Matthew Farrugia, DO
Otolaryngology · Novi, MINPI 1821016098
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.7% of the total across 225 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 23 manufacturers, the largest accounting for just 16.1% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,998, 3.9 times the $772 reported in 2019. Among otolaryngology clinicians in MI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 225 payments — averaging $50.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acclarent, Inc$2K
- Integra Lifesciences Corporation$2K
- Medtronic$1K
- GSK$869
- Stryker$775
- Regeneron Healthcare Solutions, Inc.$632
- plus $4K from 17 others
What the payments were for
- Food & beverage$11,372100%
- Education$340%
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 |
|---|---|---|
| Acclarent, Inc | 36 | $1,837 |
| Integra Lifesciences Corporation | 19 | $1,776 |
| Medtronic | 15 | $1,480 |
| GSK | 35 | $869 |
| Stryker | 10 | $775 |
| Regeneron Healthcare Solutions, Inc. | 22 | $632 |
| Aerin Medical Inc. | 19 | $605 |
| Sanofi | 16 | $596 |
| Intersect ENT, Inc. | 5 | $537 |
| Inspire Medical Systems, Inc. | 5 | $407 |
| Alk-abello, Inc | 20 | $406 |
| Hologic Sales And Service, LLC | 4 | $383 |
| ARS Pharmaceuticals Operations, Inc. | 5 | $303 |
| Neurent Medical Limited | 1 | $171 |
| Checkpoint Surgical, Inc | 1 | $133 |
| Sanara Medtech Inc. | 1 | $128 |
| Optinose US, Inc. | 1 | $125 |
| Smith+Nephew | 3 | $78 |
| AbbVie | 2 | $61 |
| Amgen | 2 | $54 |
| Precigen, Inc. | 1 | $19 |
| AstraZeneca | 1 | $18 |
| Hikma Pharmaceuticals USA | 1 | $14 |
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.
- INTEGRA$1,953
- PROPEL$1,241
- PRIMATRIX$786
- INTEGRA DERMAL REGENERATION TEMPLATE$786
- NUCALA$590
- Acclarent Navwire$573
- Acclarent Aera$512
- Inspira Air$512
- RELIEVA SPINPLUS NAV$512
- TruDi Probe$512
- DUPIXENT$373
- Inspire$363
- SINUVA$293
- CoolSeal Generator$263
- XPRESS ENT DILATION SYSTEM$244
- NEFFY$235
- INTEGRA WOUND MATRIX (IWM)$235
- NEUROMARK Device$171
- NEUROMARK Radiofrequency Console$171
- Relieva Spinplus$171
How this compares
$11,406 in reported general payments places this provider in the 90th percentile of 257 otolaryngology providers in Michigan.
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 |
|---|---|---|
| NucalaMepolizumab | 12 | $42,768 |
| Ipratropium Bromide | 249 | $11,251 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 19 | $2,640 |
| Fluticasone Propionate | 130 | $2,490 |
| Prednisolone Acetate | 36 | $1,857 |
| Pilocarpine Hcl | 18 | $1,231 |
| Ofloxacin | 45 | $1,100 |
| Azelastine Hcl | 19 | $882 |
| Cefdinir | 39 | $773 |
| Gabapentin | 42 | $756 |
| Famotidine | 55 | $723 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 20 | $465 |
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 35 | $452 |
| Omeprazole | 31 | $428 |
| Methylprednisolone | 44 | $252 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| GSKNucala | $869 | $42,76812 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 257 otolaryngology providers in Michigan.
Other otolaryngology in Novi
- Shant KorkigianNovi$25K
- David SeelNovi$14K
- Mitchell ShecterNovi$9K
- Navdeep SayalNovi$9K
- Eytan KeidarNovi$7K
- Gregory VarjabedianNovi$7K
- Claire WaltersNovi$7K
- Charles BoydBirmingham$825K
- Jack KartushFarmington Hills$225K
- Robert StandringSouthfield$217K
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.