Covered recipient · General Payments record
MICHAEL FLETCHER
Allopathic & Osteopathic Physicians Pain Medicine Interventional Pain Medicine
General Payments · PY2018–2021
$18,249.61
- Reported across 28 records
- CMS publication 2026-01-23
Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.
How these totals are calculated
- The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
- General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
- Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
- Methodology & Data — sourcing, labeling, and limitations.
By nature of payment
PY2021 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Gift | $9,515.40 | 3 |
| Food and Beverage | $141.18 | 9 |
By paying entity
PY2021 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| USWM, LLC | $9,546.71 | 5 |
| BIODELIVERY SCIENCES INTERNATIONAL, INC. | $40.49 | 3 |
| GRT US Holding, Inc. | $36.45 | 2 |
| Bioventus LLC | $18.38 | 1 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $14.55 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2021 (12)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| BioDelivery Sciences International, Inc. | $15.58 | 03/09/2021 | Food and Beverage | Undisputed | 01/23/2026 | 817728081 | CMS |
| BioDelivery Sciences International, Inc. | $12.72 | 06/29/2021 | Food and Beverage | Undisputed | 01/23/2026 | 817752423 | CMS |
| BioDelivery Sciences International, Inc. | $12.19 | 08/19/2021 | Food and Beverage | Undisputed | 01/23/2026 | 817763273 | CMS |
| Bioventus LLC | $18.38 | 10/27/2021 | Food and Beverage | Undisputed | 01/23/2026 | 838644353 | CMS |
| GRT US Holding, Inc. | $15.20 | 06/29/2021 | Food and Beverage | Undisputed | 01/23/2026 | 841330231 | CMS |
| GRT US Holding, Inc. | $21.25 | 08/12/2021 | Food and Beverage | Undisputed | 01/23/2026 | 841330227 | CMS |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $14.55 | 03/24/2021 | Food and Beverage | Undisputed | 01/23/2026 | 850142977 | CMS |
| USWM, LLC | $716.52 | 03/18/2021 | Gift | Undisputed | 01/23/2026 | 834103291 | CMS |
| USWM, LLC | $4,094.40 | 04/27/2021 | Gift | Undisputed | 01/23/2026 | 834103293 | CMS |
| USWM, LLC | $4,704.48 | 04/27/2021 | Gift | Undisputed | 01/23/2026 | 834103295 | CMS |
| USWM, LLC | $12.65 | 07/24/2021 | Food and Beverage | Undisputed | 01/23/2026 | 834103217 | CMS |
| USWM, LLC | $18.66 | 11/29/2021 | Food and Beverage | Undisputed | 01/23/2026 | 834103265 | CMS |
Source & provenance
- Dataset
- CMS Open Payments — General Payments
- Publisher of source data
- Centers for Medicare & Medicaid Services
- CMS publication date
- 2026-01-23
- Program years on this page
- 2018, 2019, 2020, 2021
- Generated from
- OP_DTL_GNRL_PGYR2021_P01232026_01102026.csv
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