Varun Varadarajan, MD
Otology & Neurotology · Sacramento, CANPI 1508285693
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $22,200 of the $26,850 with a category attached, or 82.7%. Cochlear Americas accounts for 92.0% of it on its own, with 11 other manufacturers making up the rest. 2025 is the largest year on record at $11,994, more than ten times the $113 reported in 2020.
Across 73 payments — averaging $367.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cochlear Americas$25K
- Stryker$1K
- Aerin Medical Inc.$183
- Inspire Medical Systems, Inc.$125
- Advanced Bionics, LLC$119
- AstraZeneca$113
- plus $200 from 6 others
What the payments were for
- Consulting fees$22,20083%
- Travel & lodging$2,1118%
- Food & beverage$2,5399%
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 |
|---|---|---|
| Cochlear Americas | 42 | $24,703 |
| Stryker | 13 | $1,408 |
| Aerin Medical Inc. | 1 | $183 |
| Inspire Medical Systems, Inc. | 1 | $125 |
| Advanced Bionics, LLC | 5 | $119 |
| AstraZeneca | 1 | $113 |
| Med-el Corporation | 5 | $94 |
| Kls-martin L.p. | 1 | $34 |
| Iotamotion, Inc. | 1 | $25 |
| Kaleo, Inc. | 1 | $19 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $14 |
| Medtronic | 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.
- Cochlear Nucleus CI632 cochlear implant with Slim Modiolar electrode$24,040
- Baha$24,040
- OSIA OSI300 IMPLANT$24,040
- CORE$924
- VIVAER STYLUS$183
- RHINAER STYLUS$183
- SCOPIS ENT$135
- XPRESS ENT DILATION SYSTEM$135
- LATERA$135
- CLARIFIX CRYOTHERAPY DEVICE$135
- Inspire$125
- FASENRA$113
How this compares
$26,850 in reported general payments places this provider in the 85th percentile of 43 otology & neurotology providers in California.
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 |
|---|---|---|
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 40 | $3,758 |
| Ofloxacin | 124 | $2,876 |
| Fluocinolone Acetonide Oil | 27 | $1,083 |
| Mometasone Furoate | 20 | $454 |
| Ondansetron Hcl | 49 | $240 |
| Prednisone | 38 | $227 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 34 | $204 |
| Cephalexin | 48 | $138 |
Paid to pharmacies, not to this prescriber.
Other otology & neurotology in Sacramento
- Brent BenscoterSacramento$7K
- Kevin McKennanSacramento$3K
- Doron SagivSacramento$981
- Hilary BrodieSacramento$400
- John Vaughanla Jolla$237K
- Rodney PerkinsWoodside$125K
- Courtney VoelkerLos Angeles$66K
- Lloyd MinorStanford$52K
- Rick Friedmanla Jolla$34K
- Sumit AgrawalStanford$21K
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.