James Vap, MD
Otolaryngology · Washington, DCNPI 1740202266
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 1 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Every reported general payment came from a single manufacturer, Optinose US, Inc.. That places this record below the midpoint for otolaryngology clinicians in DC, where the typical reported total is $795.
Across 1 payment — averaging $37.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Optinose US, Inc.$37
What the payments were for
- Food & beverage$37100%
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.
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 |
|---|---|---|
| Optinose US, Inc. | 1 | $37 |
How this compares
$37 in reported general payments places this provider in the 0th percentile of 41 otolaryngology providers in District of Columbia.
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 |
|---|---|---|
| TrintellixVortioxetine Hydrobromide | 13 | $5,197 |
| DuleraMometasone/Formoterol | 11 | $4,337 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 42 | $4,256 |
| SymbicortBudesonide/Formoterol Fumarate | 13 | $3,071 |
| Esomeprazole Magnesium | 27 | $1,655 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 101 | $1,081 |
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 85 | $900 |
| Azelastine Hcl | 16 | $866 |
| Mometasone Furoate | 37 | $845 |
| Doxycycline Hyclate | 100 | $751 |
| Ipratropium Bromide | 12 | $728 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 18 | $509 |
| Fluticasone Propionate | 15 | $428 |
| Prednisone | 65 | $411 |
| Levocetirizine Dihydrochloride | 24 | $391 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Washington
- Michael HoaWashington$57K
- Manish KhannaWashington$24K
- Sarah RapoportWashington$11K
- Hung KimWashington$11K
- Punam ThakkarWashington$9K
- Shaum SridharanWashington$8K
- Stanley ChiaWashington$4K
- William GaoWashington$3K
- Stephen WallWashington$3K
- Adedoyin KalejaiyeWashington$3K
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.