John Zappia, MD
Otology & Neurotology · Famington Hills, MINPI 1497746671
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,469 of the $2,269 with a category attached, or 64.7%. Cochlear Americas accounts for 60.1% of it on its own, with 7 other manufacturers making up the rest. That places this record below the midpoint for otology & neurotology clinicians in MI, where the typical reported total is $2,733.
Across 31 payments — averaging $73.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cochlear Americas$1K
- Medtronic$182
- Advanced Bionics, LLC$165
- Integra Lifesciences Corporation$164
- Hologic Sales And Service, LLC$134
- GSK$102
- plus $158 from 2 others
What the payments were for
- Consulting fees$80035%
- Food & beverage$1,46965%
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 | 15 | $1,364 |
| Medtronic(2 entities) | 2 | $182 |
| Advanced Bionics, LLC | 1 | $165 |
| Integra Lifesciences Corporation | 3 | $164 |
| Hologic Sales And Service, LLC | 1 | $134 |
| GSK | 1 | $102 |
| Acclarent, Inc | 4 | $90 |
| Olympus America Inc. | 4 | $67 |
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
$2,269 in reported general payments places this provider in the 40th percentile of 23 otology & neurotology providers in Michigan.
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 |
|---|---|---|
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 164 | $20,929 |
| Indapamide | 146 | $3,096 |
| Nortriptyline Hcl | 145 | $2,973 |
| Prednisolone Acetate | 42 | $2,744 |
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 152 | $1,936 |
| Neomycin-Polymyxin-HcNeomycin/Polymyxin B/Hydrocort | 17 | $896 |
| Dicyclomine Hcl | 40 | $867 |
| Methylprednisolone | 121 | $731 |
| Ofloxacin | 22 | $662 |
| Potassium Chloride | 13 | $545 |
| Hydrochlorothiazide | 92 | $544 |
| Propranolol Hcl | 29 | $543 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 48 | $508 |
| Alprazolam | 47 | $359 |
| Amitriptyline Hcl | 13 | $346 |
Paid to pharmacies, not to this prescriber.
Other otology & neurotology in Famington Hills
- Seilesh BabuFarmington Hills$167K
- Dennis BojrabFarmington Hills$30K
- Robert HongFarmington Hills$25K
- Dennis BojrabFarmington Hills$15K
- Candice Colby-ScottMidland$10K
- Christopher SchuttFarmington Hills$8K
- Robert ConwayFarmington Hills$6K
- Jacob LucasFarmington Hills$5K
- Robert DanielsGrand Rapids$3K
- Eric SargentFarmington Hills$3K
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.