RxDoctor Payments Data

David Norcross, MD

Otolaryngology · Casper, WYNPI 1578521886

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $1,568 of the $2,056 with a category attached, or 76.3%. Inspire Medical Systems, Inc. accounts for 94.2% of it on its own, with 4 other manufacturers making up the rest. Reporting peaked in 2022 at $1,561 and has fallen 93.3% since, to $104 in 2025.

$2,056in general payments, 2019–2025

Across 13 payments — averaging $158.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Inspire Medical Systems, Inc.$2K
  • Aerin Medical Inc.$62
  • Cochlear Americas$22
  • Merck$20
  • Regeneron Healthcare Solutions, Inc.$15

What the payments were for

  • Travel & lodging$48824%
  • Food & beverage$1,56876%

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

21
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

Too few otolaryngology providers in Wyomingto place this figure against a meaningful peer group, so we don't.

Medicare billing

Part B allowed, 2024
$195,925
Medicare patients
681
Services billed
5,781

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
Azelastine Hcl175$4,998
Advair HfaFluticasone Propion/Salmeterol12$4,943
Fluticasone Propionate222$2,666
Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth13$1,325
Ipratropium Bromide18$786
Omeprazole32$538
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav32$364
Montelukast Sodium21$223
Ciprofloxacin Hcl15$209
Mupirocin21$167
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen18$76
Gabapentin13$69
Prednisone17$59

Paid to pharmacies, not to this prescriber.

Other otolaryngology in Casper

See the full list for Wyoming

Where these figures come from

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