Richard Manes, MD
Otolaryngology · New Haven, CTNPI 1104077650
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $48,655 of the $66,940 with a category attached, or 72.7%. Neurent Medical Limited accounts for 89.8% of it on its own, with 11 other manufacturers making up the rest. 2025 is the largest year on record at $53,898, more than ten times the $586 reported in 2019. Among otolaryngology clinicians in CT 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 96 payments — averaging $697.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Neurent Medical Limited$60K
- Medtronic$2K
- Spirair, Inc.$2K
- Sanofi$1K
- Integra Lifesciences Corporation$958
- Intersect ENT, Inc.$391
- plus $708 from 6 others
Across 98 payments — averaging $1827.22 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.
- Optinose US, Inc.$115K
- GSK$56K
- Intersect ENT, Inc.$4K
- Paratek Pharmaceuticals, Inc.$4K
What the payments were for
- Consulting fees$48,65573%
- Travel & lodging$13,81921%
- Food & beverage$4,4667%
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 |
|---|---|---|
| Neurent Medical Limited | 42 | $60,131 |
| Medtronic(2 entities) | 15 | $1,704 |
| Spirair, Inc. | 2 | $1,607 |
| Sanofi | 5 | $1,441 |
| Integra Lifesciences Corporation | 9 | $958 |
| Intersect ENT, Inc. | 3 | $391 |
| Regeneron Healthcare Solutions, Inc. | 9 | $272 |
| Aerin Medical Inc. | 2 | $125 |
| Stryker | 2 | $111 |
| GSK | 5 | $95 |
| Optinose US, Inc. | 1 | $83 |
| Acclarent, Inc | 1 | $22 |
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.
- NEUROMARK Radiofrequency Console$59,498
- NEUROMARK System$50,004
- NEUROMARK Device$9,493
- SeptAlign$3,215
- TURBALIGN$3,215
- DUPIXENT$1,387
- INTEGRA$1,219
- HYDRODEBRIDER$563
- INTEGRA DERMAL REGENERATION TEMPLATE$406
- PRIMATRIX$406
- Acclarent Aera$384
- Inspira Air$384
- TruDi Probe$384
- SINUVA$374
- RELIEVA SPINPLUS NAV$278
- PROPEL$242
- STEALTHSTATION S8 PLATFORM$165
- VIVAER STYLUS$106
- RHINAER STYLUS$106
How this compares
$66,940 in reported general payments places this provider in the 95th percentile of 119 otolaryngology providers in Connecticut.
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 |
|---|---|---|
| Dupixent PenDupilumab | 65 | $237,559 |
| Azelastine Hcl | 62 | $1,827 |
| Ipratropium Bromide | 96 | $1,544 |
| Fluticasone Propionate | 62 | $1,426 |
| Mupirocin | 37 | $191 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 15 | $169 |
| Montelukast Sodium | 41 | $155 |
| Prednisone | 23 | $95 |
| Esomeprazole Magnesium | 12 | $95 |
| Levocetirizine Dihydrochloride | 17 | $60 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in New Haven
- Sara PaiNew Haven$160K
- Howard BoeyNew Haven$19K
- Wendell YarbroughNew Haven$6K
- Ken YanagisawaNew Haven$5K
- Mark DagostinoNew Haven$5K
- Clarence SasakiNew Haven$5K
- Eaton ChenNew Haven$4K
- Tiffany ChenNew Haven$3K
- Catherine BrophyNew Haven$3K
- Paul FortgangNew Haven$3K
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.