372 | $40,696 | 33.0% |
| 80307 | Testing for presence of drug, by chemistry analyzers | Office | 2022 | 170 | 414 | $77,933 | $25,347 | 32.5% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 151 | 246 | $97,216 | $22,286 | 22.9% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 160 | 256 | $73,006 | $16,881 | 23.1% |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | Office | 2022 | 55 | 96 | $34,637 | $10,540 | 30.4% |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | Office | 2022 | 31 | 63 | $29,610 | $9,770 | 33.0% |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | Facility | 2022 | 42 | 54 | $38,770 | $7,913 | 20.4% |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | Facility | 2022 | 30 | 51 | $38,446 | $5,507 | 14.3% |
| 27096 | Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | Facility | 2022 | 47 | 72 | $37,553 | $5,307 | 14.1% |
| 64625 | Destruction of nerves supplying joint between spine and pelvis using imaging guidance | Facility | 2022 | 25 | 31 | $20,362 | $4,624 | 22.7% |
About Dr. Ramon Espinal, MD
Dr. Ramon Espinal, MD is a Interventional Pain Medicine healthcare provider based in Covington, Georgia. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 07/18/2005. The National Provider Identifier (NPI) number assigned to this provider is 1851390363.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Ramon Espinal, MD has received a total of $16,415 in payments from pharmaceutical and medical device companies, with $798.37 received in 2024. These payments were reported across 358 transactions from 50 companies. The most common payment nature is "Food and Beverage" ($10,841).
As a Medicare-enrolled provider, Espinal has provided services to 4,358 Medicare beneficiaries, totaling 7,460 services with total Medicare billing of $680,556. Data is available for 4 years (2020–2023), covering 83 distinct procedure/service records.
Practice Information
- Specialty Interventional Pain Medicine
- Other Specialties Pain Medicine
- Location Covington, GA
- Active Since 07/18/2005
- Last Updated 05/03/2021
- Taxonomy Code 208VP0014X
- Entity Type Individual
- NPI Number 1851390363
Products in Payments
- Algovita (Device) $3,659
- Senza Spinal Cord Stimulation System (Device) $2,762
- RESTORE (Device) $1,683
- iFuse Implant (Device) $1,280
- Proclaim Family of SCS IPGs (Device) $957.79
- Omnia (Device) $649.21
- Superion ISS (Device) $606.30
- INTELLIS ADAPTIVESTIM (Device) $387.49
- MYSTIM (Device) $259.44
- XTAMPZA (Drug) $249.00
- RELISTOR (Drug) $223.56
- StimQ Receiver Stimulator Kit Channel A US w/Receiver (Device) $216.55
- GENERAL - PAIN MANAGEMENT (Device) $157.91
- SYNCHROMED (Device) $150.94
- MILD DEVICE KIT (Device) $150.00
- SPECTRA IPG (Device) $138.62
- IFUSE IMPLANT (Device) $138.33
- WaveWriter Alpha Prime 16 (Device) $132.36
- GENERAL PAIN MANAGEMENT (Device) $131.27
- LYRICA (Drug) $113.05
Explore
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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