Mark Sakai, MD
Otolaryngology · Hilo, HINPI 1760988828
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 91.0% of the total across 53 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 12 manufacturers reported payments, led by Inspire Medical Systems, Inc. at 30.8% of the total. 2025 is the largest year on record at $1,127, more than ten times the $61 reported in 2022.
Across 53 payments — averaging $39.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$645
- Sanofi$564
- Regeneron Healthcare Solutions, Inc.$390
- Smith+Nephew$133
- Sanofi-aventis U.S. LLC$99
- Stryker$82
- plus $184 from 6 others
What the payments were for
- Food & beverage$1,90991%
- Education$1889%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 10 | $645 |
| Sanofi | 19 | $564 |
| Regeneron Healthcare Solutions, Inc. | 12 | $390 |
| Smith+Nephew | 2 | $133 |
| Sanofi-aventis U.S. LLC | 1 | $99 |
| Stryker | 3 | $82 |
| Cochlear Americas | 1 | $80 |
| Boston Scientific | 1 | $29 |
| Tactile Systems Technology Inc | 1 | $22 |
| AstraZeneca | 1 | $21 |
| Johnson & Johnson | 1 | $18 |
| Bristol Myers Squibb | 1 | $15 |
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
$2,097 in reported general payments places this provider in the 65th percentile of 33 otolaryngology providers in Hawaii.
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 |
|---|---|---|
| Dupixent PenDupilumab | 15 | $55,932 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 38 | $3,496 |
| Ipratropium Bromide | 73 | $2,358 |
| Fluticasone Propionate | 165 | $2,255 |
| Azelastine Hcl | 26 | $678 |
| Famotidine | 34 | $505 |
| Doxycycline Hyclate | 21 | $265 |
| Omeprazole | 18 | $216 |
| Ibuprofen | 15 | $69 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 24 | $54 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Hilo
- Lovina SabnaniHilo$2K
- Hannah MooreHilo$1K
- Charissa KahueHonolulu$55K
- John ChoHonolulu$10K
- Aaron WallaceWailuku$8K
- Eric PurdomTripler Amc$8K
- Jae LimHonolulu$7K
- Kelly AndersonTripler Amc$4K
- John SommerfeldtTripler Army Medical Center$3K
- Seung LeeHonolulu$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.