Robert Standring, MD
Otolaryngology · Southfield, MINPI 1063640530
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $188,607 of the $216,778 with a category attached, or 87.0%. Stryker accounts for 98.0% of it on its own, with 24 other manufacturers making up the rest. Reporting peaked in 2019 at $134,514 and has fallen 88.3% since, to $15,708 in 2025. Among otolaryngology clinicians in MI 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 398 payments — averaging $544.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$212K
- Intersect ENT, Inc.$1K
- Medtronic$611
- GSK$521
- Optinose US, Inc.$346
- Hologic Sales And Service, LLC$276
- plus $1K from 19 others
Across 8 payments — averaging $6570.06 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.
- Stryker$53K
What the payments were for
- Consulting fees$188,60787%
- Travel & lodging$19,3129%
- Food & beverage$8,8604%
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 |
|---|---|---|
| Stryker | 306 | $212,442 |
| Intersect ENT, Inc. | 12 | $1,122 |
| Medtronic | 6 | $611 |
| GSK | 23 | $521 |
| Optinose US, Inc. | 6 | $346 |
| Hologic Sales And Service, LLC | 2 | $276 |
| Aerin Medical Inc. | 5 | $192 |
| Integra Lifesciences Corporation | 1 | $150 |
| Regeneron Healthcare Solutions, Inc. | 6 | $132 |
| Sanara Medtech Inc. | 1 | $128 |
| Acera Surgical, Inc. | 1 | $127 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $120 |
| Ambu Inc. | 1 | $117 |
| Alk-abello, Inc | 7 | $99 |
| Sanofi | 4 | $93 |
| Neurent Medical Limited | 3 | $81 |
| Smith+Nephew | 3 | $52 |
| Inspire Medical Systems, Inc. | 2 | $34 |
| Amgen | 2 | $31 |
| Aesculap, Inc. | 1 | $23 |
| Axsome Therapeutics, Inc. | 1 | $20 |
| Acclarent, Inc | 1 | $18 |
| ETS Wound Care LLC | 1 | $16 |
| AstraZeneca | 1 | $14 |
| Arbor Pharmaceuticals, Inc. | 1 | $14 |
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.
- ENTELLUS - XPRESS ENT DILATION SYSTEM$147,634
- LATERA$48,364
- XPRESS ENT DILATION SYSTEM$37,381
- CLARIFIX CRYOTHERAPY DEVICE$34,564
- SCOPIS ENT$13,143
- ORTHOMAP$12,250
- CLARIFIX$10,724
- AUDION ET DILATION SYSTEM$9,800
- ENTELLUS MEDICAL REINFORCED ANESTHESIA NEEDLE$9,100
- XPRESS LOPROFILE$7,800
- SHAVER SYSTEM$2,800
- NASOPORE$1,800
- TGS GUIDEWIRE$1,425
- NA$800
- PROPEL$776
- INTEGRA$451
- SINUVA$394
- CoolSeal Generator$276
- Xhance$233
- NUCALA$216
How this compares
$216,778 in reported general payments places this provider in the 95th percentile of 257 otolaryngology providers in Michigan.
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 |
|---|---|---|
| Dupixent PenDupilumab | 13 | $47,412 |
| Azelastine Hcl | 213 | $5,556 |
| Ipratropium Bromide | 184 | $4,291 |
| Famotidine | 504 | $4,010 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 25 | $3,085 |
| Ofloxacin | 84 | $2,554 |
| Fluticasone Propionate | 123 | $1,421 |
| Pantoprazole Sodium | 89 | $1,202 |
| Mometasone Furoate | 54 | $435 |
| Omeprazole | 24 | $377 |
| Mupirocin | 55 | $304 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 32 | $233 |
| Prednisone | 110 | $225 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 38 | $46 |
| Cephalexin | 15 | $37 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Southfield
- Lauren MurrillSouthfield$5K
- Charles BoydBirmingham$825K
- Jack KartushFarmington Hills$225K
- Robert StachlerWest Bloomfield$174K
- Giancarlo ZulianiBloomfield Hills$61K
- Lamont JonesDetroit$52K
- Gregory WolfAnn Arbor$46K
- Paul HoffAnn Arbor$44K
- Susan GaretzAnn Arbor$40K
- John CraigDetroit$39K
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.