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 →
Are you Dr. Hanes? Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Hanes
Dr. Michael Hanes is an interventional pain medicine physician in Saint Augustine, FL, with 15 years in practice. 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) | 1,661 | $0 | $1 |
| Steroid injection (triamcinolone) | 651 | $1 | $4 |
| Office visit, established patient (30-39 min) | 184 | $90 | $508 |
| New patient office visit (45-59 min) | 163 | $124 | $667 |
| Injection of lower or sacral spine facet joint using imaging guidance, single level | 140 | $193 | $1,298 |
| Injection of lower or sacral spine facet joint using imaging guidance, second level | 132 | $101 | $666 |
| Drug screening test | 100 | $61 | $249 |
| Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 99 | $135 | $766 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 95 | $218 | $1,405 |
| 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 | 95 | $240 | $988 |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 89 | $481 | $3,318 |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 85 | $265 | $1,769 |
| Office visit, established patient (20-29 min) | 76 | $67 | $359 |
| Hospital follow-up visit, moderate complexity | 61 | $62 | $286 |
| Office visit, established patient, complex (40-54 min) | 59 | $70 | $720 |
| Injection of upper or middle spine facet joint using imaging guidance, single level | 52 | $203 | $1,350 |
| Injection of upper or middle spine facet joint using imaging guidance, second level | 49 | $107 | $701 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 48 | $86 | $442 |
| Initial hospital admission, high complexity | 47 | $137 | $797 |
| Hospital follow-up visit, high complexity | 47 | $94 | $411 |
| Injection of substance into middle or upper spine canal using imaging guidance | 46 | $194 | $1,030 |
| Insertion of spinal neurostimulator electrode array through skin | 38 | $246 | $8,915 |
| Joint injection, major joint | 35 | $47 | $269 |
| Fluoroscopic guidance for needle placement | 35 | $85 | $454 |
| Injection of substance into lower spine canal using imaging guidance | 29 | $190 | $1,016 |
| Treatment of broken lower spine bone with placement of stabilizing device | 27 | $4,348 | $22,292 |
| Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 27 | $454 | $2,929 |
| Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint | 27 | $265 | $1,708 |
| Aspiration and/or injection of fluid large joint using ultrasound guidance | 26 | $77 | $448 |
| Treatment of broken spine bone with stabilizing device, each additional segment | 24 | $2,247 | $11,570 |
| Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance | 16 | $4,377 | $22,400 |
| Office visit, established patient (10-19 min) | 16 | $40 | $224 |
| Insertion of spinal neurostimulator generator or receiver | 13 | $158 | $1,500 |
| Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 12 | $752 | $14,780 |
| Administration of psychological or neuropsychological test, 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, and high industry engagement (consulting-driven, top 1%), with 15 years of practice experience.
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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