Adam Luginbuhl, MD
Otolaryngology · Philadelphia, PANPI 1811106008
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (57.7%), food and beverage and entertainment — rather than concentrated in one kind of arrangement. 9 manufacturers reported payments, led by Medical Device Business Services, Inc. at 49.2% of the total. Reporting peaked in 2023 at $1,360 and has fallen 67.2% since, to $446 in 2024.
Across 29 payments — averaging $92.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$1K
- Intuitive Surgical$567
- Isoray, Inc$210
- Galvanize Therapeutics, Inc$168
- Baxter Healthcare$148
- Johnson & Johnson$89
- plus $180 from 3 others
Across 22 payments — averaging $33,743 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.
- Merck$498K
- Hoffmann-la Roche Limited$244K
- E.r. Squibb & Sons, L.L.C.$217
What the payments were for
- Travel & lodging$1,54458%
- Food & beverage$1,00938%
- Entertainment$1255%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 13 | $1,317 |
| Intuitive Surgical | 5 | $567 |
| Isoray, Inc | 4 | $210 |
| Galvanize Therapeutics, Inc | 2 | $168 |
| Baxter Healthcare | 1 | $148 |
| Johnson & Johnson | 1 | $89 |
| Atos Medical Inc | 1 | $85 |
| Kls-martin L.p. | 1 | $63 |
| Integra Lifesciences Corporation | 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.
- TRUMATCH$1,110
- Da Vinci Surgical System$519
- Brachytherapy Source$132
- ALIYA SYSTEM$125
How this compares
$2,678 in reported general payments places this provider in the 70th percentile of 456 otolaryngology providers in Pennsylvania.
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 |
|---|---|---|
| Methylprednisolone | 16 | $77 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Philadelphia
- Nancy SnydermanPhiladelphia$4.5M
- David KennedyPhiladelphia$603K
- James PalmerPhiladelphia$331K
- Mathew NagorskyPhiladelphia$95K
- Noam CohenPhiladelphia$76K
- Nithin AdappaPhiladelphia$72K
- Steven CannadyPhiladelphia$33K
- David CognettiPhiladelphia$30K
- John KrousePhiladelphia$30K
- Soo AbboudPhiladelphia$23K
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.