Tyler Grindal, MD
Otolaryngology · Topeka, KSNPI 1689763104
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 39 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 16 manufacturers reported payments, led by Aerin Medical Inc. at 28.7% of the total. Reporting peaked in 2023 at $232 and has fallen 59.2% since, to $95 in 2025. That places this record below the midpoint for otolaryngology clinicians in KS, where the typical reported total is $1,279.
Across 39 payments — averaging $19.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Aerin Medical Inc.$216
- GSK$87
- Xoran Technologies LLC$82
- Regeneron Healthcare Solutions, Inc.$53
- Sanofi$49
- Intersect ENT, Inc.$38
- plus $227 from 10 others
What the payments were for
- Food & beverage$752100%
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 |
|---|---|---|
| Aerin Medical Inc. | 13 | $216 |
| GSK | 5 | $87 |
| Xoran Technologies LLC | 1 | $82 |
| Regeneron Healthcare Solutions, Inc. | 3 | $53 |
| Sanofi | 3 | $49 |
| Intersect ENT, Inc. | 2 | $38 |
| Novartis | 2 | $38 |
| Stryker | 1 | $35 |
| Medtronic(2 entities) | 2 | $28 |
| Vertex | 1 | $23 |
| Integra Lifesciences Corporation | 1 | $23 |
| Cochlear Americas | 1 | $19 |
| Aesculap, Inc. | 1 | $17 |
| Hologic Sales And Service, LLC | 1 | $17 |
| Tactile Systems Technology Inc | 1 | $14 |
| Acclarent, Inc | 1 | $12 |
How this compares
$752 in reported general payments places this provider in the 40th percentile of 87 otolaryngology providers in Kansas.
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 | 101 | $3,132 |
| Omeprazole | 177 | $2,448 |
| Cefdinir | 59 | $1,383 |
| Dexamethasone Sodium Phosphate | 20 | $980 |
| Pantoprazole Sodium | 58 | $801 |
| Fluticasone Propionate | 73 | $789 |
| Famotidine | 55 | $627 |
| Ciprofloxacin Hcl | 38 | $582 |
| Montelukast Sodium | 29 | $465 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 25 | $342 |
| Mupirocin | 43 | $295 |
| Amitriptyline Hcl | 15 | $250 |
| Azelastine Hcl | 17 | $239 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 36 | $222 |
| Desloratadine | 12 | $218 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Topeka
- Michael FranklinTopeka$3K
- Jason LepseTopeka$2K
- Matthew GlynnTopeka$2K
- Jason MeyersTopeka$1K
- Douglas BarnesTopeka$1K
- Robert LaneTopeka$667
- Scot HirschiTopeka$496
- Hinrich StaeckerKansas City$499K
- Stanley McClurgMerriam$133K
- Douglas CowanLeawood$32K
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.