Robert Snowden, MD
Otolaryngology · Jacksonville, FLNPI 1376545152
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,338 of the $1,719 with a category attached, or 77.8%. It is spread thinly across 16 manufacturers, the largest accounting for just 22.5% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $734, 9.1 times the $81 reported in 2019. That places this record below the midpoint for otolaryngology clinicians in FL, where the typical reported total is $1,552.
Across 55 payments — averaging $31.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$386
- Sanofi$355
- Regeneron Healthcare Solutions, Inc.$233
- GSK$214
- Aerin Medical Inc.$207
- Optinose US, Inc.$106
- plus $219 from 10 others
What the payments were for
- Travel & lodging$28617%
- Food & beverage$1,33878%
- Education$925%
- Gifts$40%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 6 | $386 |
| Sanofi | 11 | $355 |
| Regeneron Healthcare Solutions, Inc. | 8 | $233 |
| GSK | 7 | $214 |
| Aerin Medical Inc. | 5 | $207 |
| Optinose US, Inc. | 7 | $106 |
| Medtronic | 2 | $43 |
| Davol Inc. | 1 | $42 |
| Amgen | 1 | $34 |
| AstraZeneca | 1 | $20 |
| Smith+Nephew | 1 | $15 |
| Ambu Inc. | 1 | $14 |
| Phathom Pharmaceuticals, Inc. | 1 | $13 |
| Stryker | 1 | $13 |
| Intersect ENT, Inc. | 1 | $12 |
| Neurent Medical Limited | 1 | $12 |
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$145
- RHINAER STYLUS$145
- NUCALA$123
- DUPIXENT$123
How this compares
$1,719 in reported general payments places this provider in the 50th percentile of 586 otolaryngology 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 |
|---|---|---|
| Ipratropium Bromide | 183 | $7,559 |
| Fluticasone Propionate | 188 | $3,869 |
| Famotidine | 166 | $3,076 |
| Pantoprazole Sodium | 96 | $1,341 |
| Omeprazole | 76 | $1,308 |
| Montelukast Sodium | 88 | $1,164 |
| Esomeprazole Magnesium | 13 | $537 |
| Doxycycline Hyclate | 49 | $475 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 47 | $201 |
| CefuroximeCefuroxime Axetil | 18 | $187 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 20 | $133 |
| Cephalexin | 23 | $82 |
| Prednisone | 17 | $50 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Jacksonville
- Samip PatelJacksonville$38K
- Iman NaseriJacksonville$24K
- Charles GreeneJacksonville$19K
- Alexander FaragJacksonville$15K
- Angela DonaldsonJacksonville$15K
- Jeffrey JanusJacksonville$11K
- Jeffrey RadabaughJacksonville$10K
- William BolgerJacksonville$9K
- Faisal AhmadJacksonville$9K
- Cecelia DamaskOrlando$707K
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.