Adam Zivin, MD
Cardiovascular Disease · Bellevue, WANPI 1578670154
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (39.4%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Boston Scientific at 26.8% of the total. Among cardiovascular disease clinicians in WA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 196 payments — averaging $115.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$6K
- Philips North America LLC$4K
- Atricure, Inc.$4K
- Medtronic$3K
- Abbott$2K
- Siemens Medical Solutions USA, Inc.$1K
- plus $2K from 7 others
Across 1 payment — averaging $2079.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Medtronic$2K
What the payments were for
- Consulting fees$5,76025%
- Travel & lodging$8,93339%
- Food & beverage$7,98835%
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 |
|---|---|---|
| Boston Scientific | 87 | $6,082 |
| Philips North America LLC | 3 | $4,260 |
| Atricure, Inc. | 29 | $3,844 |
| Medtronic(2 entities) | 41 | $2,851 |
| Abbott | 16 | $2,494 |
| Siemens Medical Solutions USA, Inc. | 2 | $1,175 |
| Acutus Medical, Inc. | 6 | $962 |
| Altathera Pharmaceuticals LLC | 1 | $600 |
| Medical Device Business Services, Inc. | 4 | $115 |
| Biosense Webster, Inc. | 1 | $114 |
| Biotronik Inc. | 1 | $92 |
| Stereotaxis Inc | 4 | $82 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $10 |
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.
- (9310) EPD KODEX Innovations software$4,196
- Farapulse$2,463
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$2,212
- Arctic Front$1,375
- AVEIR$1,338
- SC2000$1,160
- SQ RX PULSE GENERATOR$634
- ENSITE$622
- Sotalol Hydrochloride$600
- ATRICLIP LAA EXCLUSION SYSTEM$598
- SYNERGY ABLATION SYSTEM$569
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$341
- WATCHMAN Access System$277
- AFFERA MAPPING SYSTEM$239
- Micra$237
- TACTICATH ABLATION CATHETER, SENSOR ENABLED$199
- ENSITE PRECISION$151
- Carto 3 System$114
- CartoSound$114
How this compares
$22,681 in reported general payments places this provider in the 90th percentile of 370 cardiovascular disease providers in Washington.
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 |
|---|---|---|
| EliquisApixaban | 318 | $381,816 |
| XareltoRivaroxaban | 154 | $160,710 |
| MultaqDronedarone Hcl | 52 | $67,876 |
| Dofetilide | 125 | $22,547 |
| Flecainide Acetate | 160 | $3,873 |
| SotalolSotalol Hcl | 192 | $3,681 |
| Metoprolol Succinate | 227 | $3,201 |
| Verapamil ErVerapamil Hcl | 112 | $2,088 |
| Amiodarone Hcl | 113 | $1,678 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 68 | $1,526 |
| Propafenone Hcl ErPropafenone Hcl | 17 | $1,067 |
| Digoxin | 34 | $899 |
| Diltiazem 24hr ErDiltiazem Hcl | 14 | $625 |
| Potassium Chloride | 36 | $439 |
| Carvedilol | 32 | $382 |
Paid to pharmacies, not to this prescriber.
Other cardiovascular disease in Bellevue
- Robert BersinBellevue$657K
- Thomas AmidonBellevue$64K
- Eugene YangBellevue$31K
- Craig TuohyBellevue$5K
- Ryan YuanBellevue$5K
- Ronnier AvilesBellevue$5K
- James WatsonBellevue$5K
- Mariko HarperSeattle$246K
- Gary OppenheimSeattle$153K
- Kelley BranchSeattle$103K
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.