Neil Gross, MD
Otolaryngology · Houston, TXNPI 1841208378
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (56.8%), education and speaking fees — rather than concentrated in one kind of arrangement. It is spread thinly across 8 manufacturers, the largest accounting for just 23.6%. Reporting peaked in 2024 at $18,292 and has fallen 99.4% since, to $116 in 2025. Among otolaryngology clinicians in TX 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 87 payments — averaging $951.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$20K
- Regeneron$18K
- Sanofi-aventis U.S. LLC$13K
- Sanofi$12K
- Regeneron Healthcare Solutions, Inc.$10K
- Merck$10K
- plus $286 from 2 others
Across 54 payments — averaging $26,390 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.
- Regeneron$1.2M
- Ascendis Pharma Endocrinology Inc$208K
What the payments were for
- Consulting fees$46,98657%
- Speaking & faculty fees$14,43517%
- Travel & lodging$4,9596%
- Food & beverage$1,6782%
- Education$14,70518%
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 |
|---|---|---|
| Intuitive Surgical | 37 | $19,533 |
| Regeneron | 24 | $17,964 |
| Sanofi-aventis U.S. LLC | 2 | $13,185 |
| Sanofi | 3 | $11,784 |
| Regeneron Healthcare Solutions, Inc. | 13 | $10,174 |
| Merck | 4 | $9,835 |
| Johnson & Johnson | 2 | $181 |
| EMD Serono, Inc. | 2 | $105 |
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.
- LIBTAYO$52,498
- Da Vinci Surgical System$19,055
- TRUMATCH$110
How this compares
$82,762 in reported general payments places this provider in the 95th percentile of 729 otolaryngology providers in Texas.
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.
Other otolaryngology in Houston
- Amber LuongHouston$426K
- Arjuna KuperanHouston$348K
- Ron KarniHouston$317K
- Martin CitardiHouston$245K
- Michael KaplanHouston$202K
- Masayoshi TakashimaHouston$167K
- William YaoHouston$154K
- Andrew HuangHouston$137K
- Manish WaniHouston$100K
- Shane PahlavanHouston$95K
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.