Medicare Enrolled
Dr. Michael Hanes, M.D.
Interventional Pain Medicine Physician · Saint Augustine, FL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Consulting-driven
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. Hanes 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. Hanes
Dr. Michael Hanes is an interventional pain medicine physician in Saint Augustine, FL, with 15 years of NPI registration. Based on federal Medicare data, Dr. Hanes performed 4,315 Medicare services across 1,843 unique beneficiaries.
Between the years covered by Open Payments, Dr. Hanes received a total of $148,054 from 59 pharmaceutical and/or device companies across 710 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional pain medicine physician. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Hanes is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 15 years in practice
▲ Top 33% volume in FL
$148,054 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,315
Medicare services
Top 33% in FL for interventional pain medicine physician
1,843
Unique beneficiaries
$128
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~288 Medicare services per year of practice
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 |
|---|---|---|---|
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
1,661 | $0 | $1 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
651 | $1 | $4 |
| 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. |
184 | $90 | $508 |
| 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. |
163 | $124 | $667 |
| 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. |
140 | $193 | $1,298 |
| 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. |
132 | $101 | $666 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
100 | $61 | $249 |
| 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. |
99 | $135 | $766 |
| 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. |
95 | $218 | $1,405 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
95 | $240 | $988 |
| 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. |
89 | $481 | $3,318 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
85 | $265 | $1,769 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
76 | $67 | $359 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
61 | $62 | $286 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
59 | $70 | $720 |
| 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. |
52 | $203 | $1,350 |
| 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. |
49 | $107 | $701 |
| 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. |
48 | $86 | $442 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
47 | $137 | $797 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
47 | $94 | $411 |
| 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. |
46 | $194 | $1,030 |
| 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. |
38 | $246 | $8,915 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
35 | $47 | $269 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
35 | $85 | $454 |
| 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. |
29 | $190 | $1,016 |
| Spinal stabilization device placement Surgical procedure to stabilize a fractured vertebra in the lower spine by inserting a supportive device. |
27 | $4,348 | $22,292 |
| 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. |
27 | $454 | $2,929 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
27 | $265 | $1,708 |
| 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. |
26 | $77 | $448 |
| Spinal stabilization device, each additional segment Placement of a stabilizing device on an additional segment of a broken spine bone. This code is used for each extra segment treated beyond the initial one. |
24 | $2,247 | $11,570 |
| Spinal fracture stabilization with imaging guidance A procedure to stabilize a broken bone in the middle spine by placing a device, using imaging guidance during the treatment. |
16 | $4,377 | $22,400 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
16 | $40 | $224 |
| Spinal neurostimulator generator insertion Surgical placement of a spinal neurostimulator generator or receiver device. |
13 | $158 | $1,500 |
| 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. |
12 | $752 | $14,780 |
| Psychological or neuropsychological test, first 30 minutes Administration of psychological or neuropsychological testing for the first 30 minutes. |
11 | $8 | $176 |
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. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$148,054
Total received (2018-2024)
Avg $21,151/year across 7 years
Top 1% in FL for interventional pain medicine physician
59
Companies
710
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$66,788 (45.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$66,163 (44.7%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$15,103 (10.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$7,151
2023
$3,075
2022
$23,941
2021
$11,486
2020
$8,023
2019
$33,183
2018
$61,196
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$81,156
Medtronic USA, Inc.
$32,829
Medtronic, Inc.
$19,729
Boston Scientific Corporation
$2,944
MML US, Inc.
$2,510
BOSTON SCIENTIFIC CORPORATION
$1,251
Relievant Medsystems, Inc.
$1,096
PAINTEQ LLC
$967
Vertiflex, Inc.
$509
Stimwave Technologies Incorporated
$460
Saluda Medical Americas, Inc.
$457
Nevro Corp.
$326
SPR Therapeutics, Inc
$311
AbbVie Inc.
$266
AXOGEN
$257
Novartis Pharmaceuticals Corporation
$166
Averitas Pharma Inc.
$164
Avanos Medical
$163
Nalu Medical, Inc.
$154
Interventional Pain Technologies Inc.
$146
ABBVIE INC.
$142
Flowonix Medical Incorporated
$141
Vertos Medical, Inc.
$138
Smith+Nephew, Inc.
$126
Edwards Lifesciences Corporation
$117
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$107
PFIZER INC.
$105
Mallinckrodt Enterprises LLC
$101
IDORSIA PHARMACEUTICALS US INC
$99
SI-BONE, INC.
$96
TerSera Therapeutics LLC
$95
Amgen Inc.
$84
Spinal Simplicity, LLC
$80
ARBOR PHARMACEUTICALS, INC.
$69
Collegium Pharmaceutical, Inc.
$66
Curonix LLC
$60
RedHill Biopharma Inc.
$47
SCILEX PHARMACEUTICALS INC.
$45
Lundbeck LLC
$43
Biohaven Pharmaceuticals, Inc.
$37
Radius Health, Inc.
$35
Inspire Medical Systems, Inc.
$35
Allergan, Inc.
$31
Virtus Pharmaceuticals LLC
$30
Sonex Health, Inc.
$26
Jazz Pharmaceuticals Inc.
$25
Scilex Pharmaceuticals Inc.
$23
IBSA Pharma Inc.
$20
DePuy Synthes Sales Inc.
$20
Flexion Therapeutics, Inc.
$19
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$18
Almatica Pharma LLC
$17
Pernix Therapeutics Holdings, Inc.
$16
Biogen, Inc.
$16
Stryker Corporation
$14
Pacira Therapeutics, Inc.
$13
Supernus Pharmaceuticals, Inc.
$13
ASSERTIO THERAPEUTICS, Inc.
$11
BioDelivery Sciences International, Inc.
$11
Top 3 companies account for 90.3% of total payments
Associated products mentioned in payments ›
ADAPTIVESTIM · ADUHELM · AIMOVIG · ASCENDA · Aimovig · Avance Nerve Graft · Axium INS DRG IPG · Axium Sheath Braided DRG · AxoGuard Nerve Connector · BELBUCA · BIONIC NAVIGATOR · BIS · BOTOX · Bionic Navigator · CHANTIX · COOLIEF COOLED RADIOFREQUENCY · COVEREDGE · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ETERNA · Eon Family of SCS IPGs · Evoke · Evoke SCS · GENERAL - PAIN MANAGEMENT · GENERAL - THERAPIES · GENERAL PAIN MANAGEMENT · GENERATOR · General - Pain Management · Gralise · HA MINUTEMAN G3-R · Horizant · INSPIRE · INTELLIS · INTELLIS ADAPTIVESTIM · Intracept · KYPHON Balloon Kyphoplasty · KYPHON EXPRESS II KYPHOPAK TRAY · LEVORPHANOL TARTRATE · LICART · LIORESAL · LYRICA · MILD DEVICE KIT · Movantik · NAPRELAN · NURTEC ODT · Nalu Neurostimulation System · Neuromodulation Dspsbls and Accs · OFIRMEV · ORTHOVISC · OSTEOCOOL RF ABLATION · Omnia · PAINTEQ · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PRIALT · PROCLAIM · PRODIGY · Prialt · Proclaim Family of SCS IPGs · Proclaim IPG · Proclaim XR IPG · Prometra II · Protege Family of SCS IPGs · Q-FIX · QULIPTA · QUTENZA · QUVIVIQ · RELISTOR · RELISTOR ORAL · RESTORE · ReActiv8 · SCS IPGs · SPECTRA WAVEWRITER · SPRINT PNS System · SYNCHROMED · SYNCHROMEDII · Senza · Senza Spinal Cord Stimulation System · StimQ Receiver Stimulator Kit Channel A US w Receiver · Superion · Superion ISS · Superion Indirect Decompression System · TROKENDI XR · Tymlos · UBRELVY · ULTRAGUIDECTR · VANTA ADAPTIVESTIM · VYEPTI · Vanta · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · XTAMPZA · ZOHYDRO ER · ZTLido · Zilretta · mild Device Kit
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →
The majority of payments (45%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 1% for interventional pain medicine physician in FL.
Equivalent to $3,431 per 100 Medicare services performed
Geographic Context
Interventional pain medicine physicians within 10 mi
4
Per 100K population
1.4
County median income
$106,169
Nearest hospital
FLAGLER HOSPITAL
5.7 mi
5.7 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Hanes is a mixed practice specialist, with moderate Medicare volume, with consulting-driven industry engagement in the top 1% of FL peers, with 15 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Hanes experienced with dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Hanes performed 1,661 dexamethasone injection (steroid) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Hanes receive payments from pharmaceutical companies?
Yes. Dr. Hanes received a total of $148,054 from 59 companies across 710 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. 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. Hanes's costs compare to other interventional pain medicine physicians in Saint Augustine?
Dr. Hanes's average Medicare payment per service is $128. 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. Hanes) 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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. The Transparency Score measures 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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