Thomas Koch, MD
Otolaryngology · Allentown, PANPI 1871570127
Payments from drug & device makers
Across 198 payments — averaging $29.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi$951
- Neurent Medical Limited$817
- Regeneron Healthcare Solutions, Inc.$591
- CSL Behring$500
- Optinose US, Inc.$345
- Medtronic$321
- plus $2K from 22 others
What the payments were for
- Consulting fees$75013%
- Food & beverage$5,14387%
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 |
|---|---|---|
| Sanofi | 34 | $951 |
| Neurent Medical Limited | 3 | $817 |
| Regeneron Healthcare Solutions, Inc. | 23 | $591 |
| CSL Behring | 19 | $500 |
| Optinose US, Inc. | 18 | $345 |
| Medtronic | 4 | $321 |
| Takeda Pharmaceuticals U.S.A., Inc. | 11 | $317 |
| GSK | 14 | $307 |
| Biocryst US Sales Co., LLC | 9 | $280 |
| AstraZeneca | 12 | $242 |
| Amgen | 7 | $156 |
| Aerin Medical Inc. | 5 | $126 |
| Aimmune Therapeutics, Inc. | 6 | $126 |
| Catalyst Pharmaceuticals, Inc. | 1 | $108 |
| Genentech USA, Inc. | 3 | $92 |
| Grifols USA, LLC | 4 | $91 |
| Biofire Diagnostics, LLC | 2 | $88 |
| Stryker | 3 | $84 |
| Kaleo, Inc. | 5 | $67 |
| Alk-abello, Inc | 4 | $57 |
| Novartis | 2 | $44 |
| Acclarent, Inc | 1 | $38 |
| Bio Products Laboratory USA, Inc. | 2 | $28 |
| Merck | 2 | $27 |
| Intersect ENT, Inc. | 1 | $27 |
| Boehringer Ingelheim | 1 | $25 |
| Pharming Healthcare, Inc. | 1 | $19 |
| Hikma Pharmaceuticals USA | 1 | $17 |
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
$5,893 in reported general payments places this provider in the 80th percentile of 456 otolaryngology providers in Pennsylvania.
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 | 112 | $3,834 |
| Mometasone Furoate | 65 | $2,335 |
| Montelukast Sodium | 155 | $1,905 |
| Fluticasone Propionate | 128 | $1,904 |
| Azelastine Hcl | 41 | $1,599 |
| Famotidine | 84 | $1,487 |
| Prednisolone Acetate | 41 | $1,382 |
| Tobramycin-DexamethasoneTobramycin/Dexamethasone | 15 | $1,134 |
| Triamcinolone Acetonide | 16 | $798 |
| Ciprofloxacin Hcl | 68 | $666 |
| Pilocarpine Hcl | 11 | $425 |
| Fluocinolone Acetonide Oil | 11 | $306 |
| Clotrimazole | 18 | $264 |
| Pantoprazole Sodium | 21 | $257 |
| Levothyroxine Sodium | 44 | $199 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Allentown
- Nancy SnydermanPhiladelphia$4.5M
- Joseph CurryPhiladelphia$2M
- David YenBethlehem$2M
- Stella LeePittsburgh$825K
- John GermillerPhiladelphia$825K
- Adam LuginbuhlPhiladelphia$745K
- Neerav GoyalHershey$640K
- David KennedyPhiladelphia$603K
- Richard SterlingPhiladelphia$378K
- Mauritis BoonPhiladelphia$363K
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.