Abraham Jaguan, MD
Otolaryngology · Miami, FLNPI 1487654950
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,001 of the $4,769 with a category attached, or 62.9%. 19 manufacturers reported payments, led by Intersect ENT, Inc. at 58.6% of the total. Reporting peaked in 2019 at $2,828 and has fallen 84.0% since, to $453 in 2025.
Across 65 payments — averaging $73.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intersect ENT, Inc.$3K
- Stryker$607
- Cochlear Americas$499
- Medtronic$156
- Amniox Medical, Inc.$125
- GSK$94
- plus $494 from 13 others
Across 5 payments — averaging $13,903 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Sanofi US Services Inc.$70K
What the payments were for
- Consulting fees$752%
- Travel & lodging$1,69336%
- Food & beverage$3,00163%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Intersect ENT, Inc. | 12 | $2,794 |
| Stryker | 7 | $607 |
| Cochlear Americas | 10 | $499 |
| Medtronic(2 entities) | 8 | $156 |
| Amniox Medical, Inc. | 1 | $125 |
| GSK | 4 | $94 |
| Optinose US, Inc. | 4 | $79 |
| Kerecis Limited | 3 | $68 |
| Integra Lifesciences Corporation | 2 | $57 |
| Acclarent, Inc | 2 | $49 |
| Inspire Medical Systems, Inc. | 2 | $37 |
| Aerin Medical Inc. | 2 | $36 |
| Hologic Sales And Service, LLC | 2 | $36 |
| Med-el Corporation | 1 | $35 |
| Ambu Inc. | 1 | $27 |
| Alk-abello, Inc | 1 | $21 |
| Novartis | 1 | $19 |
| Acera Surgical, Inc. | 1 | $17 |
| Kaleo, Inc. | 1 | $12 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$4,769 in reported general payments places this provider in the 75th percentile of 586 otolaryngology providers in Florida.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Azelastine Hcl | 222 | $7,908 |
| Fluticasone Propionate | 535 | $7,135 |
| Fluocinolone Acetonide Oil | 105 | $5,329 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 40 | $4,295 |
| Fml ForteFluorometholone | 12 | $4,097 |
| Ofloxacin | 91 | $3,735 |
| Fluorometholone | 29 | $2,465 |
| Ipratropium Bromide | 76 | $1,844 |
| Famotidine | 131 | $967 |
| Omeprazole | 101 | $935 |
| Prednisolone Acetate | 15 | $553 |
| Mometasone Furoate | 33 | $511 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 32 | $402 |
| Mupirocin | 66 | $399 |
| Clarithromycin | 14 | $382 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Miami
- Maria SuurnaMiami$189K
- Agustin ArrietaMiami$95K
- Francisco PernasMiami$70K
- Adrien EshraghiMiami$41K
- Michael HofferMiami$24K
- Corinna LevineMiami$16K
- Jason LeibowitzMiami$13K
- Donald WeedMiami$8K
- Cecelia DamaskOrlando$707K
- Ralph TufanoSarasota$469K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.