James Klemens, MD
Otolaryngology · Peoria, ILNPI 1508065558
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (39.9%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 22 manufacturers reported payments, led by Acclarent, Inc at 55.0% of the total. Reporting peaked in 2022 at $5,025 and has fallen 57.4% since, to $2,143 in 2025. Among otolaryngology clinicians in IL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 81 payments — averaging $110.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acclarent, Inc$5K
- Aerin Medical Inc.$2K
- Cochlear Americas$829
- Cochlear Bone Anchored Solutions AB$394
- Sanofi$134
- Intersect ENT, Inc.$121
- plus $654 from 16 others
What the payments were for
- Consulting fees$3,56340%
- Travel & lodging$2,23725%
- Food & beverage$3,10435%
- Education$340%
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 |
|---|---|---|
| Acclarent, Inc | 11 | $4,912 |
| Aerin Medical Inc. | 19 | $1,894 |
| Cochlear Americas | 11 | $829 |
| Cochlear Bone Anchored Solutions AB | 3 | $394 |
| Sanofi | 7 | $134 |
| Intersect ENT, Inc. | 1 | $121 |
| Johnson & Johnson(2 entities) | 3 | $96 |
| Optinose US, Inc. | 4 | $88 |
| Stryker | 3 | $72 |
| KARL Storz Endoscopy-america | 1 | $51 |
| Medtronic | 2 | $45 |
| CSL Behring | 3 | $40 |
| Advanced Bionics, LLC | 1 | $39 |
| Phadia US Inc. | 2 | $38 |
| Amgen | 1 | $34 |
| Merck | 2 | $31 |
| Pharming Healthcare, Inc. | 1 | $25 |
| Regeneron Healthcare Solutions, Inc. | 1 | $24 |
| GSK | 2 | $24 |
| Organogenesis Inc. | 1 | $20 |
| Smith+Nephew | 1 | $14 |
| Alk-abello, Inc | 1 | $13 |
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
$8,937 in reported general payments places this provider in the 90th percentile of 390 otolaryngology providers in Illinois.
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 | 31 | $569 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 28 | $248 |
| Fluticasone Propionate | 11 | $224 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 27 | $209 |
| Prednisone | 23 | $37 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Peoria
- David ConleyChicago$630K
- Jayant PintoChicago$628K
- Robert KernChicago$610K
- Robert NaclerioBurr Ridge$229K
- Michael HutzOak Park$103K
- Charles WeingartenGlenview$96K
- Victoria LeeChicago$86K
- Louis PortugalChicago$68K
- Dean ToriumiChicago$63K
- Monica PatadiaChicago$56K
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.