Daniel Coelho, MD
Otolaryngology · Richmond, VANPI 1477714756
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (49.2%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Oticon Medical, LLC at 47.4% of the total. Reporting peaked in 2024 at $5,583 and has fallen 77.8% since, to $1,240 in 2025. Among otolaryngology clinicians in VA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 61 payments — averaging $153.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Oticon Medical, LLC$4K
- KARL Storz Endoscopy-america$2K
- Stryker$1K
- Aerin Medical Inc.$472
- Med-el Corporation$325
- Cochlear Americas$302
- plus $448 from 4 others
Across 13 payments — averaging $2892.82 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Cochlear Americas$38K
What the payments were for
- Consulting fees$2,03222%
- Travel & lodging$2,72729%
- Food & beverage$4,60649%
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 |
|---|---|---|
| Oticon Medical, LLC | 6 | $4,443 |
| KARL Storz Endoscopy-america | 5 | $2,259 |
| Stryker | 26 | $1,116 |
| Aerin Medical Inc. | 4 | $472 |
| Med-el Corporation | 7 | $325 |
| Cochlear Americas | 7 | $302 |
| Advanced Bionics, LLC | 2 | $182 |
| Integra Lifesciences Corporation | 2 | $145 |
| Inspire Medical Systems, Inc. | 1 | $106 |
| Acclarent, Inc | 1 | $14 |
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
$9,364 in reported general payments places this provider in the 90th percentile of 241 otolaryngology providers in Virginia.
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 |
|---|---|---|
| Nortriptyline Hcl | 16 | $196 |
| Omeprazole | 14 | $15 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Richmond
- Ryan NordRichmond$454K
- Wayne ShaiaRichmond$12K
- Daniel VanhimbergenRichmond$4K
- Cinyu ChiRichmond$4K
- Laurence OhalloranAnnandale$2.9M
- Joseph HanNorfolk$1.8M
- Paul LenkowskiRoanoke$282K
- Nipun ChhabraLeesburg$178K
- Kent LamNorfolk$127K
- Spencer PayneCharlottesville$45K
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.