Shane Pahlavan, MD
Otolaryngology · Houston, TXNPI 1124271689
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (59.7%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. It is spread thinly across 24 manufacturers, the largest accounting for just 20.7%. Reporting peaked in 2024 at $33,408 and has fallen 56.9% since, to $14,382 in 2025. Among otolaryngology clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 296 payments — averaging $319.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$20K
- Olympus America Inc.$18K
- Acclarent, Inc$18K
- Inspire Medical Systems, Inc.$16K
- Medical Device Business Services, Inc.$9K
- Aerin Medical Inc.$6K
- plus $7K from 18 others
Across 3 payments — averaging $14,667 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Livanova USA, Inc.$44K
What the payments were for
- Consulting fees$56,44860%
- Speaking & faculty fees$20,07421%
- Travel & lodging$9,78110%
- Food & beverage$8,1319%
- Education$1000%
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 |
|---|---|---|
| Medtronic | 27 | $19,570 |
| Olympus America Inc. | 58 | $18,384 |
| Acclarent, Inc | 49 | $18,171 |
| Inspire Medical Systems, Inc. | 42 | $15,863 |
| Medical Device Business Services, Inc. | 4 | $9,000 |
| Aerin Medical Inc. | 20 | $6,301 |
| Integra Lifesciences Corporation | 11 | $3,622 |
| Livanova USA, Inc. | 27 | $878 |
| Gyrus ACMI, Inc. | 2 | $690 |
| Neurent Medical Limited | 10 | $588 |
| Sanofi | 13 | $453 |
| Stryker | 9 | $357 |
| Intersect ENT, Inc. | 7 | $163 |
| Olympus Corporation Of The Americas | 1 | $108 |
| Sanofi-aventis U.S. LLC | 1 | $100 |
| Microtransponder, Inc. | 3 | $62 |
| Regeneron Healthcare Solutions, Inc. | 2 | $48 |
| GSK | 3 | $47 |
| Amgen | 2 | $40 |
| Cochlear Americas | 1 | $22 |
| Lilly USA, LLC | 1 | $20 |
| Optinose US, Inc. | 1 | $18 |
| AstraZeneca | 1 | $16 |
| Arbor Pharmaceuticals, Inc. | 1 | $15 |
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.
- PROPEL$16,065
- Inspire$14,904
- DIEGO POWER DISSECTOR HANDPIECE,TRIGGER SWITCH ENABLED$10,005
- VIVAER STYLUS$6,000
- ACCLARENT Balloon Inflation Device$3,619
- TruDi Nav Suction$3,619
- Acclarent Aera$3,431
- NUVENT$2,400
- ENDOSCOPIC SINUS SURGERY INSTRUMENT TRAY NO. 2 FOR OPERATIVE SET$1,350
- DIEGO OTOLOGY TUBE SET FOR USE WITH VIPER HANDPIECES 40" (101.6 cm)L$656
- NEUROMARK Radiofrequency Console$399
- Inspire Upper Airway Stimulation System$396
- Inspira Air$338
- RELIEVA SPINPLUS NAV$338
- TruDi Probe$338
- Olympus$290
- NEUROMARK Device$280
- TruDi Nav Cable$277
- DUPIXENT$244
- VNS THERAPY SENTIVA MODEL 1000 GENERATOR$244
How this compares
$94,535 in reported general payments places this provider in the 95th percentile of 729 otolaryngology providers in Texas.
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 | 211 | $6,833 |
| Azelastine Hcl | 26 | $844 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 41 | $426 |
| Pantoprazole Sodium | 31 | $380 |
| Mupirocin | 12 | $367 |
| Methylprednisolone | 37 | $254 |
| Clindamycin Hcl | 15 | $105 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 13 | $85 |
| Cephalexin | 13 | $51 |
| Montelukast Sodium | 13 | $36 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 13 | $25 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Houston
- Amber LuongHouston$426K
- Arjuna KuperanHouston$348K
- Ron KarniHouston$317K
- Martin CitardiHouston$245K
- Michael KaplanHouston$202K
- Masayoshi TakashimaHouston$167K
- William YaoHouston$154K
- Andrew HuangHouston$137K
- Manish WaniHouston$100K
- Omar AhmedHouston$89K
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.