Seth Palmer, DO
Otolaryngology/Facial Plastic Surgery · Holland, MINPI 1265697783
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.2% of the total across 100 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 19 manufacturers, the largest accounting for just 18.6% — the pattern of someone who eats at a lot of different presentations.
Across 100 payments — averaging $33.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$619
- Integra Lifesciences Corporation$447
- Regeneron Healthcare Solutions, Inc.$441
- Aerin Medical Inc.$391
- Acclarent, Inc$324
- Intersect ENT, Inc.$221
- plus $890 from 13 others
What the payments were for
- Food & beverage$3,27398%
- Education$602%
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 |
|---|---|---|
| Stryker | 6 | $619 |
| Integra Lifesciences Corporation | 10 | $447 |
| Regeneron Healthcare Solutions, Inc. | 17 | $441 |
| Aerin Medical Inc. | 29 | $391 |
| Acclarent, Inc | 6 | $324 |
| Intersect ENT, Inc. | 3 | $221 |
| Sanofi | 8 | $203 |
| Neurent Medical Limited | 3 | $167 |
| Medtronic | 1 | $165 |
| Inspire Medical Systems, Inc. | 2 | $72 |
| GSK | 4 | $69 |
| Sanofi-aventis U.S. LLC | 1 | $60 |
| Optinose US, Inc. | 2 | $36 |
| ARS Pharmaceuticals Operations, Inc. | 2 | $34 |
| Fortovia Therapeutics, Inc. | 2 | $25 |
| Olympus America Inc. | 1 | $17 |
| Precigen, Inc. | 1 | $16 |
| Kaleo, Inc. | 1 | $15 |
| Novartis | 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.
How this compares
$3,333 in reported general payments places this provider in the 60th percentile of 31 otolaryngology/facial plastic surgery providers in Michigan.
See all otolaryngology/facial plastic surgery 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 |
|---|---|---|
| Epinephrine | 42 | $10,590 |
| Azelastine Hcl | 135 | $3,781 |
| Ipratropium Bromide | 104 | $3,437 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 20 | $2,316 |
| Omeprazole | 81 | $1,734 |
| Fluticasone Propionate | 112 | $1,548 |
| Montelukast Sodium | 39 | $797 |
| Methylprednisolone | 109 | $602 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 50 | $480 |
| Triamcinolone Acetonide | 13 | $246 |
| Mupirocin | 29 | $222 |
| Pantoprazole Sodium | 11 | $222 |
| Ofloxacin | 20 | $194 |
| Prednisone | 37 | $163 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 19 | $65 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology/facial plastic surgery in Holland
- Prasad ThottamWest Bloomfield$43K
- Ahmed SufyanEast Lansing$16K
- Warren BrandesMadison Heights$12K
- Amber BerryKalamazoo$9K
- Miles NeumannSouthfield$6K
- Kenneth GwinnShelby Township$5K
- Jason ChesneyEast Lansing$5K
- Christine LepoudreNovi$5K
- Mark TomaDearborn$4K
- James SlaterPetoskey$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.