RxDoctor Payments Data

Michael Sillers, MD

Otolaryngology · Birmingham, ALNPI 1205806213

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (38.9%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 21 manufacturers reported payments, led by Neurent Medical Limited at 50.0% of the total. Reporting peaked in 2021 at $20,954 and has fallen 59.4% since, to $8,500 in 2025. Among otolaryngology clinicians in AL 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.

$52,596in general payments, 2019–2025

Across 244 payments — averaging $215.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Neurent Medical Limited$26K
  • Aerin Medical Inc.$20K
  • Medtronic$2K
  • Optinose US, Inc.$1K
  • GSK$940
  • Regeneron Healthcare Solutions, Inc.$787
  • plus $2K from 15 others
$371,373in research payments, 2019–2025

Across 47 payments — averaging $7901.54 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.

  • Neurent Medical Limited$236K
  • Aerin Medical Inc.$128K
  • Spirair, Inc.$7K

What the payments were for

  • Consulting fees$14,68828%
  • Speaking & faculty fees$20,45039%
  • Travel & lodging$12,00923%
  • Food & beverage$5,41610%
  • Education$340%

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

$52,596 in reported general payments places this provider in the 95th percentile of 155 otolaryngology providers in Alabama.

See all otolaryngology providers in Alabama

Medicare billing

Part B allowed, 2024
$64,034
Medicare patients
292
Services billed
833

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
Dupixent SyringeDupilumab41$153,626
Dupixent PenDupilumab18$64,482
Ipratropium Bromide212$7,045
Fluticasone Propionate64$1,208
Famotidine109$1,155
Azelastine Hcl26$971
Doxycycline Hyclate54$955
Azithromycin29$554
Omeprazole23$313
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav16$211
Mupirocin30$142
Ondansetron OdtOndansetron32$121
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen27$79
Prednisone30$71

Paid to pharmacies, not to this prescriber.

Other otolaryngology in Birmingham

See the full list for Alabama

Where these figures come from

Is this you, or does something look wrong? →