Andrew Manista, MD
Orthopaedic Surgery · Olympia, WANPI 1316084056
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (59.8%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Globus Medical accounts for 86.1% of it on its own, with 4 other manufacturers making up the rest. Reporting peaked in 2019 at $85,310 and has fallen 74.3% since, to $21,954 in 2025. Among orthopaedic surgery clinicians in WA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 127 payments — averaging $1844.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$202K
- Si-bone, Inc.$32K
- Stryker$74
- Providence Medical Technology, Inc.$64
- Medtronic$27
What the payments were for
- Consulting fees$74,30032%
- Speaking & faculty fees$139,97660%
- Travel & lodging$18,4748%
- Food & beverage$1,4681%
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 |
|---|---|---|
| Globus Medical | 100 | $201,628 |
| Si-bone, Inc. | 24 | $32,424 |
| Stryker | 1 | $74 |
| Providence Medical Technology, Inc. | 1 | $64 |
| Medtronic | 1 | $27 |
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.
- Excelsius - GPS$82,879
- EXCELSIUS$40,763
- iFuse Implant$31,264
- ExcelsiusGPS Robotic Navigation System$15,056
- CREO MCS$12,486
- Sable$10,500
- Quartex$10,413
- Excelsius Spine 1.1$9,775
- Excelsius3D Imaging System$9,719
- Excelsius Robotics System$8,032
- ELSA$901
- 3D Planning$531
- CREO$120
How this compares
$234,218 in reported general payments places this provider in the 95th percentile of 495 orthopaedic 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 |
|---|---|---|
| Gabapentin | 40 | $747 |
| Celecoxib | 29 | $655 |
| Meloxicam | 70 | $288 |
| Diclofenac Sodium | 12 | $204 |
| Oxycodone Hcl | 35 | $173 |
| Methylprednisolone | 16 | $135 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Olympia
- Peter WoodOlympia$94K
- William BarrettRenton$7.7M
- James PritchettSeattle$6.4M
- James CrutcherSeattle$3.5M
- Keith MayoSeattle$3.1M
- Matthew SaltzmanSeattle$1.8M
- Tim LovellSpokane$1.8M
- Timothy AltonRenton$1.5M
- Burt YaszaySeattle$1.3M
- Sean ToomeySeattle$1.2M
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.