Adam Spiess, MD
Otolaryngology · Westerville, OHNPI 1770555179
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (45.1%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Optinose US, Inc. accounts for 74.9% of it on its own, with 19 other manufacturers making up the rest. Reporting peaked in 2023 at $4,352 and has fallen 88.1% since, to $517 in 2025. Among otolaryngology clinicians in OH with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 105 payments — averaging $66.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Optinose US, Inc.$5K
- Sanofi$332
- Amgen$254
- AstraZeneca$244
- Stryker$187
- GSK$166
- plus $573 from 14 others
What the payments were for
- Consulting fees$2,20032%
- Travel & lodging$1,63023%
- Food & beverage$3,15145%
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 |
|---|---|---|
| Optinose US, Inc. | 47 | $5,226 |
| Sanofi | 15 | $332 |
| Amgen | 3 | $254 |
| AstraZeneca | 2 | $244 |
| Stryker | 5 | $187 |
| GSK | 5 | $166 |
| Arthrex | 2 | $85 |
| Novartis | 4 | $82 |
| Regeneron Healthcare Solutions, Inc. | 3 | $68 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $61 |
| Aerin Medical Inc. | 2 | $45 |
| Checkpoint Surgical, Inc | 2 | $42 |
| Baxter Healthcare | 1 | $40 |
| Hologic Sales And Service, LLC | 2 | $37 |
| Phathom Pharmaceuticals, Inc. | 2 | $34 |
| Glenmark Therapeutics Inc. | 2 | $21 |
| Arbor Pharmaceuticals, Inc. | 1 | $18 |
| Alk-abello, Inc | 1 | $18 |
| Shire North American Group Inc | 1 | $17 |
| Fortovia Therapeutics, Inc. | 1 | $6 |
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.
How this compares
$6,981 in reported general payments places this provider in the 90th percentile of 380 otolaryngology providers in Ohio.
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 | 267 | $251,675 |
| Pantoprazole Sodium | 500 | $6,540 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 58 | $6,528 |
| Fluocinolone Acetonide Oil | 138 | $5,432 |
| Dexlansoprazole DrDexlansoprazole | 13 | $4,495 |
| Ipratropium Bromide | 204 | $4,272 |
| Mupirocin | 455 | $2,803 |
| Rabeprazole Sodium | 14 | $1,179 |
| Ofloxacin | 30 | $1,043 |
| Cefdinir | 59 | $1,042 |
| Azelastine Hcl | 42 | $989 |
| Dexamethasone | 36 | $640 |
| Methylprednisolone | 92 | $625 |
| Fluconazole | 31 | $618 |
| Montelukast Sodium | 51 | $565 |
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 | $5,226 | $251,675267 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 90th percentile of 380 otolaryngology providers in Ohio.
Other otolaryngology in Westerville
- Raj SindwaniCleveland$598K
- Mark MehleCleveland$403K
- Troy WoodardCleveland$392K
- Oliver AdunkaColumbus$338K
- Subinoy DasColumbus$142K
- Sanjeet RangarajanCleveland$113K
- Sumit BapnaDublin$95K
- Boris KaranfilovDublin$82K
- Alexander DonathCincinnati$64K
- Rod RezaeeCleveland$54K
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.