Adam Folbe, MD
Otolaryngology · Royal Oak, MINPI 1346448040
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,903 of the $7,366 with a category attached, or 80.1%. 14 manufacturers reported payments, led by Medtronic at 43.8% of the total.
Across 72 payments — averaging $102.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$3K
- Stryker$2K
- Intersect ENT, Inc.$698
- Acclarent, Inc$543
- Integra Lifesciences Corporation$357
- Hologic Sales And Service, LLC$276
- plus $659 from 8 others
What the payments were for
- Consulting fees$5007%
- Grants$96313%
- Food & beverage$5,90380%
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 |
|---|---|---|
| Medtronic(2 entities) | 20 | $3,228 |
| Stryker | 18 | $1,606 |
| Intersect ENT, Inc. | 6 | $698 |
| Acclarent, Inc | 7 | $543 |
| Integra Lifesciences Corporation | 7 | $357 |
| Hologic Sales And Service, LLC | 2 | $276 |
| Inspire Medical Systems, Inc. | 1 | $123 |
| Kls-martin L.p. | 1 | $121 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $115 |
| Olympus America Inc. | 1 | $89 |
| Johnson & Johnson(2 entities) | 2 | $70 |
| Medela LLC | 2 | $57 |
| Aesculap, Inc. | 3 | $52 |
| Davol Inc. | 1 | $32 |
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.
- PROPEL$1,284
- SCOPIS ENT$544
- STEALTHSTATION S8 PLATFORM$288
- CoolSeal Generator$276
- XPRESS ENT DILATION SYSTEM$254
- FUSION$235
- UNIVERSAL NEURO 3$159
- 1788$150
- SINUVA$145
- Inspire$123
- Acclarent Navwire$121
- XPRESS LOPROFILE$120
- Acclarent Aera$117
- Inspira Air$117
- RELIEVA SPINPLUS NAV$117
- TruDi Probe$117
- NEFFY$115
- Relieva Spinplus$115
- Abre$109
How this compares
$7,366 in reported general payments places this provider in the 85th percentile of 257 otolaryngology providers in Michigan.
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 | 101 | $3,192 |
| Ipratropium Bromide | 38 | $1,184 |
| Fluticasone Propionate | 62 | $960 |
| Montelukast Sodium | 32 | $315 |
| Famotidine | 21 | $83 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Royal Oak
- Daniel RontalRoyal Oak$12K
- Zaid ShareefRoyal Oak$6K
- Jared JohnsonRoyal Oak$5K
- Charles BoydBirmingham$825K
- Jack KartushFarmington Hills$225K
- Robert StandringSouthfield$217K
- Robert StachlerWest Bloomfield$174K
- Giancarlo ZulianiBloomfield Hills$61K
- Lamont JonesDetroit$52K
- Gregory WolfAnn Arbor$46K
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.