Suzette Mikula
Otolaryngology · Marble Falls, TXNPI 1033107420
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (56.0%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 22 manufacturers reported payments, led by Sanofi at 39.9% of the total. Among otolaryngology clinicians in TX 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 104 payments — averaging $208.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi$9K
- Acclarent, Inc$5K
- Aerin Medical Inc.$2K
- Stryker$1K
- Inspire Medical Systems, Inc.$1K
- Alk-abello, Inc$471
- plus $2K from 16 others
What the payments were for
- Consulting fees$12,11456%
- Speaking & faculty fees$3001%
- Travel & lodging$3,24615%
- Food & beverage$5,92227%
- Education$560%
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 |
|---|---|---|
| Sanofi | 6 | $8,630 |
| Acclarent, Inc | 8 | $4,892 |
| Aerin Medical Inc. | 18 | $2,234 |
| Stryker | 11 | $1,469 |
| Inspire Medical Systems, Inc. | 11 | $1,450 |
| Alk-abello, Inc | 5 | $471 |
| Medtronic(2 entities) | 7 | $451 |
| GSK | 8 | $331 |
| Smith+Nephew | 3 | $302 |
| Intersect ENT, Inc. | 2 | $211 |
| Globus Medical | 1 | $175 |
| ZOLL Respicardia, Inc. | 1 | $172 |
| Regeneron Healthcare Solutions, Inc. | 6 | $152 |
| Optinose US, Inc. | 9 | $134 |
| Jazz Pharmaceuticals Inc. | 1 | $121 |
| Harmony Biosciences LLC | 1 | $112 |
| Teleflex LLC | 1 | $111 |
| Johnson & Johnson Surgical Vision, Inc. | 1 | $78 |
| Cook Medical LLC | 1 | $72 |
| Integra Lifesciences Corporation | 1 | $33 |
| Mylan Pharmaceuticals Inc. | 1 | $18 |
| Davol Inc. | 1 | $18 |
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.
- TruDi Navigation System$4,641
- VIVAER STYLUS$1,462
- SCOPIS ENT$989
- Inspire$803
- RHINAER STYLUS$504
- Inspire Upper Airway Stimulation System$425
- Vivaer RF Stylus$276
- NUCALA$231
- CREO$175
- remede System$172
- LATERA$165
- PROPEL$143
- Halo$133
- TULA$133
- Chitogel$129
- XYREM$121
- Wakix$112
- Barrigel$111
- Carto 3$109
- ACCLARENT Balloon Inflation Device$100
How this compares
$21,638 in reported general payments places this provider in the 90th 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 | 181 | $4,472 |
| Azelastine Hcl | 185 | $4,112 |
| Fluticasone Propionate | 186 | $3,030 |
| Levocetirizine Dihydrochloride | 159 | $1,836 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 12 | $1,502 |
| Ofloxacin | 58 | $1,053 |
| Montelukast Sodium | 62 | $860 |
| Famotidine | 79 | $826 |
| Omeprazole | 51 | $681 |
| Clotrimazole | 30 | $540 |
| Methylprednisolone | 58 | $449 |
| Mupirocin | 52 | $328 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 39 | $270 |
| Doxycycline Monohydrate | 16 | $209 |
| Ciprofloxacin Hcl | 34 | $203 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Marble Falls
- Marc DeanFort Worth$486K
- Amber LuongHouston$426K
- Arjuna KuperanHouston$348K
- Ronald KuppersmithCollege Station$325K
- Ron KarniHouston$317K
- Philip ChenSan Antonio$305K
- Jordan RihaniSouthlake$280K
- Keith MathenyFrisco$269K
- Martin CitardiHouston$245K
- James AtkinsSan Antonio$205K
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.