Nithin Adappa, MD
Otolaryngology · Philadelphia, PANPI 1356500680
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $62,100 of the $71,983 with a category attached, or 86.3%. Acclarent, Inc accounts for 78.7% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2019 at $22,304 and has fallen 88.5% since, to $2,566 in 2025. Among otolaryngology clinicians in PA 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 141 payments — averaging $510.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acclarent, Inc$57K
- Optinose US, Inc.$11K
- Integra Lifesciences Corporation$3K
- 3-d Matrix, Inc.$1K
- Medtronic$423
- Aerin Medical Inc.$160
- plus $385 from 5 others
What the payments were for
- Consulting fees$62,10086%
- Travel & lodging$1,8803%
- Food & beverage$8,00311%
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 |
|---|---|---|
| Acclarent, Inc | 83 | $56,624 |
| Optinose US, Inc. | 16 | $10,595 |
| Integra Lifesciences Corporation | 20 | $2,673 |
| 3-d Matrix, Inc. | 3 | $1,123 |
| Medtronic | 8 | $423 |
| Aerin Medical Inc. | 2 | $160 |
| Intersect ENT, Inc. | 1 | $125 |
| Stryker | 3 | $107 |
| Baxter Healthcare | 2 | $73 |
| Medical Device Business Services, Inc. | 2 | $48 |
| Neurent Medical Limited | 1 | $32 |
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.
- ACCLARENT Balloon Inflation Device$37,952
- TruDi Nav Suction$20,004
- Xhance$10,515
- TruDi Navigation System$8,985
- ACCLARENT AERA EUSTACHIAN TUBE BALLOON DILATION SYSTEM$6,250
- TruDi$6,121
- SpinPlus Navigation$6,000
- ACCLARENT NAVWIRE Sinus Navigation Guidewire$5,482
- Acclarent ENT Navigation System$5,375
- Acclarent Aera$4,220
- INTEGRA$3,260
- TruDi Nav Cable$1,932
- Inspira Air$1,220
- RELIEVA SPINPLUS NAV$1,220
- TruDi Probe$1,220
- INTEGRA DERMAL REGENERATION TEMPLATE$1,087
- PRIMATRIX$1,087
- Acclarent Navwire$784
- PROPEL$293
- VIVAER STYLUS$103
How this compares
$71,983 in reported general payments places this provider in the 95th percentile of 456 otolaryngology providers in Pennsylvania.
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 |
|---|---|---|
| Ipratropium Bromide | 37 | $3,455 |
| Mupirocin | 61 | $682 |
| Azithromycin | 53 | $581 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 43 | $490 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 38 | $179 |
| Prednisone | 44 | $167 |
| Levofloxacin | 17 | $140 |
| Doxycycline Hyclate | 11 | $89 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Philadelphia
- Nancy SnydermanPhiladelphia$4.5M
- David KennedyPhiladelphia$603K
- James PalmerPhiladelphia$331K
- Mathew NagorskyPhiladelphia$95K
- Noam CohenPhiladelphia$76K
- Steven CannadyPhiladelphia$33K
- David CognettiPhiladelphia$30K
- John KrousePhiladelphia$30K
- Soo AbboudPhiladelphia$23K
- Joseph CurryPhiladelphia$20K
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.