Brynae Miley, MD
Otolaryngology · Oak Ridge, TNNPI 1699986992
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,062 of the $3,539 with a category attached, or 86.5%. It is spread thinly across 28 manufacturers, the largest accounting for just 16.0% — the pattern of someone who eats at a lot of different presentations.
Across 168 payments — averaging $21.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Optinose US, Inc.$568
- Inspire Medical Systems, Inc.$561
- GSK$518
- Regeneron Healthcare Solutions, Inc.$381
- Kaleo, Inc.$324
- Sanofi$320
- plus $868 from 22 others
What the payments were for
- Travel & lodging$44313%
- Food & beverage$3,06287%
- Education$341%
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 |
|---|---|---|
| Optinose US, Inc. | 36 | $568 |
| Inspire Medical Systems, Inc. | 8 | $561 |
| GSK | 25 | $518 |
| Regeneron Healthcare Solutions, Inc. | 19 | $381 |
| Kaleo, Inc. | 19 | $324 |
| Sanofi | 19 | $320 |
| Stryker | 7 | $150 |
| Integra Lifesciences Corporation | 3 | $148 |
| ARS Pharmaceuticals Operations, Inc. | 2 | $59 |
| Phathom Pharmaceuticals, Inc. | 5 | $58 |
| Merck | 3 | $56 |
| Amgen | 2 | $49 |
| AstraZeneca | 2 | $41 |
| Aerin Medical Inc. | 2 | $39 |
| Neurent Medical Limited | 1 | $36 |
| Cochlear Americas | 2 | $34 |
| Intersect ENT, Inc. | 2 | $29 |
| Smith+Nephew | 1 | $20 |
| Axogen | 1 | $18 |
| Paratek Pharmaceuticals, Inc. | 1 | $18 |
| Acclarent, Inc | 1 | $16 |
| Ambu Inc. | 1 | $16 |
| Novartis | 1 | $15 |
| Hikma Pharmaceuticals USA | 1 | $14 |
| Arbor Pharmaceuticals, Inc. | 1 | $14 |
| Covidien LP | 1 | $14 |
| Alk-abello, Inc | 1 | $13 |
| Olympus America Inc. | 1 | $12 |
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$443
- INTEGRA$110
- CODMAN ISOCOOL AHT$110
- MICROFRANCE$110
- INSTRUMENTS-ORTHOPEDIC$110
- INTEGRA DUO$110
How this compares
$3,539 in reported general payments places this provider in the 75th percentile of 191 otolaryngology providers in Tennessee.
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 |
|---|---|---|
| Dupixent PenDupilumab | 13 | $47,459 |
| Epinephrine | 174 | $39,888 |
| Ipratropium Bromide | 326 | $8,535 |
| XhanceFluticasone Propionate | 13 | $7,734 |
| Azelastine Hcl | 251 | $7,368 |
| Fluticasone Propionate | 522 | $6,925 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 45 | $4,851 |
| Tobramycin-DexamethasoneTobramycin/Dexamethasone | 28 | $1,946 |
| Clotrimazole | 38 | $1,765 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 138 | $1,739 |
| Methylprednisolone | 235 | $1,557 |
| Famotidine | 216 | $1,500 |
| Pantoprazole Sodium | 206 | $1,337 |
| Cefdinir | 59 | $1,246 |
| Nystatin | 51 | $1,126 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Hikma Pharmaceuticals USAEpinephrine | $14 | $39,888174 claims |
| Optinose US, Inc.Xhance | $568 | $7,73413 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 75th percentile of 191 otolaryngology providers in Tennessee.
Other otolaryngology in Oak Ridge
- Rakesh ChandraNashville$381K
- David FortuneHermitage$298K
- Grady BryantHermitage$74K
- Marion GillespieMemphis$67K
- Clyde MathisonFarragut$66K
- Dean KlugGermantown$37K
- Michael TopfNashville$36K
- John GleysteenMemphis$25K
- Allan RosenbaumPowell$21K
- Jeffrey MarvelTullahoma$21K
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.