Elina Kari, MD
Otology & Neurotology · la Jolla, CANPI 1780860536
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $12,300 of the $15,617 with a category attached, or 78.8%. Stryker accounts for 68.7% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2022 at $11,340 and has fallen 93.2% since, to $769 in 2025.
Across 63 payments — averaging $247.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$11K
- Cochlear Americas$3K
- Iotamotion, Inc.$697
- Advanced Bionics, LLC$344
- Oticon Medical, LLC$274
- Johnson & Johnson$263
- plus $281 from 6 others
What the payments were for
- Consulting fees$12,30079%
- Food & beverage$3,28321%
- Education$350%
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 |
|---|---|---|
| Stryker | 12 | $10,732 |
| Cochlear Americas | 24 | $3,027 |
| Iotamotion, Inc. | 4 | $697 |
| Advanced Bionics, LLC | 4 | $344 |
| Oticon Medical, LLC | 3 | $274 |
| Johnson & Johnson(2 entities) | 2 | $263 |
| Baxter Healthcare | 3 | $134 |
| Integra Lifesciences Corporation | 1 | $49 |
| Travere Therapeutics, Inc. | 7 | $35 |
| Medical Device Business Services, Inc. | 1 | $23 |
| Med-el Corporation | 1 | $22 |
| Smith+Nephew | 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.
- SONOPET IQ$10,350
- CORE$10,350
- Cochlear Nucleus CI632 cochlear implant with Slim Modiolar electrode$2,003
- Baha BI300 implant 4 mm$1,600
- Cochlear Osia OSI200 Implant$1,600
- Baha$668
- iotaSOFT Insertion System$479
- OSIA OSI300 IMPLANT$403
- Cochlear$301
- PONTO BONE ANCHORED HEARING SYSTEM$232
- iotaSOFT$219
- HIRES ULTRA CI HIFOCUS MS ELECTRODE$144
- SURGIFLO Hemostatic Matrix$139
- Anspach Helix$124
- FLOSEAL$121
- N/A$119
- Nucleus$115
How this compares
$15,617 in reported general payments places this provider in the 80th percentile of 43 otology & neurotology providers in California.
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 |
|---|---|---|
| Triamcinolone Acetonide | 21 | $488 |
| Ondansetron OdtOndansetron | 50 | $277 |
| Betamethasone Dipropionate | 14 | $225 |
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 15 | $190 |
| Prednisone | 36 | $190 |
| Oxycodone Hcl | 39 | $173 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 28 | $66 |
| Diazepam | 13 | $64 |
Paid to pharmacies, not to this prescriber.
Other otology & neurotology in la Jolla
- John Vaughanla Jolla$237K
- Rick Friedmanla Jolla$34K
- Peter Dixonla Jolla$2K
- Rodney PerkinsWoodside$125K
- Courtney VoelkerLos Angeles$66K
- Lloyd MinorStanford$52K
- Varun VaradarajanSacramento$27K
- Sumit AgrawalStanford$21K
- Kevin PengLos Angeles$17K
- Mia MillerLos Angeles$13K
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.