Medicare Enrolled
Dr. Bradley Culling, D.O.
Pain Medicine · Killeen, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
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. Culling 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. Culling
Dr. Bradley Culling is a pain medicine specialist in Killeen, TX, with 14 years of NPI registration. Based on federal Medicare data, Dr. Culling performed 4,954 Medicare services across 2,155 unique beneficiaries.
Between the years covered by Open Payments, Dr. Culling received a total of $26,600 from 24 pharmaceutical and/or device companies across 1472 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Culling 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.
✓ 14 years in practice
▲ Top 12% volume in TX
$26,600 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,954
Medicare services
Top 12% in TX for pain medicine
2,155
Unique beneficiaries
$74
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~354 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 |
|---|---|---|---|
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
1,114 | $1 | $10 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
941 | $60 | $600 |
| 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. |
838 | $193 | $600 |
| 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. |
497 | $90 | $380 |
| Assessment of emotional or behavioral problems An evaluation to identify and understand emotional or behavioral issues. This process involves reviewing symptoms and behaviors to determine the nature of the concerns. |
271 | $3 | $17 |
| Midazolam injection, per 1 mg Administration of midazolam hydrochloride, a sedative medication, measured in 1 mg increments. |
247 | $0 | $2 |
| Injection, fentanyl citrate, 0.1 mg | 150 | $1 | $2 |
| Contrast dye for imaging, lower concentration | 139 | $0 | $1 |
| 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. |
99 | $242 | $750 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
62 | $55 | $187 |
| 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. |
61 | $121 | $490 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
50 | $37 | $151 |
| 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. |
48 | $227 | $6,649 |
| Spinal drug pump reprogramming and refill A physician electronically adjusts the settings of a spinal drug infusion pump and refills its medication reservoir. |
45 | $68 | $290 |
| 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 | $189 | $787 |
| Compounded drug, not otherwise classified A medication prepared specifically for an individual patient by a pharmacist or physician, tailored to meet unique needs that cannot be fulfilled by commercially available products. |
44 | $150 | $262 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
42 | $88 | $342 |
| 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. |
38 | $56 | $267 |
| 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. |
26 | $202 | $1,245 |
| 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. |
25 | $201 | $526 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
25 | $66 | $517 |
| 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. |
24 | $185 | $798 |
| Spinal neurostimulator generator insertion Surgical placement of a spinal neurostimulator generator or receiver device. |
22 | $186 | $1,051 |
| 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. |
22 | $104 | $270 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
21 | $65 | $328 |
| 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. |
18 | $35 | $164 |
| 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. |
16 | $248 | $735 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
14 | $32 | $159 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
11 | $19 | $117 |
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 ↗$26,600
Total received (2018-2024)
Avg $3,800/year across 7 years
Top 9% in TX for pain medicine
24
Companies
1,472
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.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$26,600 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,303
2023
$2,690
2022
$6,829
2021
$5,316
2020
$2,430
2019
$2,203
2018
$3,830
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$22,930
Boston Scientific Corporation
$1,231
Vertiflex, Inc.
$836
Collegium Pharmaceutical, Inc.
$270
Novartis Pharmaceuticals Corporation
$168
Medtronic USA, Inc.
$151
BOSTON SCIENTIFIC CORPORATION
$150
ABBVIE INC.
$143
Medtronic, Inc.
$96
Teva Pharmaceuticals USA, Inc.
$86
PFIZER INC.
$84
Amgen Inc.
$69
Biohaven Pharmaceuticals, Inc.
$61
Arbor Pharmaceuticals, Inc.
$55
Daiichi Sankyo Inc.
$42
Takeda Pharmaceuticals U.S.A., Inc.
$40
Scilex Pharmaceuticals Inc.
$39
AbbVie Inc.
$33
ARBOR PHARMACEUTICALS, INC.
$25
Pernix Therapeutics Holdings, Inc.
$24
Forte Bio-Pharma LLC
$22
Kowa Pharmaceuticals America, Inc.
$16
Bausch Health US, LLC
$15
IBSA Pharma Inc.
$14
Top 3 companies account for 94.0% of total payments
Associated products mentioned in payments ›
ADAPTIVESTIM · AIMOVIG · AJOVY · ARTISAN · AVISTA · AXIUM · Aimovig · Amitiza · Axium INS DRG IPG · Axium Sheath Braided DRG · Belbuca · Cinch Epiducer SCS · DRG Accessories · DRG IPGs · DRG leads · EON C · ETERNA · EXCLAIM · Eon Family of SCS IPGs · Exclaim SCS Leads · GENERAL PAIN MANAGEMENT · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · Horizant · INFINION · INTELLIS · INTELLIS ADAPTIVESTIM · LINEAR · LYRICA · Lamitrode SCS Leads · Licart · MIGRANAL · Morphabond ER · NURTEC ODT · Neuromodulation Dspsbls and Accs · No Associated Product · OCTRODE · Octrode SCS Leads · PENTA · PRECISION · PROCLAIM · PRODIGY · PROLATE · PROTG · Penta SCS Leads · Precision Xceed Pro system · Proclaim Family of SCS IPGs · Proclaim IPG · Prodigy Family of SCS IPGs · QULIPTA · Quattrode Leads SCS Leads · Radiofrequency Therapy · S-Series SCS Leads · SCS IPGs · SCS leads · SEGLENTIS · SPECTRA WAVEWRITER · SUPERION · SWIFT-LOCK · SYNCHROMEDII · Spinal Cord Stimulation Accessories · Superion ISS · Swift-Lock SCS · Tripole SCS Leads · UBRELVY · VANTA ADAPTIVESTIM · VECTRIS · XTAMPZA · XTAMPZAER · Xtampza ER · ZOHYDRO ER · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
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 →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 9% for pain medicine in TX.
Equivalent to $537 per 100 Medicare services performed
Geographic Context
Pain medicines within 10 mi
8
Per 100K population
2.1
County median income
$66,051
Nearest hospital
SETON MEDICAL CENTER HARKER HEIGHTS
4.8 mi
4.8 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. Culling is a mixed practice specialist, with above-average Medicare volume (top 12% in TX), with low-engagement industry engagement in the top 9% of TX peers.
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. Culling experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Culling performed 1,114 steroid injection (triamcinolone) 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. Culling receive payments from pharmaceutical companies?
Yes. Dr. Culling received a total of $26,600 from 24 companies across 1,472 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. Culling's costs compare to other pain medicines in Killeen?
Dr. Culling's average Medicare payment per service is $74. 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. Culling) 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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