Medicare Enrolled
Dr. Richard Paicius, M.D.
Pain Medicine · Newport Beach, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Paicius from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Paicius
Dr. Richard Paicius is a pain medicine specialist in Newport Beach, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Paicius performed 17,638 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Paicius received a total of $324,346 from 85 pharmaceutical and/or device companies across 1317 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Paicius is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years of NPI registration
▲ Top 1% volume in CA
$324,346 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗17,638
Medicare services
Top 1% in CA for pain medicine
Not available
Unique patients (not deduplicated)
$22
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Botox injection (Xeomin), per unit An injection of incobotulinumtoxin A, a botulinum toxin type A product, administered in a quantity of one unit. |
9,590 | $4 | $9 |
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
4,445 | $5 | $9 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
1,907 | $102 | $308 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
440 | $1 | $6 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
155 | $116 | $786 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
79 | $106 | $622 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
72 | $88 | $669 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
60 | $62 | $323 |
| New patient office visit, complex (60-74 min) | 60 | $188 | $525 |
| Spinal drug pump reprogramming and refill A physician electronically adjusts the settings of a spinal drug infusion pump and refills its medication reservoir. |
55 | $78 | $234 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
54 | $42 | $279 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
51 | $113 | $701 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
47 | $64 | $313 |
| Bilateral facial and neck nerve muscle paralysis injection Injection of a chemical agent to paralyze muscles in the face and neck on both sides. |
47 | $122 | $365 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
44 | $83 | $660 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
44 | $52 | $143 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
43 | $46 | $130 |
| Spinal neurostimulator electrode insertion A procedure to place an electrode array into the spine through the skin. The electrode is used to deliver electrical stimulation to the nervous system. |
41 | $287 | $5,944 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 40 | $70 | $202 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
39 | $92 | $257 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
38 | $66 | $774 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
36 | $235 | $1,614 |
| Electronic analysis of implanted neurostimulator with complex programming This procedure involves the electronic evaluation of an implanted neurostimulator generator. It includes complex programming of spinal cord or peripheral nerve stimulators. |
34 | $47 | $136 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
32 | $122 | $398 |
| Facet joint nerve destruction, single joint This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint. |
31 | $198 | $1,371 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
30 | $64 | $716 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
20 | $54 | $149 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
19 | $55 | $156 |
| Chemical nerve block for neck muscles Injection of a chemical agent to paralyze specific muscles on the side of the neck, excluding the voice box. |
17 | $117 | $329 |
| Injection of anesthetic or steroid into upper neck and back of head nerve An injection of an anesthetic agent and/or steroid into a nerve located in the upper neck and back of the head. |
15 | $31 | $244 |
| Minimally invasive spine decompression, lower spine A minimally invasive procedure to remove bone from the lower spine to relieve pressure on nerve tissue, guided by imaging and accessed through the skin. |
14 | $484 | $5,000 |
| Spinal neurostimulator generator insertion Surgical placement of a spinal neurostimulator generator or receiver device. |
14 | $169 | $859 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
13 | $44 | $441 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
12 | $43 | $110 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$324,346
Total received (2018-2024)
Avg $46,335/year across 7 years
Top 2% in CA for pain medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
85
Companies
1,317
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$27,450
2023
$11,906
2022
$45,915
2021
$29,658
2020
$27,864
2019
$48,205
2018
$133,349
Payments by company (2024)
BIOTRONIK NRO, Inc.
$15,309
Abbott Laboratories
$9,897
ABBVIE INC.
$702
Boston Scientific Corporation
$379
Saluda Medical Americas, Inc.
$337
PFIZER INC.
$157
Vertos Medical, Inc.
$108
Merz Pharmaceuticals, LLC
$87
PAINTEQ LLC
$76
SPR Therapeutics, Inc
$66
Spinal Simplicity, LLC
$59
Azurity Pharmaceuticals, Inc.
$56
Collegium Pharmaceutical, Inc.
$44
SCILEX PHARMACEUTICALS INC.
$39
Lilly USA, LLC
$27
Medtronic, Inc.
$24
TerSera Therapeutics LLC
$24
Electronic Waveform Lab, Inc.
$22
Lundbeck LLC
$22
Valinor Pharma, LLC
$15
Top 3 companies account for 94.4% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$105,277
Nuvectra Corporation
$73,838
Vertiflex, Inc.
$59,148
Vertos Medical, Inc.
$25,479
BIOTRONIK NRO, Inc.
$15,840
Spinal Simplicity, LLC
$15,377
BOSTON SCIENTIFIC CORPORATION
$11,492
ABBVIE INC.
$2,091
Boston Scientific Corporation
$1,825
Nevro Corp.
$1,079
Forte Bio-Pharma LLC
$903
Allergan, Inc.
$886
MML US, Inc.
$724
Aesculap, Inc.
$592
Saluda Medical Americas, Inc.
$557
Medtronic, Inc.
$545
Amgen Inc.
$511
Nalu Medical, Inc.
$476
PFIZER INC.
$433
Allergan Inc.
$416
Biohaven Pharmaceuticals, Inc.
$380
AbbVie Inc.
$369
Lilly USA, LLC
$315
PAINTEQ LLC
$297
BIONESS INC
$296
Merz Pharmaceuticals, LLC
$280
Daiichi Sankyo Inc.
$249
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$217
Merz North America, Inc.
$212
Teva Pharmaceuticals USA, Inc.
$205
RedHill Biopharma Inc.
$196
Medtronic USA, Inc.
$192
Electronic Waveform Lab, Inc.
$182
SCILEX PHARMACEUTICALS INC.
$179
IDORSIA PHARMACEUTICALS US INC
$173
SPR Therapeutics, Inc
$160
Collegium Pharmaceutical, Inc.
$152
Promius Pharma LLC
$150
Azurity Pharmaceuticals, Inc.
$147
UPSHER-SMITH LABORATORIES LLC
$142
Novartis Pharmaceuticals Corporation
$133
ARBOR PHARMACEUTICALS, INC.
$129
Stimwave Technologies Incorporated
$129
Jazz Pharmaceuticals Inc.
$120
Biohaven Pharmaceutical Holding Company Ltd.
$118
Scilex Pharmaceuticals Inc.
$112
Upsher-Smith Laboratories LLC
$106
Takeda Pharmaceuticals U.S.A., Inc.
$103
Avanir Pharmaceuticals, Inc.
$103
IBSA Pharma Inc.
$101
Arbor Pharmaceuticals, Inc.
$82
Sentynl Therapeutics, Inc.
$81
Valinor Pharma, LLC
$77
TerSera Therapeutics LLC
$77
FORTE BIO-PHARMA LLC
$75
Lundbeck LLC
$71
Almatica Pharma LLC
$60
Horizon Therapeutics plc
$59
ASSERTIO THERAPEUTICS, Inc.
$46
Curonix LLC
$40
Shionogi Inc
$37
DePuy Synthes Sales Inc.
$36
Kaleo, Inc.
$36
Relievant Medsystems, Inc.
$32
Currax Pharmaceuticals LLC
$29
Purdue Pharma L.P.
$28
Pacira Pharmaceuticals Incorporated
$28
ASSERTIO THERAPEUTICS, INC.
$26
SI-BONE, Inc.
$24
Masimo Corporation
$23
Fidia Pharma USA Inc.
$21
Kowa Pharmaceuticals America, Inc.
$20
MERZ NORTH AMERICA, INC.
$20
AstraZeneca Pharmaceuticals LP
$19
Vertical Pharmaceuticals, LLC
$19
Alnylam Pharmaceuticals Inc.
$19
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$16
Assertio Therapeutics, Inc.
$16
Flexion Therapeutics, Inc.
$16
Eisai Inc.
$15
Horizon Pharma plc
$14
Stratus Medical, LLC
$13
BioDelivery Sciences International, Inc.
$12
INSYS Therapeutics Inc
$12
Merck Sharp & Dohme Corporation
$12
Top 3 companies account for 73.5% of all-time payments
Associated products mentioned in payments ›
AIMOVIG · AJOVY · AUTOFILL · Aimovig · Algovita · Amitiza · Axium INS DRG IPG · Axium Sheath Braided DRG · BELBUCA · BELSOMRA · BIOTRONIK · BOTOX · BOTOX THERAPEUTIC · BUNAVAIL 2.1 mg 30-count box · Belbuca · COMIRNATY · CONTRAVE · Cambia · DALVANCE · DRG IPGs · DRG leads · DUEXIS · Dayvigo · EMGALITY · ETERNA · EVZIO · Eon Family of SCS IPGs · Evoke · Evoke SCS · Evzio · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · GRALISE · General - Pain Management · Gralise · HA MINUTEMAN G3-R · HORIZANT · Horizant · INTELLIS · INTELLIS ADAPTIVESTIM · Infinion 16 · Intracept · IonicRF Generator · Iovera · LEVORPHANOL TARTRATE · LICART · LORZONE · LYRICA · Levorphanol · Levorphanol Tartrate · Licart · MONOVISC · MOVANTIK · Morphabond ER · Movantik · N'VISION · NALOCET · NAPRELAN · NUEDEXTA · NURTEC ODT · Nalocet · Nalu Neurostimulation System · Neuromodulation Dspsbls and Accs · Nimbus · ONPATTRO · ONZETRA Xsail · Omnia · PAINTEQ · PAXLOVID · PENNSAID · PENTA · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PRIALT · PROCLAIM · PROLATE · PROTG · Patient SafetyNet System · Penta SCS Leads · Prialt · Proclaim DRG IPG · Proclaim Family of SCS IPGs · Proclaim IPG · Prodigy Family of SCS IPGs · Prospera · Protege Family of SCS IPGs · QULIPTA · QUVIVIQ · RELISTOR · RESTORE · ReActiv8 · SCS IPGs · SEGLENTIS · SPECTRA WAVEWRITER · SPRINT PNS System · SUBSYS · SUPERION · SYMPROIC · SYNCHROMED · SYNCHROMEDII · Senza Spinal Cord Stimulation System · Spectra WaveWriter · StimQ Receiver Stimulator Kit Channel A US w Receiver · StimQ Receiver Stimulator Kit Channel A US w/Receiver · Stimrouter for Pain · Stimrouter for pain · Superion · Superion ISS · Superion Indirect Decompression System · Symproic · TEFLARO · TOSYMRA · TOSYMRA SUMATRIPTAN NASAL SPRAY · TRILURON · Talicia · Trintellix · UBRELVY · VYEPTI · Vanta · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · XEOMIN · XTAMPZA · XTAMPZAER · Xeomin · ZEMBRACE SYMTOUCH · ZTLido · Zembrace · Zilretta · iFuse Implant · mild Device Kit
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Pain medicines in nearby ZIP areas
59
County median income
$113,702
Nearest hospital to ZIP centroid (approximate)
COLLEGE HOSPITAL COSTA MESA
2.8 mi
2.8 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Paicius is a mixed practice specialist, with above-average Medicare volume (top 1% in CA), with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Paicius experienced with botox injection (xeomin), per unit?
Based on Medicare claims data, Dr. Paicius performed 9,590 botox injection (xeomin), per unit services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Paicius receive payments from pharmaceutical companies?
Yes. Dr. Paicius received a total of $324,346 from 85 companies across 1,317 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Paicius's costs compare to other pain medicines in Newport Beach?
Dr. Paicius's average Medicare payment per service is $22. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Paicius) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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