Joshua Downie, MD
Otolaryngology · Atlanta, GANPI 1528215340
Payments from drug & device makers
Across 30 payments — averaging $28.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$165
- Stryker$152
- Inspire Medical Systems, Inc.$147
- Optinose US, Inc.$129
- Aerin Medical Inc.$113
- Sanofi$44
- plus $112 from 7 others
What the payments were for
- Food & beverage$862100%
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 |
|---|---|---|
| Boston Scientific | 4 | $165 |
| Stryker | 6 | $152 |
| Inspire Medical Systems, Inc. | 2 | $147 |
| Optinose US, Inc. | 7 | $129 |
| Aerin Medical Inc. | 2 | $113 |
| Sanofi | 2 | $44 |
| Regeneron Healthcare Solutions, Inc. | 1 | $21 |
| Phadia US Inc. | 1 | $18 |
| GSK | 1 | $18 |
| Smith+Nephew | 1 | $15 |
| Medtronic | 1 | $14 |
| Eyevance Pharmaceuticals LLC | 1 | $14 |
| Covidien LP | 1 | $11 |
How this compares
$862 in reported general payments places this provider in the 35th percentile of 308 otolaryngology providers in Georgia.
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 |
|---|---|---|
| Azelastine Hcl | 166 | $3,906 |
| Ipratropium Bromide | 119 | $3,019 |
| Fluticasone Propionate | 180 | $1,952 |
| Esomeprazole Magnesium | 27 | $1,173 |
| Famotidine | 117 | $821 |
| CefuroximeCefuroxime Axetil | 24 | $702 |
| Fluocinolone Acetonide Oil | 14 | $516 |
| Omeprazole | 30 | $139 |
| Methylprednisolone | 27 | $124 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 11 | $121 |
| Doxycycline Hyclate | 12 | $84 |
| Cyclobenzaprine Hcl | 12 | $40 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Atlanta
- Ramie TrittAtlanta$640K
- Karen HoffmannAtlanta$267K
- Jose StolovitzkyAtlanta$106K
- Patricia LoftusAtlanta$20K
- Daniel CarothersAtlanta$8K
- Adam KleinAtlanta$8K
- Pradeep SinhaAtlanta$7K
- Kingsley ChinAtlanta$6K
- John SongAtlanta$6K
- James HamiltonAtlanta$5K
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.