Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Aaron Metrailer

Otology & Neurotology Little Rock, AR Medical Doctor

NPI 1437383361 CMS profile 1395256

10201 Kanis Rd, Little Rock, AR 72205

Open in the dashboard

General payments

$1,522

26 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Aaron Metrailer of Little Rock, AR is reported in the CMS Open Payments database as having received $1,522 across 26 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 42nd percentile of Otology & Neurotology profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $100 3
2024 General $1,069 8
2023 General $58 3
2022 General $41 2
2021 General $64 3
2020 General $39 3
2019 General $151 4

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Aaron Metrailer
  • Otology & Neurotology median
  • Middle half of Otology & Neurotology
  • National median

In program year 2025, general payments to Aaron Metrailer were reported at $100. Among 280 Otology & Neurotology profiles paid that year, the median was $411 and the middle half received between $148 and $1,608.

Show as a table
Year Aaron Metrailer Otology & Neurotology median Middle half National median
2019 $151 $349 $117–$1,358 $163
2020 $39 $118 $58–$325 $114
2021 $64 $186 $81–$600 $132
2022 $41 $290 $129–$938 $149
2023 $58 $335 $119–$978 $160
2024 $1,069 $399 $138–$1,384 $164
2025 $100 $411 $148–$1,608 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. MED-EL Corporation $1,014 6 payments
  2. Regeneron Healthcare Solutions, Inc. $202 7 payments
  3. GlaxoSmithKline, LLC. $101 5 payments
  4. Acclarent, Inc $96 1 payment
  5. Medical Device Business Services, Inc. $32 1 payment
  6. Stryker Corporation $25 2 payments
  7. Advanced Bionics, LLC $25 2 payments
  8. Cochlear Americas $16 1 payment
  9. Arbor Pharmaceuticals, Inc. $12 1 payment

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Travel and Lodging $848 1 payment
  2. Food and Beverage $581 23 payments
  3. Education $56 1 payment
  4. Long term medical supply or device loan $38 1 payment
Products named General payments · program years 2019–2025
  1. Mi1250 SYNCHRONY 2 FLEXsoft $1,014 6 payments
  2. BCI 602 Kit $976 5 payments
  3. ADHEAR Professional Kit $886 3 payments
  4. DUPIXENT Inflammation And Immunology $146 6 payments
  5. ACCLARENT AERA EUSTACHIAN TUBE BALLOON DILATION SYSTEM $128 2 payments
  6. NUCALA $101 5 payments
  7. TruDi $96 1 payment
  8. SpinPlus Navigation $96 1 payment
  9. INSPIRA AIR Balloon Dilation System $96 1 payment
  10. DUPIXENT Immunology And Inflammation $56 1 payment
  11. Other $109 8 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 14 drugs

Part D claims

585

Median for Otolaryngology: 297

Drug cost

$14,155

Median for Otolaryngology: $6,314

Branded share of claims

39.7%

Median for Otolaryngology: 10.3%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Ciprofloxacin-Dexamethasone Ciprofloxacin Hcl/Dexameth Brand 72 $8,118
Azelastine Hcl Generic 84 $1,729
Fluticasone Propionate Generic 73 $776
Fluocinolone Acetonide Oil Generic 11 $552
Dexamethasone Sodium Phosphate Generic 13 $508
Nortriptyline Hcl Generic 49 $484
Amitriptyline Hcl Generic 32 $471
Ciprofloxacin Hcl Generic 31 $367
Mometasone Furoate Generic 19 $354
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen Brand 47 $277

The 10 drugs with the highest cost, of 14 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 9,296 Part D prescribers listed as Otolaryngology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 68 billing codes

Paid by Medicare

$134,931

Of which drugs: $61

Medicare patients

803

Average age 75

Services billed

2,093

472 women, 331 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Arthritis 46%
Ischemic heart disease 35%
Diabetes 26%
Depression 22%
Atrial fibrillation 18%
Chronic kidney disease 18%
Osteoporosis 16%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Injection, dexamethasone sodium phosphate, 1 mg J1100 Office 15 92 $8

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

2 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
DUPIXENT
  • Regeneron Healthcare Solutions, Inc. $52
$52 — —
NUCALA
  • GlaxoSmithKline, LLC. $16
$16 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

Records

26 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Otology & Neurotology in Arkansas

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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