Andrew Little, DO
Emergency Medicine · Orlando, FLNPI 1255606125
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $8,625 of the $11,253 with a category attached, or 76.6%. Vapotherm Inc accounts for 92.3% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2022 at $10,717 and has fallen 98.8% since, to $133 in 2025. Among emergency medicine 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 21 payments — averaging $535.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Vapotherm Inc$10K
- AbbVie$212
- Mallinckrodt Hospital Products Inc.$133
- Johnson & Johnson$125
- Amgen$120
- AstraZeneca$110
- plus $166 from 2 others
What the payments were for
- Consulting fees$8,62577%
- Travel & lodging$1,64115%
- Food & beverage$9679%
- Education$200%
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 |
|---|---|---|
| Vapotherm Inc | 12 | $10,387 |
| AbbVie | 2 | $212 |
| Mallinckrodt Hospital Products Inc. | 1 | $133 |
| Johnson & Johnson | 1 | $125 |
| Amgen | 1 | $120 |
| AstraZeneca | 1 | $110 |
| Mindray DS USA, Inc. | 1 | $103 |
| CSL Behring | 2 | $63 |
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
$11,253 in reported general payments places this provider in the 95th percentile of 3,289 emergency medicine 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 |
|---|---|---|
| Cephalexin | 16 | $176 |
| Doxycycline Hyclate | 12 | $158 |
| Ondansetron OdtOndansetron | 15 | $146 |
| Naproxen | 20 | $54 |
| Prednisone | 11 | $20 |
Paid to pharmacies, not to this prescriber.
Other emergency medicine in Orlando
- Philip GiordanoOrlando$64K
- Laurent DreyfussSunrise$1.2M
- Jason WilsonTampa$538K
- Robert LutenJacksonville$190K
- Adam LeisyHialeah$148K
- Joseph TyndallGainesville$130K
- Kunal AgarwalMiami$101K
- Jason WilsonFort Myers$96K
- Latha GantiGainesville$86K
- Brandon AllenGainesville$80K
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.