RxDoctor Payments Data

Roger Toma, MD

Otolaryngology · Dearborn, MINPI 1174727580

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 97.7% of the total across 80 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 22 manufacturers, the largest accounting for just 22.0% — the pattern of someone who eats at a lot of different presentations.

$4,000in general payments, 2019–2025

Across 80 payments — averaging $50.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Intersect ENT, Inc.$881
  • Medtronic$816
  • Acclarent, Inc$418
  • Stryker$266
  • Inspire Medical Systems, Inc.$221
  • Integra Lifesciences Corporation$206
  • plus $1K from 16 others

What the payments were for

  • Food & beverage$3,90898%
  • Other$922%

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

19
20
21
22
23
24
25

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.

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.

How this compares

$4,000 in reported general payments places this provider in the 75th percentile of 257 otolaryngology providers in Michigan.

See all otolaryngology providers in Michigan

Medicare billing

Part B allowed, 2024
$118,598
Medicare patients
403
Services billed
2,308

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

DrugClaimsCost to plans & patients
Ipratropium Bromide27$1,532
Fluticasone Propionate83$1,514
Azelastine Hcl22$1,099
Montelukast Sodium17$243
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav22$182
Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip12$179
Ciprofloxacin Hcl11$146
Omeprazole18$128
Famotidine11$61
Cephalexin16$47
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen17$45

Paid to pharmacies, not to this prescriber.

Other otolaryngology in Dearborn

See the full list for Michigan

Where these figures come from

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