RxDoctor Payments Data

Gerard Carvalho, MD

Otolaryngology · Hemet, CANPI 1992721054

Payments from drug & device makers

$733in general payments, 2019–2025

Across 21 payments — averaging $34.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Aerin Medical Inc.$249
  • Optinose US, Inc.$171
  • E.r. Squibb & Sons, L.L.C.$125
  • Intuitive Surgical$68
  • GSK$50
  • Inspire Medical Systems, Inc.$34
  • plus $36 from 2 others

What the payments were for

  • Consulting fees$507%
  • Food & beverage$68393%

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

19
21
22
23

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

$733 in reported general payments places this provider in the 45th percentile of 1,021 otolaryngology providers in California.

See all otolaryngology providers in California

Medicare billing

Part B allowed, 2024
$150,956
Medicare patients
562
Services billed
1,405

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
XhanceFluticasone Propionate16$9,602
Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth57$6,358
Fluticasone Propionate321$5,991
Ipratropium Bromide138$5,720
Azelastine Hcl193$5,267
Nystatin33$889
Ofloxacin46$556
Doxycycline Hyclate62$537
Clotrimazole25$531
Pantoprazole Sodium38$497
Lidocaine Hcl ViscousLidocaine Hcl18$395
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav43$331
Triamcinolone Acetonide63$287
Montelukast Sodium21$282
Mupirocin23$133

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.

CompanyPaid to this providerPart D cost of their drugs
Optinose US, Inc.Xhance$171$9,60216 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 45th percentile of 1,021 otolaryngology providers in California.

Other otolaryngology in Hemet

See the full list for California

Where these figures come from

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