RxDoctor Payments Data

Jason Rudman

Otolaryngology · Saint Louis, MONPI 1487072229

Payments from drug & device makers

What this record shows

The money is spread across several categories — travel and lodging (53.4%), food and beverage and education — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Medical Device Business Services, Inc. at 55.9% of the total. Reporting peaked in 2022 at $1,693 and has fallen 98.3% since, to $29 in 2024.

$2,711in general payments, 2019–2025

Across 27 payments — averaging $100.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medical Device Business Services, Inc.$2K
  • Intersect ENT, Inc.$376
  • Smith+Nephew$183
  • AbbVie$143
  • Acclarent, Inc$138
  • Stryker$128
  • plus $228 from 6 others

What the payments were for

  • Travel & lodging$1,44653%
  • Food & beverage$1,09140%
  • Education$1696%
  • Gifts$40%

General payments by program year

19
20
21
22
23
24

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.

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

$2,711 in reported general payments places this provider in the 75th percentile of 210 otolaryngology providers in Missouri.

See all otolaryngology providers in Missouri

Medicare billing

Part B allowed, 2024
$115,133
Medicare patients
449
Services billed
969

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

DrugClaimsCost to plans & patients
Ipratropium Bromide111$3,103
Azelastine Hcl110$3,085
Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth20$2,235
Ciprofloxacin Hcl40$470
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav50$466
Fluticasone Propionate29$356
Prednisolone Acetate11$321
Doxycycline Hyclate32$206
Mupirocin23$193
Methylprednisolone23$159
Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid11$102
Tramadol Hcl16$27
Prednisone12$19

Paid to pharmacies, not to this prescriber.

Other otolaryngology in Saint Louis

See the full list for Missouri

Where these figures come from

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