Payments to doctors in New Hampshire

Drug and device companies reported paying $43,211,052 to 6,808 doctors and practitioners with a New Hampshire practice address between 2019 and 2025 — 0.2% of the national total, and 43rd of 51 states.

What was reported

$43.2 million
General payments: $43,211,052; 195,002 separate payments, made outside a research agreement. CMS’s record lists the kind of each.; $868.7 thousand
Research payments: $868,664; Funding for studies, usually paid to an institution with a doctor named on it. Shown apart from general payments and never added to them.; 6,808
Doctors and practitioners: People CMS holds at least one reported payment for with a New Hampshire address. Not a count of doctors in New Hampshire, which neither source publishes — so nothing here is divided by it.; 0.2%
Share of the national total: Of $17.3 billion in general payments reported nationally.

Drug and device makers paid New Hampshire’s clinicians $2,319 each in 2025, against $2,813 across the country

General payments reported to CMS for clinicians in New Hampshire, divided by the clinicians they were reported for, by program year, against the same across the country. The clinicians counted are the ones paid, not every clinician practising, so this is what a paid clinician received on average, not what a clinician did.

2025 is published and still being revised, so its last point may move.

A clinician is counted in the state CMS lists for them that year, so one who moved is counted where they were paid.

Centers for Medicare & Medicaid Services — Open Payments — payments grouped by physician

The figures behind this chart

Drug and device makers paid New Hampshire’s clinicians $2,319 each in 2025, against $2,813 across the country. General payments reported to CMS for clinicians in New Hampshire, divided by the clinicians they were reported for, by program year, against the same across the country. The clinicians counted are the ones paid, not every clinician practising, so this is what a paid clinician received on average, not what a clinician did.
Program year	New Hampshire	United States
2025	$2,319	$2,813
2024	$2,039	$2,756
2023	$2,035	$2,670
2022	$1,925	$3,119
2021	$1,738	$2,924
2020	$2,314	$3,357
2019	$2,569	$3,853

4 more columns on a wider screen

The 10 largest recipients of general payments in New Hampshire, 2019–2025
Rank	Doctor	City	Specialty	General payments
1	John Miller	Exeter	Psychiatry	$2,715,944
2	Abel Jarell	Portsmouth	Dermatology	$2,339,669
3	Donald Rainone	Londonderry	Internal Medicine	$1,934,677
4	Stephen Ellen	Nashua	Psychiatry	$1,400,015
5	Lee Kaplan	Lebanon	Gastroenterology	$1,211,258
6	Akhilesh Sastry	Portsmouth	Orthopaedic Surgery	$965,722
7	Robert Posnick	Nashua	Dermatology	$951,469
8	Adrian Thomas	Bedford	Orthopaedic Surgery of the Spine	$943,776
9	Michael McNamara	Manchester	Psychiatry	$754,107
10	Gary Fleischer	Nashua	Orthopaedic Surgery of the Spine	$747,159

Ranked within New Hampshire, by general payments only. Research funding and ownership interests are separate transactions with separate meanings and are not added in — a doctor paid only for research is not on this list. Every doctor in the record lists the rest.

What New Hampshire’s doctors prescribed under Medicare

A second CMS file records what doctors prescribed rather than what they were paid. In 2024, 7,251 prescribers with a New Hampshire address filled 7,011,147 Medicare Part D prescriptions costing $1,156,889,314 — 0.4% of the $288.4 billion Medicare paid nationally. None of that money went to the doctors. It is what Medicare, its plans and patients paid pharmacies for what they wrote.

7,011,147
Prescriptions filled: Claims, counting every refill. 2024 only, not the period above.; $1.2 billion
What the drugs cost: $1,156,889,314; Paid to pharmacies by Medicare, its plans and patients. Not income for any doctor.; 7,251
Prescribers: People CMS published a Part D row for. CMS drops a prescriber-drug row under eleven claims, so a doctor who prescribed little of everything is not here — and this is not a count of doctors in New Hampshire.; 201,919
Opioid prescriptions: Of 59,133,014 nationally. CMS withheld the opioid count from 350,416 prescribers, so this is a floor rather than a total.

The state is the practice address CMS holds for the prescriber, not where the patient lives or the pharmacy stands. Unlike the payment figures above, every Part D claim is attributed to a state, so these rows do add up to the national total — the gap described further down this page is an Open Payments gap and not this one. Prescribers ranked by claims, by what their prescriptions cost and by opioid claims are national lists.

New Hampshire elsewhere on the Factbook

Reported crimeCrime and justice
Offenses reported to police by type, the trend, and the reporting coverage.
Cities by violent crime rateCrime and justice
What each agency serving 25,000 or more reported, ranked. Agency populations overlap, so these do not add up to the state.
Prison populationCrime and justice
People held under the state’s correctional authority, and the imprisonment rate. A different publisher counting a different thing.
Arrests by race, sex and ageCrime and justice
Arrests as the FBI’s participating agencies reported them, with what the figures can and cannot support at the top.
Hate crimeCrime and justice
Incidents reported to the FBI by bias motivation, as counts — the collection publishes no participation share, so there is no rate to compare states on.
Federal obligationsFederal spending
What federal agencies obligated against a place of performance in the state, per resident and by agency.
Registered nonprofitsNonprofits
How many organizations the IRS lists in the state, what they report as revenue, and which kinds of work they do.
Farm program paymentsFarm subsidies
What the Farm Service Agency paid through the state’s county offices, by program and by recipient. The offices that administered the payments, not a count of farms: a recipient addressed elsewhere is counted where they were paid.
The New Hampshire Factbook entryAcross the Factbook
Every measure the Factbook publishes for this state in one place, each with where it ranks among the others and the record it came from.

The immigration hub has no page for this state: EOIR runs no immigration court here, and CBP publishes by sector and field office, which are its own areas of responsibility rather than a geography. Immigration and the border.

What this page does not show

Where the work happened. The state is the practice address CMS holds for the doctor, not the place the payment was earned or the patient was seen.
Doctors CMS holds no state for. 435 of 1,693,971 profiles carry no state, holding $3,697,188 in general payments. They are in the national total and on no state page, which is why the 51 state pages do not sum to it.
Anything about influence. The record says what was paid and by whom, and this page makes no claim beyond that.

Data retrieved September 25, 2026

Sources

Open Payments — payments grouped by physician — Centers for Medicare & Medicaid Services · U.S. Government work · retrieved September 25, 2026
Medicare Part D Prescribers — by provider · U.S. Government work · retrieved September 22, 2026