Thomas Heineman, MD
Otolaryngology · Cedar Rapids, IANPI 1881089704
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $302,664 of the $373,128 with a category attached, or 81.1%. Inspire Medical Systems, Inc. accounts for 78.8% of it on its own, with 8 other manufacturers making up the rest. Among otolaryngology clinicians in IA 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 259 payments — averaging $1440.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$294K
- Siesta Medical, Inc.$61K
- Aerin Medical Inc.$15K
- Stryker$3K
- ZOLL Respicardia, Inc.$50
- KARL Storz Endoscopy-america$33
- plus $51 from 3 others
What the payments were for
- Consulting fees$302,66481%
- Speaking & faculty fees$28,0008%
- Travel & lodging$33,4659%
- Food & beverage$9,0002%
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. | 203 | $294,078 |
| Siesta Medical, Inc. | 4 | $60,900 |
| Aerin Medical Inc. | 21 | $15,426 |
| Stryker | 26 | $2,590 |
| ZOLL Respicardia, Inc. | 1 | $50 |
| KARL Storz Endoscopy-america | 1 | $33 |
| Pfizer | 1 | $23 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $15 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $13 |
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$253,072
- Inspire Upper Airway Stimulation System$38,431
- VIVAER STYLUS$15,168
- SCOPIS ENT$877
- RHINAER STYLUS$631
- ENTELLUS - XPRESS ENT DILATION SYSTEM$255
- FIAGON NAVIGATION UNIT$161
- XPRESS ENT DILATION SYSTEM$146
- MAKO$136
- CLARIFIX$134
- CLARIFIX CRYOTHERAPY DEVICE$130
- AUDION ET DILATION SYSTEM$102
How this compares
$373,128 in reported general payments places this provider in the 95th percentile of 103 otolaryngology providers in Iowa.
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 | 149 | $4,851 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 89 | $564 |
| Cephalexin | 86 | $370 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 29 | $260 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 19 | $92 |
| Omeprazole | 23 | $84 |
| Prednisone | 22 | $51 |
| Zolpidem Tartrate | 13 | $7 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Cedar Rapids
- Madia RussilloCedar Rapids$4K
- Andrew LiuCedar Rapids$3K
- Ryan DempewolfCedar Rapids$2K
- Jasmine HernandezCedar Rapids$776
- Bruce GantzIowa City$170K
- Nancy BaumanIowa City$31K
- Simon WrightWest Des Moines$21K
- Robert PettisOskaloosa$10K
- Brian AndrewsIowa City$9K
- Douglas HoisingtonWest Des Moines$8K
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.