Carlos Ayala, MD
Otolaryngology/Facial Plastic Surgery · McAllen, TXNPI 1881688174
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,874 of the $3,880 with a category attached, or 74.1%. 18 manufacturers reported payments, led by Medical Device Business Services, Inc. at 25.9% of the total. Reporting peaked in 2019 at $1,712 and has fallen 57.0% since, to $737 in 2025.
Across 77 payments — averaging $50.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$1K
- Medtronic$715
- Acclarent, Inc$423
- Optinose US, Inc.$299
- Regeneron Healthcare Solutions, Inc.$245
- Galderma Laboratories, L.p.$203
- plus $990 from 12 others
What the payments were for
- Travel & lodging$1,00626%
- Food & beverage$2,87474%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 1 | $1,006 |
| Medtronic(2 entities) | 19 | $715 |
| Acclarent, Inc | 13 | $423 |
| Optinose US, Inc. | 17 | $299 |
| Regeneron Healthcare Solutions, Inc. | 3 | $245 |
| Galderma Laboratories, L.p. | 4 | $203 |
| TEI Biosciences Inc | 3 | $181 |
| Integra Lifesciences Corporation | 1 | $159 |
| Sanofi | 2 | $140 |
| Revance Therapeutics, Inc. | 1 | $117 |
| Coherus Oncology, Inc. | 1 | $110 |
| Phadia US Inc. | 6 | $98 |
| AbbVie | 1 | $96 |
| Intersect ENT, Inc. | 1 | $25 |
| PBG Puerto Rico LLC | 1 | $19 |
| Apyx Medical Corporation | 1 | $17 |
| Aerin Medical Inc. | 1 | $17 |
| Sanofi-aventis U.S. LLC | 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.
- TruDi Navigation System$1,111
- TruDi Nav Suction$1,006
- TruDi Nav Cable$1,006
- ACCLARENT NAVWIRE Sinus Navigation Guidewire$1,006
- DUPIXENT$356
- INTEGRA$318
- OMNIGRAFT$159
- SURGIMEND$159
- INTEGRA DERMAL REGENERATION TEMPLATE$159
- PROPEL$125
- ACCLARENT ENT ULTIRRA/NAVWIRE 3-GUIDE Bundle$123
- STEALTHSTATION S8 PLATFORM$123
- DAXXIFY$117
- LOQTORZI$110
- NUVENT$105
How this compares
$3,880 in reported general payments places this provider in the 70th percentile of 51 otolaryngology/facial plastic surgery providers in Texas.
See all otolaryngology/facial plastic surgery providers in Texas →
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 |
|---|---|---|
| Epinephrine | 11 | $1,933 |
| Fluticasone Propionate | 28 | $534 |
| Mupirocin | 12 | $86 |
| Cephalexin | 15 | $57 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology/facial plastic surgery in McAllen
- Pedro MontanoMcAllen$2K
- Yula IndeyevaAustin$579K
- Manuel LopezSan Antonio$55K
- Michel SiegelHouston$23K
- Etai FunkHouston$18K
- Jamie KuHouston$18K
- James AndrewsHouston$11K
- Daniel LeemanGeorgetown$10K
- Anand ShahSan Antonio$9K
- Russell BriggsAustin$9K
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.