Shane Gailushas, MD
Otolaryngology/Facial Plastic Surgery · Cedar Rapids, IANPI 1073786521
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (57.0%), travel and lodging and other — rather than concentrated in one kind of arrangement. 21 manufacturers reported payments, led by Acclarent, Inc at 26.7% of the total.
Across 130 payments — averaging $44.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acclarent, Inc$2K
- Integra Lifesciences Corporation$2K
- Medical Device Business Services, Inc.$2K
- Sanofi$251
- Stryker$204
- Medtronic$167
- plus $583 from 15 others
What the payments were for
- Travel & lodging$1,30522%
- Food & beverage$3,32557%
- Other$1,20621%
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 | 58 | $1,560 |
| Integra Lifesciences Corporation | 13 | $1,559 |
| Medical Device Business Services, Inc. | 8 | $1,513 |
| Sanofi | 14 | $251 |
| Stryker | 9 | $204 |
| Medtronic(2 entities) | 4 | $167 |
| Smith+Nephew | 5 | $134 |
| Regeneron Healthcare Solutions, Inc. | 2 | $87 |
| GSK | 5 | $70 |
| Inspire Medical Systems, Inc. | 1 | $44 |
| KARL Storz Endoscopy-america | 1 | $39 |
| Intersect ENT, Inc. | 1 | $32 |
| Organogenesis Inc. | 1 | $31 |
| Johnson & Johnson | 1 | $30 |
| Neurent Medical Limited | 1 | $29 |
| Amgen | 1 | $22 |
| Optinose US, Inc. | 1 | $15 |
| Kerecis Limited | 1 | $15 |
| Merck | 1 | $13 |
| Checkpoint Surgical, Inc | 1 | $12 |
| Covidien LP | 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.
- AMNIOEXCEL PLUS$857
- ACell$291
- STEALTHSTATION S8 PLATFORM$118
- TruDi$107
- TruDi Nav Cable$106
How this compares
Too few otolaryngology/facial plastic surgery providers in Iowato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Azelastine Hcl | 269 | $6,172 |
| Ipratropium Bromide | 98 | $2,623 |
| Fluticasone Propionate | 123 | $1,258 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 61 | $683 |
| Omeprazole | 38 | $451 |
| Mupirocin | 33 | $189 |
| Oxycodone Hcl | 47 | $188 |
| Montelukast Sodium | 28 | $182 |
| Azithromycin | 27 | $152 |
| Cefadroxil | 20 | $137 |
| Prednisone | 27 | $60 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology/facial plastic surgery in Cedar Rapids
- Melanie Giesler-SpellmanCedar Rapids$3K
- Jeffrey KrivitCedar Rapids$393
- Kevin CarpenterCedar Rapids$234
- Thomas SimpsonIowa City$2K
- Marc PolaccoNorth Liberty$2K
- Douglas VandaeleIowa City$2K
- Jay BurmeisterDavenport$1K
- Cassie CarneyClinton$1K
- Jeremy VosIowa City$1K
- Daniel OlneyIowa City$1K
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.