Miguel Rivera, MD
Otolaryngology/Facial Plastic Surgery · Brandon, FLNPI 1699860122
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 92.6% of the total across 83 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 21 manufacturers, the largest accounting for just 18.1% — the pattern of someone who eats at a lot of different presentations.
Across 83 payments — averaging $37.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$561
- Regeneron Healthcare Solutions, Inc.$500
- Optinose US, Inc.$364
- Acclarent, Inc$346
- Medtronic$292
- Aerin Medical Inc.$193
- plus $845 from 15 others
What the payments were for
- Food & beverage$2,86993%
- Education$2317%
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 |
|---|---|---|
| GSK | 22 | $561 |
| Regeneron Healthcare Solutions, Inc. | 8 | $500 |
| Optinose US, Inc. | 11 | $364 |
| Acclarent, Inc | 12 | $346 |
| Medtronic(2 entities) | 3 | $292 |
| Aerin Medical Inc. | 3 | $193 |
| Neurent Medical Limited | 2 | $180 |
| Intersect ENT, Inc. | 2 | $116 |
| Alk-abello, Inc | 2 | $108 |
| Stryker | 2 | $108 |
| Amgen | 4 | $83 |
| Novartis | 2 | $50 |
| Sanofi | 2 | $40 |
| Livanova USA, Inc. | 1 | $31 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $28 |
| Circassia Inc. | 1 | $24 |
| Smith+Nephew | 1 | $18 |
| Merck | 1 | $18 |
| Integra Lifesciences Corporation | 1 | $16 |
| Hologic Sales And Service, LLC | 1 | $13 |
| Kaleo, Inc. | 1 | $13 |
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
$3,100 in reported general payments places this provider in the 60th percentile of 48 otolaryngology/facial plastic surgery providers in Florida.
See all otolaryngology/facial plastic surgery 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 |
|---|---|---|
| Dupixent PenDupilumab | 25 | $103,880 |
| Dupixent SyringeDupilumab | 24 | $98,161 |
| Epinephrine | 46 | $7,672 |
| Fluticasone Propionate | 399 | $5,674 |
| Fluocinolone Acetonide Oil | 41 | $2,018 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 19 | $1,875 |
| Ipratropium Bromide | 62 | $1,497 |
| Famotidine | 145 | $1,480 |
| Azelastine Hcl | 40 | $1,319 |
| ValacyclovirValacyclovir Hcl | 28 | $1,288 |
| Omeprazole | 97 | $815 |
| Levocetirizine Dihydrochloride | 30 | $731 |
| Mometasone Furoate | 11 | $388 |
| Nystatin | 21 | $324 |
| Esomeprazole Magnesium | 13 | $306 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology/facial plastic surgery in Brandon
- Jeffery MagnusonCelebration$37K
- Ryan GeggSanta Rosa Beach$11K
- Paul di PasqualeWesley Chapel$10K
- David GerthMiami$9K
- Michael SeidmanCelebration$9K
- Maria ComptonPort Charlotte$7K
- David CarlsonJacksonville$6K
- Janet LeeTampa$5K
- Melyssa HancockBoca Raton$5K
- Todd ParnesDelray Beach$5K
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.