Adam Rourke, DO
Facial Plastic Surgery · Sterling Heights, MINPI 1225284763
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 98 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 15 manufacturers, the largest accounting for just 23.0% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $1,119 and has fallen 85.2% since, to $166 in 2025.
Across 98 payments — averaging $36.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acclarent, Inc$821
- Intersect ENT, Inc.$703
- Sanofi$443
- Medtronic$373
- Optinose US, Inc.$353
- Regeneron Healthcare Solutions, Inc.$319
- plus $560 from 9 others
What the payments were for
- Food & beverage$3,572100%
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 |
|---|---|---|
| Acclarent, Inc | 15 | $821 |
| Intersect ENT, Inc. | 8 | $703 |
| Sanofi | 20 | $443 |
| Medtronic(2 entities) | 4 | $373 |
| Optinose US, Inc. | 16 | $353 |
| Regeneron Healthcare Solutions, Inc. | 15 | $319 |
| GSK | 9 | $155 |
| Aerin Medical Inc. | 3 | $137 |
| Cook Medical LLC | 1 | $93 |
| Xoran Technologies LLC | 1 | $53 |
| Stryker | 2 | $49 |
| Integra Lifesciences Corporation | 1 | $24 |
| Johnson & Johnson | 1 | $20 |
| Covidien LP | 1 | $16 |
| Hikma Pharmaceuticals USA | 1 | $13 |
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$443
- SINUVA$253
- Relieva Spinplus$171
- Acclarent Navwire$140
- Vivaer RF Stylus$116
- FUSION$112
- NUVENT$101
How this compares
$3,572 in reported general payments places this provider in the 70th percentile of 30 facial plastic surgery 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 |
|---|---|---|
| Ipratropium Bromide | 396 | $11,743 |
| Azelastine Hcl | 194 | $5,911 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 23 | $2,909 |
| Fluticasone Propionate | 199 | $2,559 |
| Mometasone Furoate | 42 | $1,468 |
| Omeprazole | 112 | $1,179 |
| Dexamethasone Sodium Phosphate | 24 | $1,001 |
| Ofloxacin | 49 | $955 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 75 | $743 |
| Methylprednisolone | 74 | $572 |
| Doxycycline Hyclate | 49 | $441 |
| Montelukast Sodium | 45 | $384 |
| Cefdinir | 21 | $358 |
| Mupirocin | 32 | $149 |
| Prednisone | 34 | $142 |
Paid to pharmacies, not to this prescriber.
Other facial plastic surgery in Sterling Heights
- Ahmed MakiPontiac$24K
- Casey AshbyFarmington Hills$15K
- Andrew BehlerGrand Rapids$10K
- Christopher MetzMadison Heights$7K
- John UlrichGrand Blanc$7K
- Laura Garcia RodriguezDetroit$6K
- Anthony HowardGrand Rapids$4K
- Noah SternDetroit$4K
- John RileyGrand Rapids$3K
- Colin BohrPontiac$3K
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.