Matthew Marino, MD
Otolaryngology · Chesterfield, MONPI 1639497829
Payments from drug & device makers
What this record shows
14 manufacturers reported payments, led by Inspire Medical Systems, Inc. at 32.3% of the total. Reporting peaked in 2019 at $5,074 and has fallen 85.7% since, to $724 in 2025. Among otolaryngology clinicians in MO 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 92 payments — averaging $111.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$3K
- Intersect ENT, Inc.$3K
- Stryker$2K
- Sanofi$681
- GSK$344
- Optinose US, Inc.$166
- plus $715 from 8 others
What the payments were for
- Travel & lodging$4,82247%
- Food & beverage$5,39353%
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. | 29 | $3,298 |
| Intersect ENT, Inc. | 15 | $3,125 |
| Stryker | 18 | $1,886 |
| Sanofi | 7 | $681 |
| GSK | 5 | $344 |
| Optinose US, Inc. | 6 | $166 |
| Aerin Medical Inc. | 3 | $149 |
| Johnson & Johnson | 1 | $136 |
| Regeneron Healthcare Solutions, Inc. | 1 | $118 |
| Regeneron | 1 | $114 |
| Cumberland Pharmaceuticals, Inc. | 1 | $99 |
| Alk-abello, Inc | 3 | $53 |
| Integra Lifesciences Corporation | 1 | $25 |
| Smith+Nephew | 1 | $21 |
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.
- PROPEL$2,910
- SINUVA$2,441
- Inspire$1,958
- ENTELLUS - XPRESS ENT DILATION SYSTEM$1,222
- DUPIXENT$1,059
- Inspire Upper Airway Stimulation System$715
- NUCALA$233
- RYBREVANT$136
- CARVYKTI$136
- VIVAER STYLUS$131
- RHINAER STYLUS$131
- XPRESS ENT DILATION SYSTEM$128
- SCOPIS ENT$120
How this compares
$10,215 in reported general payments places this provider in the 90th percentile of 210 otolaryngology providers in Missouri.
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 |
|---|---|---|
| Ipratropium Bromide | 167 | $3,391 |
| Azelastine Hcl | 114 | $3,067 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 33 | $2,458 |
| Omeprazole | 75 | $1,057 |
| Fluticasone Propionate | 48 | $995 |
| Famotidine | 30 | $552 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 37 | $327 |
| Esomeprazole Magnesium | 14 | $299 |
| Montelukast Sodium | 18 | $221 |
| Methylprednisolone | 37 | $214 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 44 | $207 |
| Doxycycline Hyclate | 16 | $156 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 19 | $155 |
| Prednisone | 51 | $148 |
| Mupirocin | 17 | $90 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Chesterfield
- Talon ManingasJoplin$314K
- Ryan JacksonSaint Louis$284K
- Ravindra UppaluriSaint Louis$168K
- James GouldFestus$143K
- John SchneiderSaint Louis$74K
- Amit WaliaSaint Louis$21K
- Bharat PanugantiSaint Louis$19K
- Jeffrey SharonSt. Louis$18K
- Kelvin WallsLees Summit$14K
- Cristine Klatt-CromwellSaint Louis$13K
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.