Rima Defatta, MD
Otolaryngology · Altoona, WINPI 1790931707
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,543 of the $5,965 with a category attached, or 76.2%. It is spread thinly across 23 manufacturers, the largest accounting for just 21.1% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2020 at $1,938 and has fallen 73.8% since, to $509 in 2025. Among otolaryngology clinicians in WI 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 132 payments — averaging $45.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Aerin Medical Inc.$1K
- Medical Device Business Services, Inc.$1K
- Intersect ENT, Inc.$807
- Musculoskeletal Transplant Foundation Inc.$475
- Acclarent, Inc$465
- Inspire Medical Systems, Inc.$447
- plus $1K from 17 others
What the payments were for
- Consulting fees$1002%
- Travel & lodging$1,28822%
- Food & beverage$4,54376%
- Education$341%
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 |
|---|---|---|
| Aerin Medical Inc. | 20 | $1,261 |
| Medical Device Business Services, Inc. | 8 | $1,082 |
| Intersect ENT, Inc. | 15 | $807 |
| Musculoskeletal Transplant Foundation Inc. | 3 | $475 |
| Acclarent, Inc | 10 | $465 |
| Inspire Medical Systems, Inc. | 13 | $447 |
| Sanofi | 13 | $274 |
| Medtronic | 7 | $198 |
| Preceptis Medical, Inc. | 3 | $162 |
| Johnson & Johnson | 8 | $155 |
| Optinose US, Inc. | 9 | $136 |
| Stryker | 3 | $104 |
| GSK | 5 | $85 |
| Alk-abello, Inc | 4 | $83 |
| Regeneron Healthcare Solutions, Inc. | 2 | $37 |
| Amgen | 1 | $34 |
| Integra Lifesciences Corporation | 2 | $27 |
| Organogenesis Inc. | 1 | $26 |
| Cochlear Americas | 1 | $25 |
| Ambu Inc. | 1 | $24 |
| KARL Storz Endoscopy-america | 1 | $23 |
| AstraZeneca | 1 | $18 |
| Merck | 1 | $16 |
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.
- VIVAER STYLUS$521
- PROPEL$211
- Hummingbird TTS$114
How this compares
$5,965 in reported general payments places this provider in the 90th percentile of 168 otolaryngology providers in Wisconsin.
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 |
|---|---|---|
| Ofloxacin | 22 | $1,518 |
| Ipratropium Bromide | 47 | $1,159 |
| Montelukast Sodium | 61 | $609 |
| Fluticasone Propionate | 51 | $572 |
| Azelastine Hcl | 21 | $498 |
| Ciprofloxacin Hcl | 21 | $267 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 15 | $240 |
| Mupirocin | 24 | $159 |
| Fluconazole | 18 | $143 |
| Clindamycin Hcl | 11 | $116 |
| Triamcinolone Acetonide | 14 | $43 |
| Prednisone | 11 | $30 |
| Azithromycin | 12 | $24 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Altoona
- Robert DefattaAltoona$6K
- Jason BrantMadison$103K
- B WoodsonMilwaukee$45K
- Thomas Gessertla Crosse$21K
- Colleen PleinKenosha$16K
- Steven SperryGreenfield$13K
- David PoetkerMilwaukee$13K
- Michael OldenburgGreen Bay$8K
- Jamal AhmedMarshfield$8K
- Hilel SwerdlinKenosha$8K
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.