Jeffrey Vrabec, MD
Otolaryngology · Houston, TXNPI 1609873629
Payments from drug & device makers
Across 35 payments — averaging $65.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cochlear Americas$506
- Advanced Bionics, LLC$454
- Kerecis Limited$395
- Acclarent, Inc$350
- Medtronic$145
- Inspire Medical Systems, Inc.$97
- plus $328 from 9 others
What the payments were for
- Food & beverage$2,276100%
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 |
|---|---|---|
| Cochlear Americas | 7 | $506 |
| Advanced Bionics, LLC | 5 | $454 |
| Kerecis Limited | 2 | $395 |
| Acclarent, Inc | 3 | $350 |
| Medtronic | 2 | $145 |
| Inspire Medical Systems, Inc. | 5 | $97 |
| KARL Storz Endoscopy-america | 1 | $90 |
| Optinose US, Inc. | 3 | $61 |
| Axogen | 1 | $48 |
| Kls-martin L.p. | 1 | $29 |
| Merck | 1 | $24 |
| Ambu Inc. | 1 | $22 |
| Tactile Systems Technology Inc | 1 | $20 |
| Stryker | 1 | $18 |
| Integra Lifesciences Corporation | 1 | $16 |
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.
- Kerecis SurgiClose$947
- Kerecis Omega3 Marigen$632
- Kerecis GraftGuide$237
- Baha$228
- HiResolution Bionic Ear System$206
- Kerecis Omega3 SurgiClose$158
- Cochlear Nucleus CI632 cochlear implant with Slim Modiolar electrode$125
- OSIA OSI300 IMPLANT$125
- ACCLARENT AERA EUSTACHIAN TUBE BALLOON DILATION SYSTEM$123
- ACCLARENT NAVWIRE Sinus Navigation Guidewire$114
- TruDi Navigation System$114
- Nucleus$104
- Osia$104
How this compares
$2,276 in reported general payments places this provider in the 55th 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 | 150 | $5,974 |
| Fluocinolone Acetonide Oil | 30 | $1,100 |
| Ipratropium Bromide | 31 | $964 |
| Nortriptyline Hcl | 58 | $362 |
| Fluticasone Propionate | 14 | $361 |
| Triamcinolone Acetonide | 61 | $335 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 35 | $286 |
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 24 | $169 |
| Ondansetron OdtOndansetron | 20 | $158 |
| Prednisone | 21 | $128 |
| Ibuprofen | 39 | $103 |
| Lorazepam | 19 | $47 |
| Topiramate | 13 | $35 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Houston
- Mark ZafereoHouston$7.8M
- Neil GrossHouston$1.5M
- Stephen LaiHouston$968K
- Amber LuongHouston$793K
- Masayoshi TakashimaHouston$644K
- Arjuna KuperanHouston$348K
- Ron KarniHouston$336K
- William YaoHouston$280K
- Martin CitardiHouston$264K
- Michael KaplanHouston$202K
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.