Thomas Holmes, MD
Otolaryngology · Macon, GANPI 1104355882
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (47.4%), travel and lodging and education — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Inspire Medical Systems, Inc. at 38.7% of the total. Reporting peaked in 2022 at $1,967 and has fallen 85.9% since, to $277 in 2025.
Across 55 payments — averaging $83.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$2K
- Stryker$2K
- Regeneron Healthcare Solutions, Inc.$323
- Medtronic$225
- Aerin Medical Inc.$216
- Integra Lifesciences Corporation$75
- plus $417 from 11 others
What the payments were for
- Travel & lodging$2,16447%
- Food & beverage$2,16847%
- Education$2425%
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. | 4 | $1,768 |
| Stryker | 13 | $1,550 |
| Regeneron Healthcare Solutions, Inc. | 13 | $323 |
| Medtronic(2 entities) | 7 | $225 |
| Aerin Medical Inc. | 3 | $216 |
| Integra Lifesciences Corporation | 1 | $75 |
| Harmony Biosciences LLC | 3 | $72 |
| Olympus America Inc. | 1 | $72 |
| Acclarent, Inc | 1 | $58 |
| MDD US Operations, LLC | 1 | $55 |
| Sanofi | 2 | $54 |
| Hologic Sales And Service, LLC | 1 | $23 |
| Merck | 1 | $22 |
| KARL Storz Endoscopy-america | 1 | $21 |
| Baxter Healthcare | 1 | $14 |
| Shire North American Group Inc | 1 | $14 |
| Hikma Pharmaceuticals USA | 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.
How this compares
$4,574 in reported general payments places this provider in the 85th percentile of 308 otolaryngology providers in Georgia.
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 |
|---|---|---|
| Azelastine Hcl | 249 | $5,447 |
| Mometasone Furoate | 43 | $3,650 |
| Fluticasone Propionate | 215 | $3,073 |
| Ipratropium Bromide | 53 | $1,865 |
| Betamethasone Valerate | 42 | $1,438 |
| Ofloxacin | 30 | $811 |
| Omeprazole | 57 | $731 |
| Dexamethasone Sodium Phosphate | 14 | $615 |
| Memantine Hcl | 29 | $361 |
| Triamcinolone Acetonide | 15 | $265 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 15 | $209 |
| Donepezil Hcl | 29 | $150 |
| Methylprednisolone | 13 | $93 |
| Prednisone | 11 | $79 |
| Oxycodone Hcl | 14 | $56 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Macon
- Dozier HoodFayetteville$347K
- Christopher MelroySavannah$298K
- Karen HoffmannAtlanta$223K
- Jose StolovitzkyAtlanta$81K
- Jonathan LindmanEvans$55K
- Gregory PostmaAugusta$37K
- Oswaldo HenriquezSmyrna$15K
- Donald BrowningLawrenceville$14K
- Robert GadlageDuluth$14K
- Lawrence WeissMarietta$9K
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.