Drew Horlbeck, MD
Otology & Neurotology · Fort Myers, FLNPI 1568558138
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $4,771 of the $7,520 with a category attached, or 63.4%. Oticon Medical, LLC accounts for 76.2% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2019 at $5,955 and has fallen 90.9% since, to $542 in 2025.
Across 44 payments — averaging $170.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Oticon Medical, LLC$6K
- Advanced Bionics, LLC$787
- Stryker$249
- Cochlear Americas$205
- Med-el Corporation$147
- Intuitive Surgical$134
- plus $265 from 8 others
What the payments were for
- Travel & lodging$4,77163%
- Food & beverage$2,73836%
- Education$110%
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 | 2 | $5,733 |
| Advanced Bionics, LLC | 18 | $787 |
| Stryker | 5 | $249 |
| Cochlear Americas | 4 | $205 |
| Med-el Corporation | 4 | $147 |
| Intuitive Surgical | 1 | $134 |
| Integra Lifesciences Corporation | 2 | $62 |
| Sanofi | 2 | $49 |
| Acclarent, Inc | 1 | $37 |
| Medtronic | 1 | $31 |
| Neurent Medical Limited | 1 | $25 |
| Inspire Medical Systems, Inc. | 1 | $24 |
| Merck | 1 | $19 |
| Regeneron Healthcare Solutions, Inc. | 1 | $18 |
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
$7,520 in reported general payments places this provider in the 55th percentile of 25 otology & neurotology providers in Florida.
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 |
|---|---|---|
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 36 | $3,490 |
| Ofloxacin | 68 | $2,632 |
| Azelastine Hcl | 59 | $1,616 |
| Neomycin-Polymyxin-HcNeomycin/Polymyxin B/Hydrocort | 20 | $890 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 82 | $722 |
| Prednisolone Acetate | 13 | $511 |
| Clobetasol Propionate | 15 | $496 |
| Ipratropium Bromide | 11 | $328 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 77 | $311 |
| Fluticasone Propionate | 29 | $305 |
| Prednisone | 90 | $249 |
| Clindamycin Hcl | 20 | $125 |
| Hydrochlorothiazide | 18 | $74 |
| Diazepam | 12 | $22 |
Paid to pharmacies, not to this prescriber.
Other otology & neurotology in Fort Myers
- Thomas BalkanyMiami$534K
- Simon AngeliMiami$32K
- Fred TelischiMiami$29K
- Herbert SilversteinSarasota$18K
- Jack WazenSarasota$16K
- Loren BartelsTampa$16K
- Kyle AllenTampa$14K
- Joshua LightBoynton Beach$12K
- Andrew MarloweSarasota$12K
- James GreenJacksonville$10K
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.