Rick Friedman, MD
Otology & Neurotology · la Jolla, CANPI 1982708558
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $22,766 of the $33,976 with a category attached, or 67.0%. 13 manufacturers reported payments, led by Medical Device Business Services, Inc. at 38.8% of the total. Reporting peaked in 2019 at $17,496 and has fallen 96.5% since, to $619 in 2025. Among otology & neurotology clinicians in CA 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 85 payments — averaging $399.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$13K
- Stryker$8K
- Otonomy, Inc.$6K
- Depuy Synthes Products, Inc.$4K
- Cochlear Americas$1K
- Johnson & Johnson$784
- plus $1K from 7 others
Across 1 payment — averaging $28,791 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.
- Cochlear Americas$29K
What the payments were for
- Royalty or licence$5,79217%
- Consulting fees$22,76667%
- Travel & lodging$1,6955%
- Food & beverage$3,72311%
- Education$10%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 16 | $13,192 |
| Stryker | 11 | $8,164 |
| Otonomy, Inc. | 9 | $5,792 |
| Depuy Synthes Products, Inc. | 1 | $3,520 |
| Cochlear Americas | 17 | $1,148 |
| Johnson & Johnson(2 entities) | 14 | $784 |
| Med-el Corporation | 1 | $423 |
| Advanced Bionics, LLC | 4 | $286 |
| Iotamotion, Inc. | 2 | $219 |
| Oticon Medical, LLC | 3 | $186 |
| Baxter Healthcare | 3 | $134 |
| Integra Lifesciences Corporation | 3 | $129 |
| Travere Therapeutics, Inc. | 1 | $1 |
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.
- MATRIXMIDFACE$14,966
- MATRIXNEURO$14,966
- CMF INSTRUMENTS$11,446
- MODULAR HAND SYSTEM$11,446
- SONOPET IQ$7,800
- CORE$7,800
- NA$7,040
- Otiprio$3,532
- VIBRANT Soundbridge Middle Ear Implant and BONEBRIDGE System$423
- Cochlear Nucleus CI632 cochlear implant with Slim Modiolar electrode$411
- Baha$408
- OSIA OSI300 IMPLANT$293
- SURGIFLO Hemostatic Matrix$286
- iotaSOFT$219
- Anspach Helix$124
- FLOSEAL$121
- N/A$119
- Baha BI300 implant 4 mm$118
- Cochlear Osia OSI200 Implant$118
- Nucleus$115
How this compares
$33,976 in reported general payments places this provider in the 90th percentile of 43 otology & neurotology 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.
Other otology & neurotology in la Jolla
- John Vaughanla Jolla$237K
- Elina Karila Jolla$16K
- Peter Dixonla Jolla$2K
- Rodney PerkinsWoodside$125K
- Courtney VoelkerLos Angeles$66K
- Lloyd MinorStanford$52K
- Varun VaradarajanSacramento$27K
- Sumit AgrawalStanford$21K
- Kevin PengLos Angeles$17K
- Mia MillerLos Angeles$13K
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.