Alfred Marc Iloreta, MD
Otolaryngology · New York, NYNPI 1184882136
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 93.9% of the total across 165 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 13 manufacturers reported payments, led by Stryker at 25.6% of the total. Reporting peaked in 2019 at $4,059 and has fallen 70.0% since, to $1,219 in 2025. Among otolaryngology clinicians in NY 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 165 payments — averaging $84.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$4K
- Neurent Medical Limited$3K
- Intersect ENT, Inc.$2K
- Medtronic$2K
- Acclarent, Inc$1K
- Optinose US, Inc.$827
- plus $2K from 7 others
Across 18 payments — averaging $18,227 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.
- NX Development Corp.$162K
- AstraZeneca$129K
- Astrazeneca UK Limited$36K
What the payments were for
- Consulting fees$7505%
- Travel & lodging$1031%
- Food & beverage$13,17094%
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 |
|---|---|---|
| Stryker | 40 | $3,593 |
| Neurent Medical Limited | 23 | $3,049 |
| Intersect ENT, Inc. | 14 | $2,092 |
| Medtronic(2 entities) | 16 | $1,858 |
| Acclarent, Inc | 12 | $1,077 |
| Optinose US, Inc. | 37 | $827 |
| Integra Lifesciences Corporation | 5 | $470 |
| Sanofi | 12 | $398 |
| Aerin Medical Inc. | 2 | $326 |
| Spirair, Inc. | 1 | $201 |
| Cook Medical LLC | 1 | $87 |
| Regeneron Healthcare Solutions, Inc. | 1 | $28 |
| Alk-abello, Inc | 1 | $16 |
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.
- NEUROMARK Device$2,178
- NEUROMARK Radiofrequency Console$1,926
- PROPEL$1,902
- NAV - NEW PRODUCT DEVELOPMENT$733
- TruDi Nav Cable$621
- SINUVA$480
- FUSION$450
- Acclarent Aera$417
- Inspira Air$417
- RELIEVA SPINPLUS NAV$417
- TruDi Probe$417
- SCOPIS ENT$417
- NEUROMARK Radiofrequency Generator$414
- SeptAlign$403
- TURBALIGN$403
- NUVENT$402
- ENTELLUS - XPRESS ENT DILATION SYSTEM$390
- STEALTHSTATION S8 PLATFORM$385
- S-SERIES$296
- XPRESS ENT DILATION SYSTEM$292
How this compares
$14,023 in reported general payments places this provider in the 90th percentile of 701 otolaryngology providers in New York.
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 | 66 | $1,675 |
| Budesonide | 11 | $1,401 |
| Mupirocin | 70 | $1,004 |
| Azelastine Hcl | 42 | $714 |
| Levocetirizine Dihydrochloride | 45 | $325 |
| Fluticasone Propionate | 24 | $192 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in New York
- Roheen RaithathaNew York$830K
- Dennis KrausNew York$159K
- Anthony DelsignoreNew York$89K
- Satish GovindarajNew York$39K
- Lawrence LustigNew York$33K
- Justin GolubNew York$30K
- Brett MilesNew York$30K
- David HiltzikNew York$25K
- Milan AminNew York$23K
- Ashutosh KackerNew York$20K
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.