Joshua Hornig, MD
Otolaryngology · Charleston, SCNPI 1518070135
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (22.4%), education and speaking fees — rather than concentrated in one kind of arrangement. 21 manufacturers reported payments, led by Intuitive Surgical at 33.8% of the total. 2025 is the largest year on record at $11,357, 3.1 times the $3,617 reported in 2019. Among otolaryngology clinicians in SC with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 118 payments — averaging $208.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$8K
- Acera Surgical, Inc.$7K
- Stryker$4K
- Olympus Corporation$3K
- Axogen$630
- Medtronic$408
- plus $1K from 15 others
What the payments were for
- Consulting fees$3,18813%
- Speaking & faculty fees$5,32822%
- Travel & lodging$5,10321%
- Food & beverage$5,53122%
- Education$5,50022%
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 |
|---|---|---|
| Intuitive Surgical | 18 | $8,326 |
| Acera Surgical, Inc. | 15 | $6,677 |
| Stryker | 27 | $3,903 |
| Olympus Corporation | 4 | $3,209 |
| Axogen | 7 | $630 |
| Medtronic | 7 | $408 |
| Johnson & Johnson | 5 | $349 |
| Tactile Systems Technology Inc | 3 | $241 |
| Smith+Nephew | 6 | $191 |
| Forte Bio-pharma LLC | 4 | $96 |
| Xoran Technologies LLC | 2 | $96 |
| Convatec Inc. | 1 | $94 |
| Kerecis Limited | 3 | $89 |
| Access Pro Medical, LLC | 3 | $74 |
| Polynovo North America LLC | 3 | $53 |
| Aroa Biosurgery Incorporated | 3 | $44 |
| Avanos Medical | 3 | $42 |
| Regeneron Healthcare Solutions, Inc. | 1 | $39 |
| Straumann USA LLC | 1 | $37 |
| Ambu Inc. | 1 | $31 |
| Sanara Medtech Inc. | 1 | $20 |
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.
- Restrata Wound Matrix$6,360
- DA VINCI SP$5,500
- Da Vinci Surgical System$2,524
- CHROMOPHARE F300$1,445
- NA$1,028
- Certus 140$284
- AxoGuard Nerve Protector$283
- AxoGuard Nerve Connector$283
- SWITCHPOINT INFINITY, ISUITE$270
- VSP SYSTEM, VSP CRANIAL$175
- Flexitouch Plus$150
- Entre Plus$150
- PTEYE PARATHYROID DETECTION SYSTEM$148
- NIM$146
- AVANCE NERVE GRAFT$104
How this compares
$24,649 in reported general payments places this provider in the 95th percentile of 180 otolaryngology providers in South Carolina.
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.
Other otolaryngology in Charleston
- Shaun NguyenCharleston$973K
- Rodney SchlosserCharleston$382K
- Zachary SolerCharleston$67K
- Eugene BrownCharleston$28K
- Jason NewmanCharleston$26K
- Ashli OrourkeCharleston$21K
- Alexandra KejnerCharleston$19K
- Evan GraboyesCharleston$18K
- Mohamed AbdelwahabCharleston$15K
- Jeffrey HoultonCharleston$11K
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.