Richard Michelin, DO
Otolaryngology · Los Angeles, CANPI 1275062747
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (44.5%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Shoulder Innovations, Inc. accounts for 73.7% of it on its own, with 19 other manufacturers making up the rest. 2025 is the largest year on record at $36,025, more than ten times the $1,196 reported in 2019. Among otolaryngology clinicians in CA 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 131 payments — averaging $431.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Shoulder Innovations, Inc.$42K
- Encore Medical, LP$5K
- Saxum Surgical, Inc.$3K
- Arthrex$1K
- Stryker$1K
- Empire Medical, Inc$1K
- plus $4K from 14 others
What the payments were for
- Consulting fees$25,12544%
- Speaking & faculty fees$1,5003%
- Travel & lodging$17,45531%
- Food & beverage$7,61013%
- Education$4,7118%
- Gifts$1220%
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 |
|---|---|---|
| Shoulder Innovations, Inc. | 48 | $41,661 |
| Encore Medical, LP | 16 | $4,924 |
| Saxum Surgical, Inc. | 6 | $2,548 |
| Arthrex | 10 | $1,394 |
| Stryker | 17 | $1,230 |
| Empire Medical, Inc | 1 | $1,200 |
| Micromed Inc | 1 | $1,111 |
| Goode Surgical Inc | 12 | $965 |
| Linvatec Corporation | 3 | $395 |
| Skeletal Dynamics Inc | 3 | $344 |
| Zimmer Biomet | 3 | $250 |
| Acumed LLC | 1 | $135 |
| Sportstek Medical, Inc | 1 | $85 |
| Orthofix Medical, Inc. | 3 | $79 |
| Smith+Nephew | 1 | $69 |
| Medartis Inc. | 1 | $40 |
| Bioventus LLC | 1 | $30 |
| Impactortho, Inc. | 1 | $25 |
| Globus Medical | 1 | $24 |
| Hikma Pharmaceuticals USA | 1 | $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.
- InSet System$41,253
- DJO SURGICAL$8,648
- ACUMED$406
- BioBrace 23mm$351
- Geminus$293
- Align$293
- IJS$293
- Implate$293
- AEQUALIS PERFORM$177
- ALPHAVENT$159
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$146
- AEQUALIS PERFORM REVERSED$123
How this compares
$56,523 in reported general payments places this provider in the 95th percentile of 1,021 otolaryngology providers in California.
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 |
|---|---|---|
| Naloxone Hcl | 35 | $2,333 |
| Doxycycline Monohydrate | 73 | $1,346 |
| Celecoxib | 66 | $1,250 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 83 | $1,124 |
| Ondansetron Hcl | 64 | $186 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 18 | $143 |
| Meloxicam | 42 | $98 |
| Tramadol Hcl | 23 | $64 |
| Ondansetron OdtOndansetron | 13 | $54 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Los Angeles
- Keith BlackwellLos Angeles$349K
- Jeffrey SuhLos Angeles$223K
- Dennis TangLos Angeles$209K
- Elisabeth FerenceLos Angeles$111K
- Arthur WuLos Angeles$67K
- Maie St JohnLos Angeles$39K
- Kevin GrafmillerLos Angeles$27K
- Philip KnottLos Angeles$24K
- Uttam SinhaLos Angeles$18K
- Joni DohertyLos Angeles$16K
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.