Patrick Fraley, MD
Otolaryngology · Conway, ARNPI 1376623165
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,497 of the $5,080 with a category attached, or 88.5%. Inspire Medical Systems, Inc. accounts for 65.9% of it on its own, with 14 other manufacturers making up the rest. Among otolaryngology clinicians in AR 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 91 payments — averaging $55.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$3K
- Stryker$423
- Intersect ENT, Inc.$312
- Aerin Medical Inc.$205
- Optinose US, Inc.$183
- Regeneron Healthcare Solutions, Inc.$137
- plus $473 from 9 others
What the payments were for
- Consulting fees$281%
- Travel & lodging$54911%
- Food & beverage$4,49789%
- Gifts$60%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 41 | $3,347 |
| Stryker | 13 | $423 |
| Intersect ENT, Inc. | 7 | $312 |
| Aerin Medical Inc. | 4 | $205 |
| Optinose US, Inc. | 5 | $183 |
| Regeneron Healthcare Solutions, Inc. | 2 | $137 |
| Kls-martin L.p. | 1 | $106 |
| AstraZeneca | 3 | $77 |
| Itamar Medical Inc | 4 | $67 |
| Johnson & Johnson | 2 | $59 |
| Pfizer | 3 | $51 |
| GSK | 2 | $39 |
| Neurent Medical Limited | 1 | $33 |
| Acclarent, Inc | 1 | $26 |
| Ambu Inc. | 2 | $15 |
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.
- Inspire Upper Airway Stimulation System$1,620
- Inspire$857
- PROPEL$147
- Xhance$125
- DUPIXENT$124
- CLAW II$108
- VIVAER STYLUS$105
- RHINAER STYLUS$105
How this compares
$5,080 in reported general payments places this provider in the 95th percentile of 72 otolaryngology providers in Arkansas.
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 | 58 | $1,414 |
| Fluticasone Propionate | 129 | $1,412 |
| Azelastine Hcl | 49 | $1,164 |
| Neomycin-Polymyxin-HcNeomycin/Polymyxin B/Hydrocort | 12 | $561 |
| SynthroidLevothyroxine Sodium | 11 | $512 |
| Fluocinolone Acetonide Oil | 13 | $469 |
| Carbamazepine | 13 | $374 |
| Omeprazole | 32 | $372 |
| Doxycycline Hyclate | 40 | $311 |
| Amitriptyline Hcl | 35 | $289 |
| Levothyroxine Sodium | 28 | $230 |
| Nortriptyline Hcl | 26 | $208 |
| Tramadol Hcl | 37 | $182 |
| Gabapentin | 19 | $179 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 39 | $174 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Conway
- Jeffrey KirschConway$6K
- Rafael MarreroConway$4K
- Phillip BallingerConway$1K
- Collie ShawConway$1K
- James StroudConway$769
- Patricia BellHarrison$82K
- Cory VaughnSpringdale$7K
- Sharon TomaskiEl Dorado$5K
- Tyler BoneJonesboro$5K
- Matthew BridgesRogers$4K
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.