Troy Howard
Otolaryngology · Rapid City, SDNPI 1164788667
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $1,087 of the $1,715 with a category attached, or 63.4%. Stryker accounts for 82.7% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2022 at $903 and has fallen 92.9% since, to $64 in 2025.
Across 16 payments — averaging $107.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$1K
- Aerin Medical Inc.$183
- Integra Lifesciences Corporation$35
- Regeneron Healthcare Solutions, Inc.$35
- Advanced Bionics, LLC$29
- Cochlear Americas$15
What the payments were for
- Travel & lodging$1,08763%
- Food & beverage$62937%
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 |
|---|---|---|
| Stryker | 8 | $1,418 |
| Aerin Medical Inc. | 3 | $183 |
| Integra Lifesciences Corporation | 2 | $35 |
| Regeneron Healthcare Solutions, Inc. | 1 | $35 |
| Advanced Bionics, LLC | 1 | $29 |
| Cochlear Americas | 1 | $15 |
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
$1,715 in reported general payments places this provider in the 60th percentile of 39 otolaryngology providers in South Dakota.
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 |
|---|---|---|
| Ofloxacin | 11 | $261 |
| Ondansetron OdtOndansetron | 28 | $151 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 19 | $147 |
| Mupirocin | 14 | $95 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Rapid City
- Jack SchleiffarthRapid City$13K
- Nicholas ColwellRapid City$2K
- Liam DuffyRapid City$2K
- Dallin ChristensenRapid City$2K
- Robert BurgessRapid City$1K
- Skye LawlorRapid City$905
- Vaughan BowenRapid City$864
- Ronald GuyRapid City$468
- Gary CarlsonRapid City$47
- Sarah PowellDakota Dunes$31K
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.