RxDoctor Payments Data

Jeffrey Miller, MD

Otolaryngology · Hot Springs, ARNPI 1528048923

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 33 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 12 manufacturers, the largest accounting for just 21.5% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $554, 7.3 times the $76 reported in 2019.

$990in general payments, 2019–2025

Across 33 payments — averaging $30.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Aerin Medical Inc.$212
  • GSK$150
  • Inspire Medical Systems, Inc.$128
  • Stryker$126
  • Agiliti Surgical, Inc.$117
  • Regeneron Healthcare Solutions, Inc.$95
  • plus $163 from 6 others

What the payments were for

  • Food & beverage$990100%

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

19
20
21
22
23
24
25

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

$990 in reported general payments places this provider in the 55th percentile of 72 otolaryngology providers in Arkansas.

See all otolaryngology providers in Arkansas

Medicare billing

Part B allowed, 2024
$111,276
Medicare patients
591
Services billed
1,047

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
Azelastine Hcl134$3,409
Ipratropium Bromide126$3,315
Fluticasone Propionate65$787
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen73$738
Doxycycline Hyclate43$499
Levothyroxine Sodium55$458
Famotidine49$378
Cefdinir18$376
Nystatin15$345
Clindamycin Hcl34$324
Fluconazole24$312
Ondansetron OdtOndansetron73$288
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav16$269
Montelukast Sodium48$265
Cephalexin37$198

Paid to pharmacies, not to this prescriber.

Other otolaryngology in Hot Springs

See the full list for Arkansas

Where these figures come from

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