Tejas Raval, MD
Otolaryngology · Colonial Heights, VANPI 1992827356
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,062 of the $5,969 with a category attached, or 84.8%. Inspire Medical Systems, Inc. accounts for 74.5% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2024 at $3,238 and has fallen 77.2% since, to $738 in 2025.
Across 95 payments — averaging $62.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$4K
- Aerin Medical Inc.$469
- Medtronic$238
- Regeneron Healthcare Solutions, Inc.$140
- Hologic Sales And Service, LLC$130
- Mallinckrodt Enterprises LLC$124
- plus $422 from 12 others
What the payments were for
- Travel & lodging$90715%
- Food & beverage$5,06285%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 64 | $4,445 |
| Aerin Medical Inc. | 9 | $469 |
| Medtronic | 3 | $238 |
| Regeneron Healthcare Solutions, Inc. | 2 | $140 |
| Hologic Sales And Service, LLC | 1 | $130 |
| Mallinckrodt Enterprises LLC | 1 | $124 |
| Sanofi | 1 | $122 |
| Olympus America Inc. | 2 | $84 |
| Novartis | 2 | $36 |
| Phadia US Inc. | 2 | $34 |
| Intersect ENT, Inc. | 1 | $30 |
| KARL Storz Endoscopy-america | 1 | $21 |
| Alk-abello, Inc | 1 | $20 |
| Tactile Systems Technology Inc | 1 | $19 |
| Smith+Nephew | 1 | $18 |
| Stryker | 1 | $16 |
| Integra Lifesciences Corporation | 1 | $13 |
| SNAP Diagnostics LLC | 1 | $12 |
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.
- Inspire$3,250
- DUPIXENT$365
- VIVAER STYLUS$291
- RHINAER STYLUS$291
- CoolSeal Generator$130
- OFIRMEV$124
- SINUVA$121
- STEALTHSTATION S8 PLATFORM$102
How this compares
$5,969 in reported general payments places this provider in the 85th percentile of 241 otolaryngology providers in Virginia.
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 |
|---|---|---|
| Mometasone Furoate | 26 | $2,012 |
| Fluocinolone Acetonide Oil | 45 | $1,674 |
| Ipratropium Bromide | 55 | $1,545 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 14 | $1,525 |
| Azelastine Hcl | 40 | $1,237 |
| Fluticasone Propionate | 93 | $1,052 |
| Pilocarpine Hcl | 28 | $751 |
| Levocetirizine Dihydrochloride | 53 | $715 |
| Montelukast Sodium | 43 | $272 |
| Omeprazole | 36 | $234 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 17 | $189 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 41 | $160 |
| Levothyroxine Sodium | 12 | $143 |
| Ondansetron OdtOndansetron | 11 | $125 |
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 11 | $109 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Colonial Heights
- John DittoColonial Heights$4K
- Sneh LavingiaColonial Heights$4K
- Laurence OhalloranAnnandale$2.9M
- Joseph HanNorfolk$1.8M
- Ryan NordRichmond$454K
- Paul LenkowskiRoanoke$282K
- Nipun ChhabraLeesburg$178K
- Kent LamNorfolk$127K
- Spencer PayneCharlottesville$45K
- Jose MattosCharlottesville$24K
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.