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.
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
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 |
|---|---|---|
| Intersect ENT, Inc. | 9 | $881 |
| Medtronic | 7 | $816 |
| Acclarent, Inc | 9 | $418 |
| Stryker | 5 | $266 |
| Inspire Medical Systems, Inc. | 1 | $221 |
| Integra Lifesciences Corporation | 7 | $206 |
| Regeneron Healthcare Solutions, Inc. | 5 | $193 |
| Hologic Sales And Service, LLC | 2 | $162 |
| Cochlear Americas | 2 | $130 |
| Aerin Medical Inc. | 5 | $108 |
| Optinose US, Inc. | 6 | $96 |
| Baxter Healthcare | 1 | $92 |
| Alk-abello, Inc | 4 | $73 |
| GSK | 4 | $73 |
| Merck | 2 | $60 |
| Boston Scientific | 1 | $46 |
| Kaleo, Inc. | 3 | $38 |
| Sanofi | 2 | $38 |
| Hikma Pharmaceuticals USA | 2 | $29 |
| Xoran Technologies LLC | 1 | $21 |
| Precigen, Inc. | 1 | $21 |
| Checkpoint Surgical, Inc | 1 | $11 |
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.
- PROPEL$732
- SINUVA$611
- Inspire$221
- ENTELLUS - ENTELLUS MEDICAL SHAVER SYSTEM$153
- CoolSeal Generator$142
- TruDi Nav Cable$140
- DUPIXENT$125
- Nucleus$107
- Baha$107
- STEALTHSTATION S8 PLATFORM$104
- Acclarent Aera$102
- Inspira Air$102
- RELIEVA SPINPLUS NAV$102
- TruDi Probe$102
How this compares
$4,000 in reported general payments places this provider in the 75th 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 |
|---|---|---|
| Ipratropium Bromide | 27 | $1,532 |
| Fluticasone Propionate | 83 | $1,514 |
| Azelastine Hcl | 22 | $1,099 |
| Montelukast Sodium | 17 | $243 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 22 | $182 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 12 | $179 |
| Ciprofloxacin Hcl | 11 | $146 |
| Omeprazole | 18 | $128 |
| Famotidine | 11 | $61 |
| Cephalexin | 16 | $47 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 17 | $45 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Dearborn
- Frederick LopatinDearborn$24K
- Michael CarronDearborn$22K
- Ariel WaitzmanDearborn$17K
- Charles BoydBirmingham$825K
- Jack KartushFarmington Hills$225K
- Robert StandringSouthfield$217K
- Robert StachlerWest Bloomfield$174K
- Giancarlo ZulianiBloomfield Hills$61K
- Lamont JonesDetroit$52K
- Gregory WolfAnn Arbor$46K
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.