Derek Handzo, DO
Otology & Neurotology · Sterling Heights, MINPI 1114122165
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 40 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 12 manufacturers reported payments, led by Acclarent, Inc at 54.0% of the total. Reporting peaked in 2021 at $371 and has fallen 86.9% since, to $48 in 2025. That places this record below the midpoint for otology & neurotology clinicians in MI, where the typical reported total is $2,733.
Across 40 payments — averaging $30.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acclarent, Inc$668
- Optinose US, Inc.$274
- Xoran Technologies LLC$53
- GSK$51
- Integra Lifesciences Corporation$49
- Sanofi$25
- plus $116 from 6 others
What the payments were for
- Food & beverage$1,236100%
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 |
|---|---|---|
| Acclarent, Inc | 14 | $668 |
| Optinose US, Inc. | 11 | $274 |
| Xoran Technologies LLC | 1 | $53 |
| GSK | 3 | $51 |
| Integra Lifesciences Corporation | 2 | $49 |
| Sanofi | 1 | $25 |
| Intersect ENT, Inc. | 1 | $24 |
| Aerin Medical Inc. | 3 | $23 |
| Smith+Nephew | 1 | $21 |
| Alk-abello, Inc | 1 | $19 |
| Covidien LP | 1 | $16 |
| Hikma Pharmaceuticals USA | 1 | $13 |
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.
- Relieva Spinplus$171
How this compares
$1,236 in reported general payments places this provider in the 25th percentile of 23 otology & neurotology providers in Michigan.
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 |
|---|---|---|
| Azelastine Hcl | 435 | $14,890 |
| Ipratropium Bromide | 166 | $6,823 |
| Prednisolone Acetate | 77 | $6,076 |
| Fluticasone Propionate | 295 | $3,988 |
| Montelukast Sodium | 280 | $3,277 |
| Ofloxacin | 113 | $2,461 |
| Omeprazole | 128 | $2,071 |
| Fluocinolone Acetonide Oil | 55 | $1,931 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 75 | $1,613 |
| Methylprednisolone | 137 | $1,449 |
| Nortriptyline Hcl | 51 | $1,053 |
| Indapamide | 48 | $1,016 |
| Doxycycline Hyclate | 92 | $921 |
| Carbamazepine ErCarbamazepine | 24 | $871 |
| Verapamil ErVerapamil Hcl | 20 | $725 |
Paid to pharmacies, not to this prescriber.
Other otology & neurotology in Sterling Heights
- Seilesh BabuFarmington Hills$167K
- Dennis BojrabFarmington Hills$30K
- Robert HongFarmington Hills$25K
- Dennis BojrabFarmington Hills$15K
- Candice Colby-ScottMidland$10K
- Christopher SchuttFarmington Hills$8K
- Robert ConwayFarmington Hills$6K
- Jacob LucasFarmington Hills$5K
- Robert DanielsGrand Rapids$3K
- Eric SargentFarmington Hills$3K
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.