RxDoctor Payments Data

David Lesko, MD

Otolaryngology · Shiloh, ILNPI 1154858504

Payments from drug & device makers

$1,549in general payments, 2019–2025

Across 62 payments — averaging $24.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Optinose US, Inc.$254
  • GSK$239
  • Aerin Medical Inc.$198
  • Integra Lifesciences Corporation$189
  • Sanofi$179
  • Stryker$148
  • plus $343 from 8 others

What the payments were for

  • Food & beverage$1,549100%

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

22
23
24
25

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.

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

$1,549 in reported general payments places this provider in the 55th percentile of 390 otolaryngology providers in Illinois.

See all otolaryngology providers in Illinois

Medicare billing

Part B allowed, 2024
$244,664
Medicare patients
432
Services billed
2,991

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

DrugClaimsCost to plans & patients
Dupixent PenDupilumab21$91,992
XhanceFluticasone Propionate46$45,360
Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth24$2,796
Ipratropium Bromide78$2,121
Famotidine209$1,324
Ofloxacin46$1,282
Azelastine Hcl40$1,058
Methylprednisolone128$829
Omeprazole70$606
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav58$561
Fluticasone Propionate40$553
Doxycycline Hyclate32$477
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen46$314
Pantoprazole Sodium26$249
Cephalexin40$248

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.

CompanyPaid to this providerPart D cost of their drugs
Optinose US, Inc.Xhance$254$45,36046 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 55th percentile of 390 otolaryngology providers in Illinois.

Other otolaryngology in Shiloh

See the full list for Illinois

Where these figures come from

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