Adam Deconde, MD
Otolaryngology · San Diego, CANPI 1588988919
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $26,410 of the $31,814 with a category attached, or 83.0%. 11 manufacturers reported payments, led by Stryker at 51.5% of the total. Reporting peaked in 2019 at $11,497 and has fallen 70.2% since, to $3,424 in 2025. Among otolaryngology clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 49 payments — averaging $649.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$16K
- GSK$8K
- Optinose US, Inc.$5K
- Sanofi$3K
- Merz North America, Inc.$166
- AstraZeneca$67
- plus $171 from 5 others
Across 5 payments — averaging $4214.44 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.
- GSK$21K
What the payments were for
- Consulting fees$26,41083%
- Speaking & faculty fees$2,7008%
- Travel & lodging$1,1774%
- Food & beverage$1,5275%
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 |
|---|---|---|
| Stryker | 19 | $16,369 |
| GSK | 5 | $7,574 |
| Optinose US, Inc. | 16 | $4,771 |
| Sanofi | 2 | $2,696 |
| Merz North America, Inc. | 1 | $166 |
| AstraZeneca | 1 | $67 |
| Integra Lifesciences Corporation | 1 | $49 |
| KARL Storz Endoscopy-america | 1 | $39 |
| Viiv Healthcare Company | 1 | $34 |
| Neurent Medical Limited | 1 | $26 |
| Medtronic | 1 | $22 |
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.
- Xhance$4,475
- AIM LAPARASCOPES$4,400
- 1588 HD 3 CHIP CAMERA$4,400
- NUCALA$4,325
- DUPIXENT$2,610
- 1788$1,400
- SPY-PHI SYSTEM$700
- 1688 HD 3 CHIP CAMERA$675
- 1688$569
- CLARIFIX CRYOTHERAPY DEVICE$211
- XEOMIN$166
How this compares
$31,814 in reported general payments places this provider in the 95th percentile of 1,021 otolaryngology providers in California.
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 |
|---|---|---|
| XhanceFluticasone Propionate | 17 | $12,424 |
| Prednisolone Acetate | 105 | $12,412 |
| Ipratropium Bromide | 79 | $2,229 |
| Azelastine Hcl | 26 | $480 |
| Doxycycline Monohydrate | 17 | $222 |
| Fluticasone Propionate | 18 | $176 |
| Methylprednisolone | 18 | $136 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Optinose US, Inc.Xhance | $4,771 | $12,42417 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 1,021 otolaryngology providers in California.
Other otolaryngology in San Diego
- Brian WeeksSan Diego$924K
- Theresa GuoSan Diego$24K
- Charles TesarSan Diego$21K
- Charles CoffeySan Diego$20K
- Erik ViirreSan Diego$17K
- Jo-Lawrence BigcasSan Diego$15K
- Randall OwRoseville$613K
- Amir MoradiVista$389K
- Keith BlackwellLos Angeles$349K
- Kalpna DurairajSun Valley$348K
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.