Matthew Cox
Otology & Neurotology · Winter Park, FLNPI 1457643793
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 65 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 18 manufacturers reported payments, led by Regeneron Healthcare Solutions, Inc. at 24.3% of the total. Reporting peaked in 2019 at $599 and has fallen 62.6% since, to $224 in 2025. That places this record below the midpoint for otology & neurotology clinicians in FL, where the typical reported total is $5,109.
Across 65 payments — averaging $29.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron Healthcare Solutions, Inc.$460
- Acclarent, Inc$259
- Sanofi$223
- Cochlear Americas$141
- Genentech USA, Inc.$125
- Stryker$119
- plus $569 from 12 others
What the payments were for
- Food & beverage$1,896100%
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 |
|---|---|---|
| Regeneron Healthcare Solutions, Inc. | 17 | $460 |
| Acclarent, Inc | 9 | $259 |
| Sanofi | 9 | $223 |
| Cochlear Americas | 3 | $141 |
| Genentech USA, Inc. | 1 | $125 |
| Stryker | 3 | $119 |
| Advanced Bionics, LLC | 3 | $105 |
| Bard Access Systems, Inc. | 1 | $94 |
| Integra Lifesciences Corporation | 2 | $79 |
| Johnson & Johnson | 6 | $78 |
| Optinose US, Inc. | 2 | $53 |
| Inspire Medical Systems, Inc. | 2 | $43 |
| Kaleo, Inc. | 2 | $28 |
| Neurent Medical Limited | 1 | $23 |
| Davol Inc. | 1 | $20 |
| Aerin Medical Inc. | 1 | $17 |
| Alk-abello, Inc | 1 | $15 |
| Novartis | 1 | $13 |
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
$1,896 in reported general payments places this provider in the 35th percentile of 25 otology & neurotology providers in Florida.
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 | 310 | $9,273 |
| Ipratropium Bromide | 226 | $5,556 |
| Ofloxacin | 159 | $3,168 |
| Fluticasone Propionate | 187 | $2,779 |
| Epinephrine | 13 | $2,701 |
| Levocetirizine Dihydrochloride | 163 | $1,723 |
| Prednisone | 135 | $1,229 |
| Ondansetron OdtOndansetron | 70 | $658 |
| Triamcinolone Acetonide | 51 | $461 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 63 | $447 |
| Ciprofloxacin Hcl | 49 | $429 |
| Montelukast Sodium | 45 | $384 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 38 | $373 |
| Cephalexin | 31 | $273 |
| Mupirocin | 39 | $253 |
Paid to pharmacies, not to this prescriber.
Other otology & neurotology in Winter Park
- Thomas BalkanyMiami$534K
- Simon AngeliMiami$32K
- Fred TelischiMiami$29K
- Herbert SilversteinSarasota$18K
- Jack WazenSarasota$16K
- Loren BartelsTampa$16K
- Kyle AllenTampa$14K
- Joshua LightBoynton Beach$12K
- Andrew MarloweSarasota$12K
- James GreenJacksonville$10K
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.