James Green, MD
Otology & Neurotology · Jacksonville, FLNPI 1265438493
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (54.9%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Oticon Medical, LLC at 54.8% of the total. Reporting peaked in 2024 at $5,881 and has fallen 92.0% since, to $470 in 2025.
Across 24 payments — averaging $420.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Oticon Medical, LLC$6K
- Medtronic$3K
- Cochlear Americas$554
- Med-el Corporation$295
- Integra Lifesciences Corporation$162
- Smith+Nephew$145
- plus $460 from 6 others
Across 3 payments — averaging $721.67 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Cochlear Americas$2K
What the payments were for
- Consulting fees$2,88829%
- Travel & lodging$5,54155%
- Food & beverage$1,65616%
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 | $5,530 |
| Medtronic(2 entities) | 3 | $2,938 |
| Cochlear Americas | 5 | $554 |
| Med-el Corporation | 4 | $295 |
| Integra Lifesciences Corporation | 2 | $162 |
| Smith+Nephew | 2 | $145 |
| Regeneron Healthcare Solutions, Inc. | 1 | $121 |
| Sanofi | 1 | $115 |
| Stryker | 1 | $95 |
| GSK | 1 | $93 |
| Otsuka America Pharmaceutical, Inc. | 1 | $18 |
| Novartis | 1 | $17 |
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.
- PONTO BONE ANCHORED HEARING SYSTEM$5,530
- NUVENT$1,238
- Cochlear Nucleus CI632 cochlear implant with Slim Modiolar electrode$390
- Baha$390
- OSIA OSI300 IMPLANT$390
- DUPIXENT$236
- VIBRANT Soundbridge Middle Ear Implant and BONEBRIDGE System$225
- Acclarent Aera$136
- Inspira Air$136
- RELIEVA SPINPLUS NAV$136
- TruDi Probe$136
How this compares
$10,084 in reported general payments places this provider in the 60th 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 | 103 | $10,975 |
| Ofloxacin | 58 | $2,425 |
| Clonazepam | 123 | $1,708 |
| CefuroximeCefuroxime Axetil | 72 | $1,337 |
| Topiramate | 23 | $516 |
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 58 | $484 |
| Meclizine Hcl | 35 | $401 |
| Fluocinolone Acetonide Oil | 12 | $377 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 66 | $365 |
| Escitalopram Oxalate | 27 | $301 |
| Diazepam | 42 | $292 |
| Clindamycin Hcl | 11 | $219 |
| Ondansetron OdtOndansetron | 20 | $165 |
| Prednisone | 15 | $134 |
| Methylprednisolone | 13 | $81 |
Paid to pharmacies, not to this prescriber.
Other otology & neurotology in Jacksonville
- 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
- Drew HorlbeckFort Myers$8K
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.