Payment overview · 2025
General Payments
$2,317.78
25 reported records · 7 companies
Healthcare provider profile · identity verified
Robert Paul, PA
Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant · CHULA VISTA, CA · NPI 1972811412
Verified facts
What the public records show
CMS Open Payments records show Robert Paul, PA received $2,317.78 in general payments during 2025 across 25 reported records.
Boston Scientific Corporation accounted for 90.7% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 12 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Ztlido.
SCILEX PHARMACEUTICALS INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported ZTLido as an associated drug or biological on 6923 records involving 3060 distinct recipient NPIs. Public Medicare Part D data also shows 37 claims for Ztlido by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $2,102.55 | 90.7% | 17 | 2025 |
| Nalu Medical, Inc. | Unresolved — no canonical attribution shown | $90.70 | 3.9% | 2 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $46.09 | 2.0% | 2 | 2025 |
| Globus Medical, Inc. | Unresolved — no canonical attribution shown | $23.27 | 1.0% | 1 | 2025 |
| SCILEX PHARMACEUTICALS INC. | Unresolved — no canonical attribution shown | $19.56 | 0.8% | 1 | 2025 |
| Curonix LLC | Unresolved — no canonical attribution shown | $19.03 | 0.8% | 1 | 2025 |
| Forte Bio-Pharma LLC | Unresolved — no canonical attribution shown | $16.58 | 0.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Travel and Lodging | $1,464.18 | 3 |
| Food and Beverage | $853.60 | 22 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| WaveWriter Alpha Prime 16 Normalized: wavewriter alpha prime 16 |
Device | Boston Scientific Corporation | $2,040.56 | 15 | 2025 |
Source payment records
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| Nalu Neurostimulation System Normalized: nalu neurostimulation system |
Device | Nalu Medical, Inc. | $90.70 | 2 | 2025 |
Source payment records
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| Clinical Trial Product Normalized: clinical trial product |
Device | Boston Scientific Corporation | $44.25 | 1 | 2025 |
Source payment records
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| THORATEC HEARTMATE 3 LVAS IMPLANT KIT Normalized: thoratec heartmate 3 lvas implant kit |
Device | Abbott Laboratories | $31.76 | 1 | 2025 |
Source payment records
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| Senza Normalized: senza |
Device | Globus Medical, Inc. | $23.27 | 1 | 2025 |
Source payment records
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| ZTLido Normalized: ztlido |
Drug | SCILEX PHARMACEUTICALS INC. | $19.56 | 1 | 2025 |
Source payment records
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| PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A Normalized: pns freedom 4a permanent neurostimulator receiver kit channel a |
Device | Curonix LLC | $19.03 | 1 | 2025 |
Source payment records
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| General - Pain Management Normalized: general pain management |
Device | Boston Scientific Corporation | $17.74 | 1 | 2025 |
Source payment records
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| NALOCET Normalized: nalocet |
Drug | Forte Bio-Pharma LLC | $16.58 | 1 | 2025 |
Source payment records
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| PROLATE Normalized: prolate |
Drug | Forte Bio-Pharma LLC | $16.58 | 1 | 2025 |
Source payment records
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| TANLOR Normalized: tanlor |
Drug | Forte Bio-Pharma LLC | $16.58 | 1 | 2025 |
Source payment records
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| PROCLAIM Normalized: proclaim |
Device | Abbott Laboratories | $14.33 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| ZTLido ztlido |
2025 | Ztlido | 2024 | 37 | exact normalized | Medicare Part D |
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| SCILEX PHARMACEUTICALS INC. Exact reporting entity; no affiliate inference |
2025 | ZTLido open payments reported associated product |
CMS Open Payments — General Payments 6923 supporting records · 3060 recipient NPIs · example record 1242585247 |
Ztlido · 2024 Exact normalized brand match · 1 Part D row |
37 | 15 |
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 922 | 219 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 687 | 150 |
| Buprenorphine | Buprenorphine | 287 | 92 |
| Gabapentin | Gabapentin | 287 | 107 |
| Oxycodone Hcl | Oxycodone Hcl | 231 | 54 |
| Pregabalin | Pregabalin | 180 | 41 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 165 | 48 |
| Tramadol Hcl | Tramadol Hcl | 141 | 39 |
| Belbuca | Buprenorphine Hcl | 107 | 33 |
| Tizanidine Hcl | Tizanidine Hcl | 97 | 26 |
| Baclofen | Baclofen | 92 | 30 |
| Methylprednisolone | Methylprednisolone | 83 | 71 |
| Xtampza Er | Oxycodone Myristate | 77 | 14 |
| Morphine Sulfate Er | Morphine Sulfate | 74 | 25 |
| Naloxone Hcl | Naloxone Hcl | 65 | 65 |
| Hydromorphone Hcl | Hydromorphone Hcl | 61 | 13 |
| Buprenorphine-Naloxone | Buprenorphine Hcl/Naloxone Hcl | 52 | 20 |
| Methocarbamol | Methocarbamol | 49 | 15 |
| Morphine Sulfate | Morphine Sulfate | 42 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 38 | 16 |
| Ibuprofen | Ibuprofen | 37 | 19 |
| Ztlido | Lidocaine | 37 | 15 |
| Diclofenac Sodium | Diclofenac Sodium | 36 | 16 |
| Duloxetine Hcl | Duloxetine Hcl | 36 | 14 |
| Movantik | Naloxegol Oxalate | 35 | 19 |
| Lidocaine | Lidocaine | 33 | 16 |
| Horizant | Gabapentin Enacarbil | 20 | suppressed |
| Celecoxib | Celecoxib | 19 | suppressed |
| Hysingla Er | Hydrocodone Bitartrate | 16 | suppressed |
| Meloxicam | Meloxicam | 16 | suppressed |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 15 | suppressed |
| Butrans | Buprenorphine | 15 | suppressed |
| Fentanyl | Fentanyl | 15 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 14 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 12 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 12 | suppressed |
| Oxycontin | Oxycodone Hcl | 11 | suppressed |
| Relistor | Methylnaltrexone Bromide | 11 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $2,317.78 · 25 records | Boston Scientific Corporation | Clinical Trial Product, General - Pain Management, NALOCET, Nalu Neurostimulation System, PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A, PROCLAIM, PROLATE, Senza, TANLOR, THORATEC HEARTMATE 3 LVAS IMPLANT KIT, WaveWriter Alpha Prime 16, ZTLido | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Ztlido play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with SCILEX PHARMACEUTICALS INC.?
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error