RxDoctor Payments Data

Justin Douglas, MD

Otolaryngology · Beckley, WVNPI 1326210857

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 142 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 18 manufacturers, the largest accounting for just 19.8% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $990, 2.2 times the $460 reported in 2019.

$4,134in general payments, 2019–2025

Across 142 payments — averaging $29.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Inspire Medical Systems, Inc.$818
  • GSK$743
  • Stryker$690
  • Regeneron Healthcare Solutions, Inc.$430
  • Acclarent, Inc$383
  • Optinose US, Inc.$323
  • plus $746 from 12 others

What the payments were for

  • Food & beverage$4,134100%

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

19
20
21
22
23
24
25

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.

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

$4,134 in reported general payments places this provider in the 85th percentile of 48 otolaryngology providers in West Virginia.

See all otolaryngology providers in West Virginia

Medicare billing

Part B allowed, 2024
$87,973
Medicare patients
385
Services billed
1,063

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

DrugClaimsCost to plans & patients
Dupixent PenDupilumab12$44,726
Azelastine Hcl125$3,371
Famotidine130$2,142
Fluticasone Propionate107$1,506
Ipratropium Bromide53$1,453
Fluocinolone Acetonide Oil23$664
Montelukast Sodium31$255
Omeprazole27$237
Acetic Acid13$205
Ciprofloxacin Hcl12$180
Mupirocin29$174
Levothyroxine Sodium16$102
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen24$69
Cephalexin22$49

Paid to pharmacies, not to this prescriber.

Other otolaryngology in Beckley

See the full list for West Virginia

Where these figures come from

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