Robert Miller, MD
Otology & Neurotology · St Augustine, FLNPI 1568402311
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 2 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Regeneron Healthcare Solutions, Inc. accounts for 61.4% of it on its own, with 1 other manufacturer making up the rest. That places this record below the midpoint for otology & neurotology clinicians in FL, where the typical reported total is $5,109.
Across 2 payments — averaging $20.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron Healthcare Solutions, Inc.$25
- Optinose US, Inc.$16
What the payments were for
- Food & beverage$41100%
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.
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 |
|---|---|---|
| Regeneron Healthcare Solutions, Inc. | 1 | $25 |
| Optinose US, Inc. | 1 | $16 |
How this compares
$41 in reported general payments places this provider in the 5th percentile of 25 otology & neurotology providers in Florida.
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 |
|---|---|---|
| Budesonide | 17 | $7,257 |
| Pantoprazole Sodium | 301 | $5,512 |
| Ipratropium Bromide | 178 | $5,354 |
| Fluticasone Propionate | 270 | $5,273 |
| Omeprazole | 113 | $3,796 |
| Neomycin-Polymyxin-HcNeomycin/Polymyxin B/Hydrocort | 58 | $2,921 |
| Prednisone | 372 | $2,313 |
| Betamethasone Valerate | 140 | $1,628 |
| Azelastine Hcl | 45 | $1,358 |
| Vancomycin Hcl | 13 | $1,228 |
| Famotidine | 15 | $559 |
| Esomeprazole Magnesium | 14 | $370 |
| Mupirocin | 53 | $358 |
| Pilocarpine Hcl | 15 | $354 |
| Amoxicillin | 66 | $249 |
Paid to pharmacies, not to this prescriber.
Other otology & neurotology in St Augustine
- Thomas BalkanyMiami$534K
- Simon AngeliMiami$32K
- Fred TelischiMiami$29K
- Herbert SilversteinSarasota$18K
- Jack WazenSarasota$16K
- Loren BartelsTampa$16K
- Kyle AllenTampa$14K
- Joshua LightBoynton Beach$12K
- Andrew MarloweSarasota$12K
- James GreenJacksonville$10K
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.