Talon Maningas
Otolaryngology · Joplin, MONPI 1487971008
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $305,400 of the $314,006 with a category attached, or 97.3%. Acelrx Pharmaceuticals, Inc. accounts for 97.3% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2022 at $306,695 and has fallen 99.7% since, to $779 in 2025. Among otolaryngology clinicians in MO 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 149 payments — averaging $2107.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acelrx Pharmaceuticals, Inc.$305K
- AbbVie$8K
- Mentor Worldwide LLC$230
- Galderma Laboratories, L.p.$200
- BD$173
- Revance Therapeutics, Inc.$22
- plus $34 from 2 others
What the payments were for
- Consulting fees$305,40097%
- Speaking & faculty fees$4,5431%
- Food & beverage$2,0091%
- Gifts$2,0541%
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 |
|---|---|---|
| Acelrx Pharmaceuticals, Inc. | 5 | $305,414 |
| AbbVie(2 entities) | 114 | $7,933 |
| Mentor Worldwide LLC | 13 | $230 |
| Galderma Laboratories, L.p. | 12 | $200 |
| BD | 2 | $173 |
| Revance Therapeutics, Inc. | 1 | $22 |
| Heron Therapeutics, Inc. | 1 | $18 |
| Kowa Pharmaceuticals America, Inc. | 1 | $16 |
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.
- DSUVIA$305,400
- NATRELLE$2,054
- NATRELLE SALINE-FILLED BREAST IMPLANTS$102
How this compares
$314,006 in reported general payments places this provider in the 95th percentile of 210 otolaryngology providers in Missouri.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Ondansetron OdtOndansetron | 19 | $236 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 18 | $158 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 29 | $98 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Joplin
- Kindall MartinJoplin$3K
- Ryan JacksonSaint Louis$284K
- Ravindra UppaluriSaint Louis$168K
- James GouldFestus$143K
- John SchneiderSaint Louis$74K
- Amit WaliaSaint Louis$21K
- Bharat PanugantiSaint Louis$19K
- Jeffrey SharonSt. Louis$18K
- Kelvin WallsLees Summit$14K
- Cristine Klatt-CromwellSaint Louis$13K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.