David Miyama, MD
Otolaryngology · Milwaukee, WINPI 1568443240
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (51.0%), food and beverage and gifts — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Medical Device Business Services, Inc. at 52.8% of the total. Reporting peaked in 2022 at $2,491 and has fallen 70.2% since, to $741 in 2025.
Across 35 payments — averaging $111.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$2K
- Acclarent, Inc$521
- GSK$431
- Optinose US, Inc.$217
- Stryker$148
- Integra Lifesciences Corporation$133
- plus $390 from 4 others
What the payments were for
- Travel & lodging$1,99051%
- Food & beverage$1,90549%
- Gifts$40%
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. | 8 | $2,059 |
| Acclarent, Inc | 5 | $521 |
| GSK | 7 | $431 |
| Optinose US, Inc. | 6 | $217 |
| Stryker | 2 | $148 |
| Integra Lifesciences Corporation | 1 | $133 |
| Sanofi | 1 | $125 |
| Regeneron Healthcare Solutions, Inc. | 1 | $125 |
| Intersect ENT, Inc. | 3 | $93 |
| Medtronic | 1 | $47 |
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.
- NUCALA$356
- DUPIXENT$250
- Relieva Spinplus$162
- Acclarent Aera$133
- Inspira Air$133
- RELIEVA SPINPLUS NAV$133
- TruDi Probe$133
- SCOPIS ENT$131
- TruDi Nav Cable$129
- Xhance$125
- Acclarent Navwire$115
How this compares
$3,900 in reported general payments places this provider in the 85th percentile of 168 otolaryngology providers in Wisconsin.
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 |
|---|---|---|
| XhanceFluticasone Propionate | 14 | $8,657 |
| Fluticasone Propionate | 148 | $2,876 |
| Azelastine Hcl | 69 | $2,305 |
| Famotidine | 49 | $968 |
| Montelukast Sodium | 92 | $666 |
| Ipratropium Bromide | 22 | $609 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 20 | $198 |
| Methylprednisolone | 14 | $119 |
| Triamcinolone Acetonide | 17 | $33 |
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 |
|---|---|---|
| Optinose US, Inc.Xhance | $217 | $8,65714 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 85th percentile of 168 otolaryngology providers in Wisconsin.
Other otolaryngology in Milwaukee
- B WoodsonMilwaukee$45K
- David PoetkerMilwaukee$13K
- Madan KandulaMilwaukee$6K
- Tanner FullmerMilwaukee$5K
- Sachin PawarMilwaukee$3K
- Sam KhaliliMilwaukee$3K
- Ethan HandlerMilwaukee$3K
- Tasher LoseneggerMilwaukee$2K
- Jonathan BockMilwaukee$2K
- Dominic CatalanoMilwaukee$2K
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.