James Wright, MD
Otolaryngology · McAllen, TXNPI 1902801988
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $13,285 of the $15,415 with a category attached, or 86.2%. 14 manufacturers reported payments, led by Medtronic at 57.6% of the total. Reporting peaked in 2022 at $3,790 and has fallen 68.9% since, to $1,181 in 2025. Among otolaryngology clinicians in TX 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 492 payments — averaging $31.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$9K
- Stryker$3K
- Aerin Medical Inc.$447
- GSK$446
- Optinose US, Inc.$410
- Phadia US Inc.$385
- plus $2K from 8 others
What the payments were for
- Travel & lodging$2,13014%
- Food & beverage$13,28586%
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 |
|---|---|---|
| Medtronic(2 entities) | 302 | $8,884 |
| Stryker | 84 | $3,290 |
| Aerin Medical Inc. | 5 | $447 |
| GSK | 27 | $446 |
| Optinose US, Inc. | 22 | $410 |
| Phadia US Inc. | 12 | $385 |
| Smith+Nephew | 4 | $363 |
| Regeneron Healthcare Solutions, Inc. | 12 | $348 |
| Neurent Medical Limited | 8 | $331 |
| Inspire Medical Systems, Inc. | 8 | $319 |
| Olympus America Inc. | 4 | $95 |
| Intersect ENT, Inc. | 1 | $49 |
| Arbor Pharmaceuticals, Inc. | 2 | $27 |
| Sanofi-aventis U.S. LLC | 1 | $20 |
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.
- NUVENT$2,044
- SPIROX - LATERA$719
- PROPEL$570
- ENTELLUS - XPRESS ENT DILATION SYSTEM$518
- VIVAER STYLUS$387
- RHINAER STYLUS$387
- XPRESS ENT DILATION SYSTEM$303
- ENTELLUS - FIAGON SINUS NAVIGATION SYSTEM$263
- ENTELLUS - ENTELLUS MEDICAL SHAVER SYSTEM$250
- NEUROMARK System$164
- NEUROMARK Radiofrequency Console$164
- ENDOSCOPIC SINUS SURGERY KIT$151
- ENTELLUS - FIAGON SINUS NAVIGATION SYSTEM CONSUMABLES$150
- FIAGON NAVIGATION UNIT$142
- ENTELLUS - XEROGEL NASAL/EPISTAXIS PACK$130
- STEALTHSTATION S8 PLATFORM$121
- CLARIFIX$120
- ImmunoCAP$118
- CLARIFIX CRYOTHERAPY DEVICE$116
How this compares
$15,415 in reported general payments places this provider in the 90th percentile of 729 otolaryngology providers in Texas.
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 |
|---|---|---|
| Ofloxacin | 120 | $4,282 |
| Ipratropium Bromide | 129 | $3,580 |
| Azelastine Hcl | 118 | $3,344 |
| Fluticasone Propionate | 221 | $2,976 |
| Cefdinir | 44 | $745 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 70 | $717 |
| Levocetirizine Dihydrochloride | 38 | $434 |
| Omeprazole | 57 | $428 |
| Clotrimazole | 12 | $371 |
| Azithromycin | 59 | $268 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 16 | $169 |
| Montelukast Sodium | 33 | $147 |
| Methylprednisolone | 11 | $107 |
| Fluconazole | 14 | $75 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in McAllen
- Marc DeanFort Worth$486K
- Amber LuongHouston$426K
- Arjuna KuperanHouston$348K
- Ronald KuppersmithCollege Station$325K
- Ron KarniHouston$317K
- Philip ChenSan Antonio$305K
- Jordan RihaniSouthlake$280K
- Keith MathenyFrisco$269K
- Martin CitardiHouston$245K
- James AtkinsSan Antonio$205K
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.