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

Adrian Varela

Otolaryngology Milwaukie, OR Medical Doctor

NPI 1366452054 CMS profile 16855

10330 Se 32Nd Ave, Suite 320, Milwaukie, OR 97222

Open in the dashboard

General payments

$4,562

101 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, Adrian Varela of Milwaukie, OR is reported in the CMS Open Payments database as having received $4,562 across 101 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 83rd percentile of Otolaryngology 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 $635 19
2024 General $122 5
2023 General $363 10
2022 General $260 15
2021 General $500 16
2020 General $405 18
2019 General $2,277 18

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Adrian Varela
  • Otolaryngology median
  • Middle half of Otolaryngology
  • National median

In program year 2025, general payments to Adrian Varela were reported at $635. Among 6,588 Otolaryngology profiles paid that year, the median was $317 and the middle half received between $125 and $815.

Show as a table
Year Adrian Varela Otolaryngology median Middle half National median
2019 $2,277 $194 $82–$512 $163
2020 $405 $118 $42–$280 $114
2021 $500 $167 $63–$444 $132
2022 $260 $216 $84–$545 $149
2023 $363 $235 $93–$588 $160
2024 $122 $280 $111–$699 $164
2025 $635 $317 $125–$815 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Intersect ENT, Inc. $2,476 26 payments
  2. GlaxoSmithKline, LLC. $449 23 payments
  3. Regeneron Healthcare Solutions, Inc. $336 9 payments
  4. Medtronic, Inc. $246 3 payments
  5. Genzyme Corporation $205 8 payments
  6. ALK-Abello, Inc $196 9 payments
  7. AstraZeneca Pharmaceuticals LP $181 5 payments
  8. KARL STORZ Endoscopy-America $144 3 payments
  9. Medtronic USA, Inc. $79 1 payment
  10. OptiNose US, Inc. $64 3 payments
  11. Other $187 11 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $3,261 98 payments
  2. Travel and Lodging $1,301 3 payments
Products named General payments · program years 2019–2025
  1. PROPEL Otolaryngology (Ear, Nose, Throat) $2,108 9 payments
  2. SINUVA $2,065 21 payments
  3. NUCALA $363 21 payments
  4. DUPIXENT Immunology And Inflammation $214 5 payments
  5. DUPIXENT Immunology $205 8 payments
  6. Grastek $196 9 payments
  7. Odactra $196 9 payments
  8. n.a. $144 3 payments
  9. PROPEL Otolaryngology (Ear, Nose, Throat) $133 2 payments
  10. DUPIXENT Inflammation And Immunology $121 4 payments
  11. Other $900 35 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 · 11 drugs

Part D claims

318

Median for Otolaryngology: 297

Drug cost

$73,502

Median for Otolaryngology: $6,314

Branded share of claims

4.1%

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
Xolair Omalizumab Brand 13 $68,697
Ipratropium Bromide Generic 45 $891
Azelastine Hcl Generic 45 $872
Omeprazole Generic 59 $853
Ofloxacin Generic 30 $817
Fluticasone Propionate Generic 12 $448
Mometasone Furoate Generic 33 $425
Tramadol Hcl Generic 17 $211
Mupirocin Generic 21 $156
Prednisone Generic 31 $128

The 10 drugs with the highest cost, of 11 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 · 34 billing codes

Paid by Medicare

$30,463

Medicare's payments for the services billed

Medicare patients

157

Average age 74

Services billed

553

99 women, 58 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 73%
Arthritis 43%
Depression 26%
Diabetes 24%
Chronic kidney disease 22%
Osteoporosis 20%
Ischemic heart disease 17%
Heart failure 16%

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
  • GENZYME CORPORATION $77
$77 — —
NUCALA
  • GlaxoSmithKline, LLC. $17
$17 — —

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

101 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.

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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