Who Paid My Doc
Justin Elder
Facial Plastic Surgery Lewes, DE Doctor of Osteopathy
NPI 1821223413 CMS profile 614439
17005 Old Orchard Rd, Lewes, DE 19958
General payments
$1,535
Research payments
$0
Ownership & investment interest
$0
Through program year 2025, Justin Elder of Lewes, DE is reported in the CMS Open Payments database as having received $1,535 across 47 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 55th percentile of Facial Plastic Surgery 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 | $114 | 4 | |
| 2024 | General | $250 | 8 | |
| 2023 | General | $377 | 15 | |
| 2022 | General | $410 | 8 | |
| 2021 | General | $65 | 2 | |
| 2020 | General | $211 | 4 | |
| 2019 | General | $108 | 6 |
Beside peers
- Justin Elder
- Facial Plastic Surgery median
- Middle half of Facial Plastic Surgery
- National median
In program year 2025, general payments to Justin Elder were reported at $114. Among 437 Facial Plastic Surgery profiles paid that year, the median was $270 and the middle half received between $116 and $579.
Show as a table
| Year | Justin Elder | Facial Plastic Surgery median | Middle half | National median |
|---|---|---|---|---|
| 2019 | $108 | $225 | $92–$651 | $163 |
| 2020 | $211 | $132 | $45–$323 | $114 |
| 2021 | $65 | $186 | $67–$558 | $132 |
| 2022 | $410 | $218 | $83–$594 | $149 |
| 2023 | $377 | $237 | $94–$564 | $160 |
| 2024 | $250 | $233 | $104–$575 | $164 |
| 2025 | $114 | $270 | $116–$579 | $169 |
Breakdown
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 · 24 drugsPart D claims
1,618
Drug cost
$52,550
Branded share of claims
7.5%
| Drug | Type | Relative to their largest | Claims | Drug cost |
|---|---|---|---|---|
| Azelastine-Fluticasone Azelastine/Fluticasone | Brand | 55 | $13,386 | |
| Ipratropium Bromide | Generic | 226 | $10,825 | |
| Fluticasone Propionate | Generic | 217 | $4,757 | |
| Montelukast Sodium | Generic | 204 | $4,373 | |
| Levocetirizine Dihydrochloride | Generic | 162 | $4,308 | |
| Azelastine Hcl | Generic | 70 | $2,880 | |
| Mometasone Furoate | Generic | 25 | $2,573 | |
| Omeprazole | Generic | 72 | $1,509 | |
| Famotidine | Generic | 110 | $1,440 | |
| Ciprofloxacin-Dexamethasone Ciprofloxacin Hcl/Dexameth | Brand | 12 | $1,135 |
The 10 drugs with the highest cost, of 24 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 · 112 billing codesPaid by Medicare
$488,092
Medicare patients
1,736
Services billed
12,215
| Condition among their Medicare patients | Relative to the most common | Share of patients |
|---|---|---|
| High blood pressure | 75% | |
| Arthritis | 55% | |
| Ischemic heart disease | 39% | |
| Diabetes | 24% | |
| Depression | 20% | |
| Chronic kidney disease | 19% | |
| COPD | 19% | |
| Atrial fibrillation | 17% |
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.
Records
47 reportedEvery 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
Facial Plastic Surgery in Delaware
Practitioners in the same specialty and state, ranked by reported value.
All Facial Plastic Surgery
Everyone recorded under this specialty, nationwide.
Doctors in Delaware
Every practitioner in the state with a reported payment.
How to read this page
What each amount means, and what it does not mean.
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.