Arjun Joshi, MD
Plastic Surgery within the Head & Neck · Washington, DCNPI 1619101334
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (39.7%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. Cook Incorporated accounts for 73.4% of it on its own, with 21 other manufacturers making up the rest. Reporting peaked in 2021 at $6,469 and has fallen 82.6% since, to $1,129 in 2025.
Across 59 payments — averaging $187.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cook Incorporated$8K
- Stryker$582
- Integra Lifesciences Corporation$562
- Inspire Medical Systems, Inc.$282
- Atos Medical Inc$235
- Johnson & Johnson$153
- plus $1K from 16 others
What the payments were for
- Consulting fees$4,40540%
- Speaking & faculty fees$3,73834%
- Food & beverage$2,92926%
- Gifts$170%
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 |
|---|---|---|
| Cook Incorporated | 7 | $8,143 |
| Stryker | 6 | $582 |
| Integra Lifesciences Corporation | 7 | $562 |
| Inspire Medical Systems, Inc. | 4 | $282 |
| Atos Medical Inc | 3 | $235 |
| Johnson & Johnson | 4 | $153 |
| Davol Inc. | 1 | $151 |
| Intersect ENT, Inc. | 1 | $147 |
| Aerin Medical Inc. | 1 | $145 |
| Baxter Healthcare | 1 | $136 |
| Optinose US, Inc. | 6 | $125 |
| Regeneron Healthcare Solutions, Inc. | 5 | $108 |
| Coopersurgical, Inc. | 1 | $61 |
| Kls-martin L.p. | 2 | $60 |
| Cook Medical LLC | 2 | $39 |
| Tactile Systems Technology Inc | 2 | $30 |
| Merck | 1 | $28 |
| Acera Surgical, Inc. | 1 | $28 |
| Hologic Sales And Service, LLC | 1 | $23 |
| GSK | 1 | $20 |
| Carl Zeiss Meditec, Inc. | 1 | $17 |
| Olympus America 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.
- Cook-Swartz$8,143
- INTEGRA$350
- VSP SYSTEM, VSP CRANIAL$333
- Provox Life Home HME$211
- ARISTA AH FLEXITIP$151
- PROPEL$147
- VIVAER STYLUS$145
- RHINAER STYLUS$145
- MANDIBULAR RECON$140
- INTEGRA DUO$123
- INTEGRA PADGETT DERMATOMES$123
- Inspire$120
- INTEGRA DERMAL REGENERATION TEMPLATE$117
- PRIMATRIX$117
How this compares
Too few plastic surgery within the head & neck providers in District of Columbiato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 23 | $334 |
| Omeprazole | 15 | $314 |
| Oxycodone Hcl | 12 | $95 |
| Levothyroxine Sodium | 11 | $70 |
Paid to pharmacies, not to this prescriber.
Other plastic surgery within the head & neck in Washington
- Michael ReillyWashington$767
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.