Michael Hoffer, MD
Otolaryngology · Miami, FLNPI 1821069626
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $16,278 of the $24,015 with a category attached, or 67.8%. 10 manufacturers reported payments, led by Medical Device Business Services, Inc. at 46.7% of the total. Reporting peaked in 2019 at $10,658 and has fallen 94.9% since, to $546 in 2025. Among otolaryngology clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 78 payments — averaging $307.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$11K
- Johnson & Johnson$7K
- Cochlear Americas$3K
- Med-el Corporation$955
- Grace Medical, Inc.$638
- Advanced Bionics, LLC$443
- plus $597 from 4 others
Across 5 payments — averaging $1558.95 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Cochlear Americas$8K
What the payments were for
- Consulting fees$16,27868%
- Travel & lodging$3,31014%
- Food & beverage$4,42818%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 22 | $11,222 |
| Johnson & Johnson | 6 | $7,404 |
| Cochlear Americas | 18 | $2,757 |
| Med-el Corporation | 11 | $955 |
| Grace Medical, Inc. | 4 | $638 |
| Advanced Bionics, LLC | 8 | $443 |
| Stryker | 5 | $187 |
| Iotamotion, Inc. | 1 | $176 |
| Acclarent, Inc | 2 | $133 |
| Oticon Medical, LLC | 1 | $101 |
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.
- MATRIXMIDFACE$16,385
- MATRIXNEURO$16,385
- NA$14,290
- CMF INSTRUMENTS$9,240
- MODULAR HAND SYSTEM$9,240
- Cochlear Nucleus CI632 cochlear implant with Slim Modiolar electrode$2,247
- Baha$2,086
- OSIA OSI300 IMPLANT$1,951
- Mi1250 SYNCHRONY 2 FLEXsoft$521
- BCI 602 Kit$521
- ADHEAR Professional Kit$398
- Baha BI300 implant 4 mm$297
- Cochlear Osia OSI200 Implant$297
- Cochlear$270
- iotaSOFT$176
- HIRES ULTRA CI HIFOCUS MS ELECTRODE$152
- ACCLARENT AERA EUSTACHIAN TUBE BALLOON DILATION SYSTEM$113
- PONTO BONE ANCHORED HEARING SYSTEM$101
How this compares
$24,015 in reported general payments places this provider in the 95th percentile of 586 otolaryngology 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 |
|---|---|---|
| Ofloxacin | 64 | $1,695 |
| Fluocinolone Acetonide Oil | 13 | $692 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 19 | $234 |
| Fluticasone Propionate | 12 | $150 |
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 14 | $86 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Miami
- Maria SuurnaMiami$189K
- Agustin ArrietaMiami$95K
- Francisco PernasMiami$70K
- Adrien EshraghiMiami$41K
- Corinna LevineMiami$16K
- Jason LeibowitzMiami$13K
- Donald WeedMiami$8K
- Cecelia DamaskOrlando$707K
- Ralph TufanoSarasota$469K
- Franklin RimellFort Myers$314K
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.