Senja Tomovic, MD
Otolaryngology · Ypsilanti, MINPI 1255568846
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (59.5%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Inspire Medical Systems, Inc. accounts for 88.1% of it on its own, with 20 other manufacturers making up the rest. Reporting peaked in 2023 at $7,068 and has fallen 94.2% since, to $410 in 2025. Among otolaryngology clinicians in MI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 90 payments — averaging $173.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$14K
- Optinose US, Inc.$540
- Medtronic$174
- Hologic Sales And Service, LLC$168
- Integra Lifesciences Corporation$148
- Stryker$140
- plus $692 from 15 others
What the payments were for
- Consulting fees$9,28159%
- Speaking & faculty fees$1,0006%
- Travel & lodging$1,4199%
- Food & beverage$3,86625%
- Education$340%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 26 | $13,739 |
| Optinose US, Inc. | 24 | $540 |
| Medtronic | 4 | $174 |
| Hologic Sales And Service, LLC | 2 | $168 |
| Integra Lifesciences Corporation | 2 | $148 |
| Stryker | 4 | $140 |
| Regeneron Healthcare Solutions, Inc. | 3 | $137 |
| Axogen | 3 | $77 |
| GSK | 5 | $72 |
| Spirair, Inc. | 1 | $59 |
| Sanofi | 3 | $57 |
| Davol Inc. | 1 | $43 |
| Intersect ENT, Inc. | 1 | $42 |
| Alk-abello, Inc | 3 | $38 |
| Amgen | 1 | $34 |
| Atos Medical Inc | 1 | $33 |
| Acclarent, Inc | 2 | $32 |
| Aerin Medical Inc. | 1 | $22 |
| Olympus America Inc. | 1 | $15 |
| Merck | 1 | $15 |
| Covidien LP | 1 | $13 |
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$8,033
- Inspire Upper Airway Stimulation System$5,432
- Xhance$232
- CoolSeal Generator$142
- Acclarent Aera$133
- Inspira Air$133
- TruDi Probe$133
- DUPIXENT$108
- PROPEL$104
How this compares
$15,601 in reported general payments places this provider in the 90th 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 |
|---|---|---|
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 13 | $1,590 |
| Azelastine Hcl | 41 | $944 |
| Ipratropium Bromide | 31 | $781 |
| Fluticasone Propionate | 53 | $752 |
| Famotidine | 26 | $396 |
| Nystatin | 14 | $258 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 45 | $245 |
| Omeprazole | 23 | $198 |
| Methylprednisolone | 26 | $152 |
| Prednisone | 13 | $39 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Ypsilanti
- 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
- 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.