Nelson Alcaraz, MD
Otolaryngology · Fresh Meadows, NYNPI 1548228232
Payments from drug & device makers
Across 127 payments — averaging $33.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Optinose US, Inc.$1K
- Sanofi$680
- GSK$614
- Regeneron Healthcare Solutions, Inc.$388
- Stryker$367
- Alk-abello, Inc$168
- plus $571 from 12 others
What the payments were for
- Consulting fees$80019%
- Food & beverage$3,40881%
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 |
|---|---|---|
| Optinose US, Inc. | 28 | $1,421 |
| Sanofi | 27 | $680 |
| GSK | 26 | $614 |
| Regeneron Healthcare Solutions, Inc. | 10 | $388 |
| Stryker | 4 | $367 |
| Alk-abello, Inc | 6 | $168 |
| ARS Pharmaceuticals Operations, Inc. | 6 | $147 |
| Merck | 5 | $91 |
| Hikma Pharmaceuticals USA | 4 | $72 |
| Novartis | 2 | $68 |
| Kaleo, Inc. | 2 | $50 |
| Aerin Medical Inc. | 1 | $36 |
| Grifols USA, LLC | 1 | $27 |
| Phathom Pharmaceuticals, Inc. | 1 | $19 |
| Blueprint Medicines Corporation | 1 | $17 |
| Biomerieux Inc | 1 | $17 |
| Glenmark Therapeutics Inc. | 1 | $15 |
| Medtronic | 1 | $12 |
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.
- Xhance$800
- DUPIXENT$125
- CLARIFIX$120
- ENTELLUS - XPRESS ENT DILATION SYSTEM$113
How this compares
$4,208 in reported general payments places this provider in the 75th percentile of 701 otolaryngology providers in New York.
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 |
|---|---|---|
| Azelastine Hcl | 466 | $8,411 |
| Mometasone Furoate | 404 | $5,951 |
| Fluticasone Propionate | 679 | $5,463 |
| Ipratropium Bromide | 148 | $3,069 |
| Ofloxacin | 17 | $1,770 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 17 | $1,665 |
| Meclizine Hcl | 20 | $175 |
| Mupirocin | 12 | $112 |
| Gabapentin | 34 | $70 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Fresh Meadows
- Robert KellmanSyracuse$2.5M
- Anthony DelsignoreNew York$966K
- Roheen RaithathaNew York$882K
- Dennis KrausNew York$524K
- Ashutosh KackerNew York$387K
- Lawrence LustigNew York$383K
- Brett MilesNew York$368K
- Alfred Marc IloretaNew York$342K
- Nora PerkinsAlbany$315K
- Gavin SetzenAlbany$299K
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.