Hernan Goldsztein, MD
Otology & Neurotology · Carlsbad, CANPI 1952426017
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,336 of the $2,986 with a category attached, or 78.2%. It is spread thinly across 22 manufacturers, the largest accounting for just 18.4% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $1,213 and has fallen 63.4% since, to $443 in 2025.
Across 68 payments — averaging $43.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Covidien LP$550
- Optinose US, Inc.$378
- Stryker$366
- Intersect ENT, Inc.$246
- Cochlear Americas$241
- Smith+Nephew$231
- plus $974 from 16 others
What the payments were for
- Consulting fees$65022%
- Food & beverage$2,33678%
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 |
|---|---|---|
| Covidien LP | 1 | $550 |
| Optinose US, Inc. | 14 | $378 |
| Stryker | 7 | $366 |
| Intersect ENT, Inc. | 3 | $246 |
| Cochlear Americas | 5 | $241 |
| Smith+Nephew | 9 | $231 |
| Inspire Medical Systems, Inc. | 3 | $213 |
| Aerin Medical Inc. | 4 | $126 |
| Lilly USA, LLC | 1 | $125 |
| Neurent Medical Limited | 4 | $97 |
| Regeneron Healthcare Solutions, Inc. | 2 | $77 |
| Sanofi | 4 | $74 |
| Johnson & Johnson | 1 | $56 |
| GSK | 1 | $35 |
| Sanofi-aventis U.S. LLC | 2 | $30 |
| AstraZeneca | 1 | $29 |
| KARL Storz Endoscopy-america | 1 | $26 |
| Alk-abello, Inc | 1 | $21 |
| Medtronic | 1 | $20 |
| Merck | 1 | $19 |
| Itamar Medical Inc | 1 | $16 |
| Advanced Bionics, LLC | 1 | $11 |
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.
- LigaSure$550
- PROPEL$216
- AUDION ET DILATION SYSTEM$170
- Inspire Upper Airway Stimulation System$154
- EMGALITY$125
- Nucleus$121
- Baha$121
- Xhance$116
How this compares
$2,986 in reported general payments places this provider in the 65th 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 |
|---|---|---|
| Ipratropium Bromide | 78 | $3,040 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 21 | $2,351 |
| Fluocinolone Acetonide Oil | 43 | $1,083 |
| Hydrocortisone-Acetic AcidHydrocortisone/Acetic Acid | 16 | $1,064 |
| Ofloxacin | 17 | $801 |
| Azelastine Hcl | 13 | $606 |
| Famotidine | 14 | $211 |
| Methylprednisolone | 26 | $125 |
| Omeprazole | 11 | $104 |
Paid to pharmacies, not to this prescriber.
Other otology & neurotology in Carlsbad
- John Vaughanla Jolla$237K
- Rodney PerkinsWoodside$125K
- Courtney VoelkerLos Angeles$66K
- Lloyd MinorStanford$52K
- Rick Friedmanla Jolla$34K
- Varun VaradarajanSacramento$27K
- Sumit AgrawalStanford$21K
- Kevin PengLos Angeles$17K
- Elina Karila Jolla$16K
- 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.