Alessandro Carotenuto, MD
Otolaryngology · Phoenix, AZNPI 1487215919
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $773 of the $1,230 with a category attached, or 62.8%. Inspire Medical Systems, Inc. accounts for 66.4% of it on its own, with 10 other manufacturers making up the rest. 2025 is the largest year on record at $976, more than ten times the $32 reported in 2021. That places this record below the midpoint for otolaryngology clinicians in AZ, where the typical reported total is $1,230.
Across 35 payments — averaging $35.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$816
- Stryker$119
- Aerin Medical Inc.$84
- GSK$58
- Regeneron Healthcare Solutions, Inc.$27
- Medtronic$26
- plus $99 from 5 others
What the payments were for
- Travel & lodging$45737%
- Food & beverage$77363%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 19 | $816 |
| Stryker | 2 | $119 |
| Aerin Medical Inc. | 4 | $84 |
| GSK | 2 | $58 |
| Regeneron Healthcare Solutions, Inc. | 1 | $27 |
| Medtronic | 2 | $26 |
| Baxter Healthcare | 1 | $26 |
| Novartis | 1 | $21 |
| Acclarent, Inc | 1 | $19 |
| Optinose US, Inc. | 1 | $18 |
| Smith+Nephew | 1 | $15 |
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.
- Inspire$399
How this compares
$1,230 in reported general payments places this provider in the 50th percentile of 150 otolaryngology providers in Arizona.
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 |
|---|---|---|
| Fluticasone Propionate | 51 | $595 |
| Azelastine Hcl | 20 | $493 |
| Ipratropium Bromide | 18 | $482 |
| Pantoprazole Sodium | 48 | $473 |
| Levocetirizine Dihydrochloride | 20 | $231 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Phoenix
- Peter KaiserPhoenix$114K
- Farhan TaghizadehPhoenix$46K
- Shawn StevensPhoenix$33K
- Richard PearlsteinPhoenix$10K
- Devyani LalPhoenix$8K
- Christian PaquetPhoenix$8K
- Alyson KaplanPhoenix$6K
- Manikandan SugumaranPhoenix$6K
- Robert BridgePhoenix$6K
- Jeffrey TaffetPhoenix$6K
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.