Joan Coker, MD
Otolaryngology · Wilmington, DENPI 1992739676
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 148 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 28 manufacturers, the largest accounting for just 21.9% — the pattern of someone who eats at a lot of different presentations.
Across 148 payments — averaging $22.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Takeda Pharmaceuticals U.S.A., Inc.$729
- CSL Behring$386
- GSK$340
- Optinose US, Inc.$253
- Inspire Medical Systems, Inc.$237
- Genentech USA, Inc.$161
- plus $1K from 22 others
What the payments were for
- Food & beverage$3,327100%
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 |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 31 | $729 |
| CSL Behring | 17 | $386 |
| GSK | 16 | $340 |
| Optinose US, Inc. | 15 | $253 |
| Inspire Medical Systems, Inc. | 2 | $237 |
| Genentech USA, Inc. | 6 | $161 |
| Novartis | 9 | $152 |
| Biocryst US Sales Co., LLC | 5 | $146 |
| Octapharma USA, Inc. | 5 | $141 |
| AstraZeneca | 8 | $135 |
| Regeneron Healthcare Solutions, Inc. | 4 | $74 |
| Pharming Healthcare, Inc. | 4 | $71 |
| Viiv Healthcare Company | 1 | $63 |
| Bio Products Laboratory USA, Inc. | 4 | $61 |
| Kedrion Biopharma, Inc. | 3 | $53 |
| Stryker | 2 | $41 |
| Covis Pharma GmbH | 2 | $36 |
| Teva Pharmaceuticals USA, Inc. | 2 | $34 |
| ARS Pharmaceuticals Operations, Inc. | 2 | $32 |
| Incyte Corporation | 1 | $28 |
| Merck | 2 | $27 |
| Kaleo, Inc. | 1 | $22 |
| Sanofi | 1 | $22 |
| Grifols USA, LLC | 1 | $21 |
| Mylan Specialty L.p. | 1 | $21 |
| Boehringer Ingelheim | 1 | $15 |
| Aimmune Therapeutics, Inc. | 1 | $15 |
| Glenmark Therapeutics Inc. | 1 | $11 |
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.
- Inspire$214
How this compares
$3,327 in reported general payments places this provider in the 80th percentile of 27 otolaryngology providers in Delaware.
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 |
|---|---|---|
| Levocetirizine Dihydrochloride | 640 | $23,585 |
| Mometasone Furoate | 47 | $5,943 |
| Montelukast Sodium | 288 | $5,370 |
| Azelastine Hcl | 165 | $4,910 |
| Fluocinolone Acetonide Oil | 100 | $4,255 |
| Fluticasone Propionate | 113 | $1,723 |
| Omeprazole | 82 | $1,525 |
| Desloratadine | 16 | $1,047 |
| Amitriptyline Hcl | 77 | $908 |
| Fluocinolone Acetonide | 18 | $901 |
| Meclizine Hcl | 43 | $756 |
| Ipratropium Bromide | 24 | $602 |
| Mupirocin | 26 | $369 |
| Gentamicin Sulfate | 11 | $356 |
| Azithromycin | 42 | $277 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Wilmington
- Paul ImberWilmington$5K
- Udayan ShahWilmington$5K
- Michael TeixidoWilmington$3K
- Mindy RabinowitzWilmington$3K
- Neil HocksteinWilmington$2K
- Kieran ConnollyWilmington$2K
- Lauren BogdanWilmington$2K
- Emilio ValdesWilmington$413
- Timoteo GabrielWilmington$157
- James ReillyWilmington$95
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.