Alma Chavez
Pediatric Pulmonology · Spokane, WANPI 1508905522
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 91.2% of the total across 54 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 16 manufacturers, the largest accounting for just 23.9% — the pattern of someone who eats at a lot of different presentations.
Across 54 payments — averaging $35.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron Healthcare Solutions, Inc.$463
- AbbVie$199
- Sanofi$198
- GSK$196
- AstraZeneca$181
- Chiesi USA, Inc.$164
- plus $537 from 10 others
Across 11 payments — averaging $17,506 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.
- Vertex$193K
What the payments were for
- Food & beverage$1,76891%
- Education$1719%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Regeneron Healthcare Solutions, Inc. | 7 | $463 |
| AbbVie(2 entities) | 6 | $199 |
| Sanofi | 7 | $198 |
| GSK | 5 | $196 |
| AstraZeneca | 4 | $181 |
| Chiesi USA, Inc. | 5 | $164 |
| Baxter Healthcare | 4 | $143 |
| Electromed, Inc. | 1 | $77 |
| Philips North America LLC | 3 | $58 |
| Sanofi-aventis U.S. LLC | 1 | $57 |
| Gilead | 3 | $53 |
| Merck | 3 | $48 |
| Genentech USA, Inc. | 2 | $36 |
| Mylan Specialty L.p. | 1 | $28 |
| Vertex | 1 | $21 |
| Insmed, Inc. | 1 | $16 |
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.
How this compares
$1,939 in reported general payments places this provider in the 70th percentile of 24 pediatric pulmonology providers in Washington.
Other pediatric pulmonology in Spokane
- Stanley LeeSpokane$33K
- Pragya RaiSpokane$1K
- Michael McCarthySpokane$867
- Bonnie RamseySeattle$97K
- Margaret RosenfeldSeattle$12K
- David NicholsSeattle$7K
- Jennifer RuddySeattle$5K
- Benjamin WilfondSeattle$3K
- David RickerTacoma$1K
- Gregory ReddingSeattle$676
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.