Adam Rubin, MD
Otolaryngology · Saint Clair Shores, MINPI 1568554087
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 37 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 20 manufacturers, the largest accounting for just 18.8% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2024 at $959 and has fallen 58.1% since, to $402 in 2025.
Across 37 payments — averaging $97.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$678
- GSK$464
- Inspire Medical Systems, Inc.$285
- Intersect ENT, Inc.$234
- Optinose US, Inc.$230
- Acera Surgical, Inc.$159
- plus $2K from 14 others
What the payments were for
- Food & beverage$3,614100%
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) | 5 | $678 |
| GSK | 7 | $464 |
| Inspire Medical Systems, Inc. | 2 | $285 |
| Intersect ENT, Inc. | 2 | $234 |
| Optinose US, Inc. | 2 | $230 |
| Acera Surgical, Inc. | 1 | $159 |
| Integra Lifesciences Corporation | 1 | $150 |
| Smith+Nephew | 1 | $149 |
| BD | 1 | $143 |
| Sanara Medtech Inc. | 1 | $128 |
| Regeneron Healthcare Solutions, Inc. | 1 | $125 |
| Pentax Of America, Inc. | 3 | $118 |
| Sanofi | 1 | $118 |
| Ambu Inc. | 1 | $113 |
| Stryker | 1 | $113 |
| Checkpoint Surgical, Inc | 1 | $107 |
| Aerin Medical Inc. | 1 | $105 |
| Acclarent, Inc | 3 | $85 |
| Steris Corporation | 1 | $75 |
| Shockwave Medical, Inc | 1 | $35 |
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$585
- INTEGRA$451
- NUCALA$425
- DUPIXENT$243
- Xhance$230
- STEALTHSTATION S8 PLATFORM$159
- Restrata Wound Matrix$159
- INTEGRA DERMAL REGENERATION TEMPLATE$150
- PRIMATRIX$150
- GRAFIX PL$149
- Inspire Upper Airway Stimulation System$147
- PROGEL$143
- Inspire$138
- CellerateRx$128
- NA$113
- COLORADO$113
- SINUVA$109
- Checkpoint Stimulators$107
- Vivaer RF Stylus$105
How this compares
$3,614 in reported general payments places this provider in the 75th 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 |
|---|---|---|
| Omeprazole | 349 | $5,030 |
| Ipratropium Bromide | 94 | $2,666 |
| Pantoprazole Sodium | 95 | $1,962 |
| Famotidine | 83 | $1,040 |
| Gabapentin | 87 | $809 |
| Fluticasone Propionate | 33 | $660 |
| Fluconazole | 39 | $614 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 28 | $258 |
| Nystatin | 11 | $221 |
| Tramadol Hcl | 34 | $75 |
| Methylprednisolone | 12 | $42 |
| Prednisone | 23 | $42 |
| Triamcinolone Acetonide | 20 | $38 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Saint Clair Shores
- 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
- Paul HoffAnn Arbor$44K
- Susan GaretzAnn Arbor$40K
- John CraigDetroit$39K
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.