Adnan Rizvi, MD
Vascular Surgery · Spokane, WANPI 1669482154
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $13,900 of the $22,936 with a category attached, or 60.6%. Silk Road Medical, Inc. accounts for 75.6% of it on its own, with 18 other manufacturers making up the rest. Reporting peaked in 2021 at $6,681 and has fallen 68.1% since, to $2,134 in 2025. Among vascular surgery 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 145 payments — averaging $158.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Silk Road Medical, Inc.$17K
- W. L. Gore & Associates, Inc.$1K
- Shockwave Medical, Inc$709
- Angiodynamics, Inc.$553
- Medtronic$416
- Cook Medical LLC$414
- plus $2K from 13 others
What the payments were for
- Consulting fees$13,90061%
- Travel & lodging$1,5247%
- Food & beverage$6,95930%
- Education$5532%
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 |
|---|---|---|
| Silk Road Medical, Inc. | 36 | $17,350 |
| W. L. Gore & Associates, Inc. | 36 | $1,145 |
| Shockwave Medical, Inc | 6 | $709 |
| Angiodynamics, Inc. | 1 | $553 |
| Medtronic(2 entities) | 9 | $416 |
| Cook Medical LLC | 6 | $414 |
| Imperative Care, Inc | 4 | $409 |
| Abbott | 9 | $383 |
| Endologix LLC | 3 | $321 |
| Johnson & Johnson(2 entities) | 4 | $203 |
| Baxter Healthcare | 6 | $202 |
| Bard Peripheral Vascular, Inc. | 12 | $196 |
| Boston Scientific | 1 | $172 |
| Penumbra, Inc. | 1 | $138 |
| Inspiremd Ltd | 1 | $125 |
| Lemaitre Vascular, Inc. | 5 | $93 |
| Stryker | 2 | $42 |
| Terumo Medical Corporation | 2 | $37 |
| Solventum Corporation | 1 | $26 |
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.
- ENROUTE Transcarotid Neuroprotection System$18,058
- ENROUTE Transcarotid Stent$12,497
- ENHANCE Transcarotid Peripheral Access Kit$10,401
- ENROUTE .014 Guidewire$6,195
- ENROUTE Transcarotid Stent System$4,205
- ENROUTE 0.014 Guidewire$4,205
- ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter$1,356
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$574
- EVLT$553
- Alto Abdominal Stent Graft System$296
- GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis$236
- SYMPHONY CATHETER$183
- HOTSHOT CONTROLLER$163
- Zenith Alpha$149
- Indigo System$138
- CGuard Prime Carotid Stent System$125
- XARELTO$123
- EXCLUDER AAA Endoprosthesis$120
- GORE TAG Thoracic Endoprosthesis$117
- HawkOne$115
How this compares
$22,936 in reported general payments places this provider in the 90th percentile of 111 vascular surgery 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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 30 | $255 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 13 | $44 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Spokane
- Stephen MurraySpokane$38K
- Hassan TehraniSpokane$7K
- Beejay FelicianoSpokane$5K
- Joseph DavisSpokane$4K
- Luke ZhanSpokane$4K
- Benjamin StarnesSeatle$666K
- Kathleen GibsonBellevue$593K
- Brian FerrisBellevue$170K
- Sara ZettervallSeattle$126K
- Paul HayesSeattle$83K
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.