RxDoctor Payments Data

Kevin Gietzen, DO

Otolaryngology/Facial Plastic Surgery · Petoskey, MINPI 1538189154

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 98.1% of the total across 67 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 13 manufacturers, the largest accounting for just 19.7% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2022 at $563 and has fallen 70.2% since, to $168 in 2025. That places this record below the midpoint for otolaryngology/facial plastic surgery clinicians in MI, where the typical reported total is $2,119.

$2,231in general payments, 2019–2025

Across 67 payments — averaging $33.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Stryker$440
  • Acclarent, Inc$356
  • GSK$279
  • Intersect ENT, Inc.$218
  • Advanced Bionics, LLC$201
  • Regeneron Healthcare Solutions, Inc.$200
  • plus $538 from 7 others

What the payments were for

  • Food & beverage$2,19098%
  • Education$412%

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

$2,231 in reported general payments places this provider in the 50th percentile of 31 otolaryngology/facial plastic surgery providers in Michigan.

See all otolaryngology/facial plastic surgery providers in Michigan

Medicare billing

Part B allowed, 2024
$156,231
Medicare patients
353
Services billed
897

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 SyringeDupilumab32$140,990
Dupixent PenDupilumab13$47,249
Ipratropium Bromide127$4,011
Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth18$1,985
Azelastine Hcl69$1,725
Fluticasone Propionate88$1,487
Omeprazole33$750
Fluocinolone Acetonide Oil12$454
Triamcinolone Acetonide26$360
Montelukast Sodium14$275
Levofloxacin18$247
Cephalexin59$229
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen61$217
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav14$181
Prednisone18$135

Paid to pharmacies, not to this prescriber.

Other otolaryngology/facial plastic surgery in Petoskey

See the full list for Michigan

Where these figures come from

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