Has Paul Hoff, MD received payments from drug or device companies?

Yes. Drug and device makers reported $43,954 in general payments to Paul Hoff, MD across 95 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Paul Hoff, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Paul Hoff, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Paul Hoff, MD

Otolaryngology · Ann Arbor, MINPI 1649301227

Payments from drug & device makers

What this record shows

The money is spread across several categories — travel and lodging (38.0%), consulting fees and speaking fees — rather than concentrated in one kind of arrangement. Inspire Medical Systems, Inc. accounts for 96.4% of it on its own, with 11 other manufacturers making up the rest. 2025 is the largest year on record at $29,487, more than ten times the $1,162 reported in 2019. Among otolaryngology clinicians in MI 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.

$43,954in general payments, 2019–2025

Across 95 payments — averaging $462.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Inspire Medical Systems, Inc.$42K
Johnson & Johnson$540
Acclarent, Inc$276
Optinose US, Inc.$211
Hologic Sales And Service, LLC$142
Medtronic$111
plus $313 from 6 others

$44,735in research payments, 2019–2025

Across 28 payments — averaging $1597.68 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.

Inspire Medical Systems, Inc.$45K

What the payments were for

Consulting fees$16,21537%
Speaking & faculty fees$6,25014%
Travel & lodging$16,71338%
Food & beverage$4,77611%

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.	69	$42,362
Johnson & Johnson	1	$540
Acclarent, Inc	6	$276
Optinose US, Inc.	7	$211
Hologic Sales And Service, LLC	1	$142
Medtronic	1	$111
Intuitive Surgical	1	$90
Aerin Medical Inc.	3	$60
Spirair, Inc.	1	$59
Intersect ENT, Inc.	2	$55
Integra Lifesciences Corporation	2	$30
ARS Pharmaceuticals Operations, Inc.	1	$19

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$37,795
Inspire Upper Airway Stimulation System$3,456
MONOCRYL$540
PDS$540
STRATAFIX$540
VICRYL$540
CoolSeal Generator$142
Acclarent Aera$122
PTEYE PARATHYROID DETECTION SYSTEM$111
Xhance$107

How this compares

$43,954 in reported general payments places this provider in the 95th percentile of 257 otolaryngology providers in Michigan.

See all otolaryngology providers in Michigan →

Medicare billing

Part B allowed, 2024

$143,959

Medicare patients

658

Services billed

1,463

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	123	$3,078
Fluocinolone Acetonide Oil	20	$707
Montelukast Sodium	63	$664
Fluticasone Propionate	40	$458
Azelastine Hcl	17	$445
Omeprazole	37	$291
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav	22	$253
Methylprednisolone	21	$131
Ofloxacin	11	$131
Mupirocin	21	$118
Doxycycline Hyclate	12	$93
Meclizine Hcl	11	$76
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	15	$50

Paid to pharmacies, not to this prescriber.

Other otolaryngology in Ann Arbor

Gregory WolfAnn Arbor$46K
Susan GaretzAnn Arbor$40K
Lawrence MarentetteAnn Arbor$7K
Mark ZacharekAnn Arbor$7K
Erin McKeanAnn Arbor$4K
Rosh SethiAnn Arbor$4K
Charles BoydBirmingham$825K
Jack KartushFarmington Hills$225K
Robert StandringSouthfield$217K
Robert StachlerWest Bloomfield$174K

See the full list for Michigan →

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.

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