RxDoctor Payments Data

Michael Byrd, MD

Otolaryngic Allergy · Houston, TXNPI 1942394663

Payments from drug & device makers

$59,107in general payments, 2019–2025

Across 218 payments — averaging $271.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Optinose US, Inc.$53K
  • Medtronic$3K
  • Inspire Medical Systems, Inc.$2K
  • GSK$296
  • Stryker$241
  • ARS Pharmaceuticals Operations, Inc.$208
  • plus $602 from 11 others

What the payments were for

  • Consulting fees$2,0003%
  • Speaking & faculty fees$45,42577%
  • Travel & lodging$5,1899%
  • Food & beverage$6,49311%

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

Too few otolaryngic allergy providers in Texasto place this figure against a meaningful peer group, so we don't.

Medicare billing

Part B allowed, 2024
$149,723
Medicare patients
473
Services billed
1,371

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
XhanceFluticasone Propionate16$9,306
Fluticasone Propionate287$4,132
Ipratropium Bromide105$3,082
Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth18$2,352
Fluocinolone Acetonide Oil46$1,419
Azelastine Hcl19$677
Omeprazole28$405
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav23$334
Gabapentin22$174
Prednisone35$144
Clindamycin Hcl12$98
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen15$94
Levofloxacin11$86
Chlorhexidine Gluconate16$75
Azithromycin12$69

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.

CompanyPaid to this providerPart D cost of their drugs
Optinose US, Inc.Xhance$53,029$9,30616 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. There are too few otolaryngic allergy providers in Texason file to place this against a meaningful peer group, so we don't.

Other otolaryngic allergy in Houston

Where these figures come from

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