Adrien Eshraghi, MD
Otolaryngology · Miami, FLNPI 1740213958
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (50.9%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. Med-el Corporation accounts for 97.3% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2019 at $16,017 and has fallen 55.4% since, to $7,151 in 2025. Among otolaryngology clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 63 payments — averaging $654.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Med-el Corporation$40K
- Cochlear Americas$677
- Acclarent, Inc$113
- Grace Medical, Inc.$110
- Iotamotion, Inc.$83
- Advanced Bionics, LLC$58
- plus $89 from 2 others
Across 5 payments — averaging $417,272 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.
- Med-el Corporation$2.1M
What the payments were for
- Consulting fees$14,75036%
- Travel & lodging$21,00251%
- Food & beverage$4,02310%
- Education$1,0653%
- Charitable contribution$4171%
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 |
|---|---|---|
| Med-el Corporation | 49 | $40,127 |
| Cochlear Americas | 6 | $677 |
| Acclarent, Inc | 1 | $113 |
| Grace Medical, Inc. | 1 | $110 |
| Iotamotion, Inc. | 1 | $83 |
| Advanced Bionics, LLC | 2 | $58 |
| Stryker | 2 | $58 |
| Fisher & Paykel Healthcare Inc | 1 | $31 |
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.
- Mi1250 SYNCHRONY 2 FLEXsoft$22,884
- MED-EL Maestro Cochlear Implant System$16,164
- BCI 602 Kit$10,989
- ADHEAR Professional Kit$9,654
- Baha$664
- Cochlear$553
- Cochlear Nucleus CI632 cochlear implant with Slim Modiolar electrode$247
- OSIA OSI300 IMPLANT$247
- Nucleus$140
- ACCLARENT AERA EUSTACHIAN TUBE BALLOON DILATION SYSTEM$113
How this compares
$41,256 in reported general payments places this provider in the 95th percentile of 586 otolaryngology providers in Florida.
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 |
|---|---|---|
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 23 | $2,575 |
| Ofloxacin | 29 | $727 |
| Meclizine Hcl | 20 | $337 |
| Ibuprofen | 11 | $74 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Miami
- Maria SuurnaMiami$189K
- Agustin ArrietaMiami$95K
- Francisco PernasMiami$70K
- Michael HofferMiami$24K
- Corinna LevineMiami$16K
- Jason LeibowitzMiami$13K
- Donald WeedMiami$8K
- Cecelia DamaskOrlando$707K
- Ralph TufanoSarasota$469K
- Franklin RimellFort Myers$314K
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.