Ryan McMillan, MD
Otolaryngology · Rochester, MNNPI 1194220194
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,595 of the $1,875 with a category attached, or 85.1%. 6 manufacturers reported payments, led by Acclarent, Inc at 35.0% of the total. Reporting peaked in 2023 at $813 and has fallen 80.6% since, to $158 in 2025.
Across 18 payments — averaging $104.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acclarent, Inc$657
- Inspire Medical Systems, Inc.$433
- Medical Device Business Services, Inc.$280
- Stryker$240
- Aerin Medical Inc.$158
- Medtronic$108
What the payments were for
- Food & beverage$1,59585%
- Education$28015%
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 |
|---|---|---|
| Acclarent, Inc | 7 | $657 |
| Inspire Medical Systems, Inc. | 4 | $433 |
| Medical Device Business Services, Inc. | 1 | $280 |
| Stryker | 3 | $240 |
| Aerin Medical Inc. | 2 | $158 |
| Medtronic | 1 | $108 |
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.
- Inspire$406
- TruDi Nav Cable$280
- Acclarent Aera$149
- VIVAER STYLUS$144
- RHINAER STYLUS$144
- N/A$131
- STEALTHSTATION S8 PLATFORM$108
How this compares
$1,875 in reported general payments places this provider in the 75th percentile of 181 otolaryngology providers in Minnesota.
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 |
|---|---|---|
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 18 | $2,111 |
| Azelastine Hcl | 83 | $2,002 |
| Fluticasone Propionate | 97 | $1,294 |
| Fluocinolone Acetonide Oil | 28 | $1,275 |
| Omeprazole | 76 | $1,124 |
| Ipratropium Bromide | 41 | $1,110 |
| Ofloxacin | 25 | $997 |
| Doxycycline Hyclate | 60 | $712 |
| Pantoprazole Sodium | 22 | $440 |
| Mupirocin | 52 | $371 |
| Methylprednisolone | 25 | $235 |
| Famotidine | 16 | $222 |
| Cephalexin | 29 | $203 |
| Oxycodone Hcl | 55 | $166 |
| Prednisone | 34 | $127 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Rochester
- Matthew CarlsonRochester$80K
- Rijul KshirsagarRochester$18K
- Brian NeffRochester$16K
- Carlos Pinheiro NetoRochester$11K
- Dale EkbomRochester$9K
- Terenece ZimmermannRochester$7K
- James DornhofferRochester$5K
- Colin DriscollRochester$5K
- Joshua WiedermannRochester$4K
- Eleni RettigRochester$4K
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.