Salvatore Zieno, MD
Otolaryngology · Bellevue, NENPI 1568433225
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 66 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 25 manufacturers, the largest accounting for just 19.6% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $476, more than ten times the $30 reported in 2019.
Across 66 payments — averaging $18.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$242
- GSK$176
- Otsuka America Pharmaceutical, Inc.$137
- Exact Sciences$96
- AbbVie$68
- Dexcom, Inc.$62
- plus $454 from 19 others
What the payments were for
- Food & beverage$1,236100%
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.
How this compares
$1,236 in reported general payments places this provider in the 55th percentile of 86 otolaryngology providers in Nebraska.
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 | 598 | $19,507 |
| Fluticasone Propionate | 530 | $8,731 |
| Montelukast Sodium | 446 | $5,440 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 147 | $1,457 |
| Levocetirizine Dihydrochloride | 56 | $849 |
| Hydroxyzine Hcl | 85 | $723 |
| Levothyroxine Sodium | 49 | $510 |
| Cefdinir | 19 | $440 |
| Azithromycin | 147 | $409 |
| Methylprednisolone | 70 | $407 |
| Quetiapine Fumarate | 61 | $399 |
| Mupirocin | 59 | $388 |
| Azelastine Hcl | 17 | $381 |
| Clindamycin Hcl | 16 | $305 |
| Cephalexin | 17 | $260 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Bellevue
- Aaron RobinsonLincoln$51K
- Demetrio AguilaPapillion$50K
- Rahul VarmanOmaha$13K
- Daniel O'BrienOmaha$10K
- Wallace DuffOmaha$8K
- Jenna BergLincoln$4K
- Tyler BlissOmaha$4K
- Adam PleasOmaha$4K
- Kyle StansiferOmaha$3K
- Jessica Moran-HansenOmaha$3K
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.