Neal Lofchy, MD
Otolaryngology · Downers Grove, ILNPI 1609876028
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $7,400 of the $9,419 with a category attached, or 78.6%. 18 manufacturers reported payments, led by Medtronic at 37.9% of the total. Reporting peaked in 2023 at $2,230 and has fallen 54.0% since, to $1,025 in 2025. Among otolaryngology clinicians in IL 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 177 payments — averaging $53.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$4K
- Regeneron Healthcare Solutions, Inc.$1K
- Intersect ENT, Inc.$1K
- Stryker$1K
- Neurent Medical Limited$605
- Sanofi$477
- plus $1K from 12 others
What the payments were for
- Travel & lodging$1,91420%
- Food & beverage$7,40079%
- Education$1051%
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 |
|---|---|---|
| Medtronic(2 entities) | 43 | $3,570 |
| Regeneron Healthcare Solutions, Inc. | 28 | $1,305 |
| Intersect ENT, Inc. | 15 | $1,246 |
| Stryker | 15 | $1,004 |
| Neurent Medical Limited | 5 | $605 |
| Sanofi | 15 | $477 |
| Optinose US, Inc. | 31 | $438 |
| Aerin Medical Inc. | 8 | $434 |
| Alk-abello, Inc | 5 | $75 |
| Amgen | 2 | $51 |
| Smith+Nephew | 1 | $42 |
| Acclarent, Inc | 2 | $39 |
| KARL Storz Endoscopy-america | 1 | $36 |
| Vertex | 1 | $32 |
| Kaleo, Inc. | 2 | $29 |
| Paratek Pharmaceuticals, Inc. | 1 | $15 |
| Hikma Pharmaceuticals USA | 1 | $13 |
| Glenmark Therapeutics Inc. | 1 | $9 |
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$1,504
- DUPIXENT$991
- StealthStation$939
- SINUVA$672
- NEUROMARK Device$545
- NEUROMARK Radiofrequency Console$545
- ENTELLUS - XPRESS ENT DILATION SYSTEM$372
- XPRESS ENT DILATION SYSTEM$157
- VIVAER STYLUS$145
- RHINAER STYLUS$145
- FUSION$145
- Chitogel$144
- SCOPIS ENT$127
- CLARIFIX$116
How this compares
$9,419 in reported general payments places this provider in the 90th percentile of 390 otolaryngology providers in Illinois.
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 |
|---|---|---|
| Fluticasone Propionate | 403 | $6,431 |
| Azelastine Hcl | 49 | $1,915 |
| Fluocinolone Acetonide Oil | 20 | $1,220 |
| Doxycycline Monohydrate | 67 | $1,055 |
| Ipratropium Bromide | 33 | $941 |
| Ofloxacin | 31 | $937 |
| Cefdinir | 36 | $812 |
| Montelukast Sodium | 88 | $779 |
| Mometasone Furoate | 14 | $487 |
| Methylprednisolone | 68 | $366 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 35 | $363 |
| Famotidine | 21 | $334 |
| Omeprazole | 47 | $330 |
| Levocetirizine Dihydrochloride | 17 | $211 |
| Minocycline Hcl | 11 | $179 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Downers Grove
- David ConleyChicago$630K
- Jayant PintoChicago$628K
- Robert KernChicago$610K
- Robert NaclerioBurr Ridge$229K
- Michael HutzOak Park$103K
- Charles WeingartenGlenview$96K
- Victoria LeeChicago$86K
- Louis PortugalChicago$68K
- Dean ToriumiChicago$63K
- Monica PatadiaChicago$56K
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.