Rachad Mhawej, MD
Otolaryngology · Oklahoma City, OKNPI 1932622362
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (56.9%), education and travel and lodging — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Intuitive Surgical at 43.4% of the total. 2025 is the largest year on record at $3,709, more than ten times the $366 reported in 2020. Among otolaryngology clinicians in OK with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 47 payments — averaging $125.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$3K
- Acera Surgical, Inc.$837
- Stryker$764
- Axogen$385
- Kerecis Limited$306
- Janssen Research & Development, LLC$234
- plus $827 from 11 others
What the payments were for
- Travel & lodging$491%
- Food & beverage$3,36957%
- Education$2,50042%
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 |
|---|---|---|
| Intuitive Surgical | 4 | $2,566 |
| Acera Surgical, Inc. | 15 | $837 |
| Stryker | 6 | $764 |
| Axogen | 4 | $385 |
| Kerecis Limited | 3 | $306 |
| Janssen Research & Development, LLC | 2 | $234 |
| Integra Lifesciences Corporation | 2 | $175 |
| Medtronic | 1 | $172 |
| Vertex | 1 | $120 |
| Polynovo North America LLC | 1 | $109 |
| Johnson & Johnson | 1 | $77 |
| Kls-martin L.p. | 1 | $48 |
| Merck | 2 | $43 |
| Olympus America Inc. | 1 | $23 |
| Lilly USA, LLC | 1 | $21 |
| Sun Pharmaceutical Industries Inc. | 1 | $20 |
| Regeneron Healthcare Solutions, Inc. | 1 | $20 |
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.
- DA VINCI SP$2,500
- Kerecis Omega3 Marigen$1,019
- NA$842
- Restrata Wound Matrix$440
- AXOGUARD HA+ NERVE PROTECTOR$372
- UNIVERSAL MANDIBLE$289
- Kerecis Omega3 SurgiClose$286
- AVANCE NERVE GRAFT$245
- AxoGuard Nerve Connector$245
- AxoGuard Nerve Protector$245
- AxoGuard Nerve Cap$245
- STEALTHSTATION S8 PLATFORM$172
- Acclarent Aera$168
- Inspira Air$168
- RELIEVA SPINPLUS NAV$168
- TruDi Probe$168
- SONOPET IQ$162
- DELTA SYSTEM 1.7/2.2$149
- PED MANDIBLE DISTRACTION$149
- HYBRID MMF$140
How this compares
$5,918 in reported general payments places this provider in the 90th percentile of 109 otolaryngology providers in Oklahoma.
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 |
|---|---|---|
| Levothyroxine Sodium | 76 | $456 |
| Triamcinolone Acetonide | 19 | $404 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 19 | $259 |
| Oxycodone Hcl | 17 | $188 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 12 | $131 |
| Chlorhexidine Gluconate | 11 | $10 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Oklahoma City
- Kibwei McKinneyOklahoma City$315K
- Richard BakerOklahoma City$17K
- Edward El RassiOklahoma City$13K
- Benjamin CollinsOklahoma City$10K
- Keith ClarkOklahoma City$6K
- John HouckOklahoma City$5K
- Matthew SharumOklahoma City$5K
- Hassan HawsawiOklahoma City$5K
- Brandon PiersonOklahoma City$5K
- Colby McLaurinOklahoma City$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.