Andrew Rosko, MD
Otolaryngology · Sylvania, OHNPI 1801157060
Payments from drug & device makers
Across 26 payments — averaging $90.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$873
- Stryker$295
- Axogen$291
- Integra Lifesciences Corporation$282
- Kls-martin L.p.$210
- Intersect ENT, Inc.$149
- plus $242 from 6 others
What the payments were for
- Travel & lodging$87037%
- Food & beverage$1,47063%
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 |
|---|---|---|
| Intuitive Surgical | 4 | $873 |
| Stryker | 5 | $295 |
| Axogen | 5 | $291 |
| Integra Lifesciences Corporation | 4 | $282 |
| Kls-martin L.p. | 1 | $210 |
| Intersect ENT, Inc. | 1 | $149 |
| Access Pro Medical, LLC | 1 | $87 |
| Atos Medical Inc | 1 | $81 |
| Smith+Nephew | 1 | $25 |
| Solventum Corporation | 1 | $19 |
| Johnson & Johnson | 1 | $17 |
| Tactile Systems Technology Inc | 1 | $13 |
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.
- Da Vinci Surgical System$851
- INTEGRA$673
- INTEGRA DERMAL REGENERATION TEMPLATE$224
- PRIMATRIX$224
- PROPEL$149
- ENTELLUS - ENTELLUS MEDICAL SHAVER SYSTEM$122
- ENTELLUS - XPRESS ENT DILATION SYSTEM$122
- AVANCE NERVE GRAFT$106
- AxoGuard Nerve Connector$106
- AxoGuard Nerve Protector$106
- AXOGUARD HA+ NERVE PROTECTOR$106
- AxoGuard Nerve Cap$106
How this compares
$2,341 in reported general payments places this provider in the 65th 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 |
|---|---|---|
| Oxycodone Hcl | 61 | $542 |
| Omeprazole | 25 | $229 |
| Levothyroxine Sodium | 28 | $157 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Sylvania
- Mohamad IssaSylvania$12K
- Oliver AdunkaColumbus$1M
- Raj SindwaniCleveland$626K
- Mark MehleCleveland$403K
- Cameron WickCleveland$401K
- Troy WoodardCleveland$392K
- Ahmad SedaghatCincinnati$270K
- Eugene ChioColumbus$247K
- Subinoy DasColumbus$142K
- Katie PhillipsCincinnati$137K
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.