Troy Hemme, DO
Otolaryngology · Maple Grove, MNNPI 1831406040
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (33.0%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. Smith+Nephew accounts for 87.6% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2019 at $16,623 and has fallen 97.8% since, to $361 in 2025. Among otolaryngology clinicians in MN 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 123 payments — averaging $224.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$24K
- Acclarent, Inc$1K
- Integra Lifesciences Corporation$478
- Medical Device Business Services, Inc.$422
- Medtronic$228
- Intersect ENT, Inc.$221
- plus $561 from 11 others
What the payments were for
- Consulting fees$9,10033%
- Speaking & faculty fees$8,48831%
- Travel & lodging$6,12222%
- Food & beverage$3,87414%
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 |
|---|---|---|
| Smith+Nephew | 54 | $24,175 |
| Acclarent, Inc | 31 | $1,498 |
| Integra Lifesciences Corporation | 8 | $478 |
| Medical Device Business Services, Inc. | 1 | $422 |
| Medtronic(2 entities) | 6 | $228 |
| Intersect ENT, Inc. | 7 | $221 |
| Aerin Medical Inc. | 3 | $165 |
| Cochlear Americas | 1 | $128 |
| Stryker | 3 | $88 |
| Regeneron Healthcare Solutions, Inc. | 1 | $49 |
| GSK | 2 | $40 |
| Itamar Medical Inc | 1 | $18 |
| Davol Inc. | 1 | $17 |
| Amgen | 1 | $17 |
| AstraZeneca | 1 | $15 |
| Sanofi | 1 | $12 |
| Alk-abello, Inc | 1 | $11 |
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.
- Coblation - Sinus Wands$9,711
- Coblation - Tonsil Wands$6,654
- REFLEX ULTRA Turbinate Wands$6,164
- Coblation - Turbinate Wands$5,295
- Coblation - Laryngeal Wands$4,813
- Coblation - Soft Palate Wands$4,813
- Entact$2,713
- PROCISE Tonsil$1,457
- HEALICOIL PK Hip$1,457
- DERMAL WOUND$1,457
- Journey II$1,457
- EVOS$1,457
- PROCISE Sinus$645
- TruDi Navigation System$470
- Acclarent Aera$298
- Inspira Air$298
- RELIEVA SPINPLUS NAV$298
- TruDi Probe$298
- Coblation Wands$265
- TruDi Nav Cable$208
How this compares
$27,583 in reported general payments places this provider in the 95th percentile of 181 otolaryngology providers in Minnesota.
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 |
|---|---|---|
| Dupixent SyringeDupilumab | 13 | $48,225 |
| Ipratropium Bromide | 183 | $5,205 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 35 | $4,469 |
| Fluticasone Propionate | 99 | $1,444 |
| Fluocinolone Acetonide Oil | 21 | $637 |
| Azelastine Hcl | 19 | $400 |
| Mupirocin | 43 | $325 |
| Methylprednisolone | 49 | $318 |
| Doxycycline Monohydrate | 22 | $315 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 27 | $291 |
| CefuroximeCefuroxime Axetil | 13 | $223 |
| Omeprazole | 21 | $203 |
| Prednisone | 16 | $149 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 21 | $94 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Maple Grove
- Samuel LevineMinneapolis$151K
- George GodingMinneapolis$143K
- Theodore TruittSaint Cloud$96K
- Matthew CarlsonRochester$80K
- Michael PaparellaMinneapolis$22K
- Oleg FroymovichMinneapolis$20K
- David HamlarSt. Paul$19K
- Rijul KshirsagarRochester$18K
- Brian NeffRochester$16K
- Carlos Pinheiro NetoRochester$11K
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.