Calista Comstock, PA
Physician Assistant · Kennewick, WANPI 1720240401
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $5,230 of the $7,090 with a category attached, or 73.8%. 7 manufacturers reported payments, led by Abbott at 38.2% of the total. Reporting peaked in 2023 at $4,603 and has fallen 98.0% since, to $93 in 2025. Among physician assistant 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 53 payments — averaging $133.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$3K
- Boston Scientific$2K
- Nevro Corp.$2K
- Si-bone, Inc.$885
- Medtronic$267
- SPR Therapeutics, Inc$37
- plus $28 from 1 others
What the payments were for
- Speaking & faculty fees$2704%
- Travel & lodging$5,23074%
- Food & beverage$1,59022%
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 |
|---|---|---|
| Abbott | 8 | $2,705 |
| Boston Scientific | 15 | $1,602 |
| Nevro Corp. | 15 | $1,566 |
| Si-bone, Inc. | 6 | $885 |
| Medtronic | 7 | $267 |
| SPR Therapeutics, Inc | 1 | $37 |
| Averitas Pharma Inc. | 1 | $28 |
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.
- PROCLAIM$2,696
- Senza$1,174
- IFUSE IMPLANT SYSTEM$700
- Intracept$431
How this compares
$7,090 in reported general payments places this provider in the 95th percentile of 2,741 physician assistant 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 |
|---|---|---|
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 35 | $4,021 |
| Celecoxib | 25 | $947 |
| Gabapentin | 36 | $601 |
| Pregabalin | 16 | $281 |
| Duloxetine Hcl | 12 | $181 |
| Meloxicam | 35 | $170 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 12 | $68 |
| Triazolam | 15 | $14 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Kennewick
- Kellie DuarteKennewick$11K
- Jill KandoraShoreline$437K
- Jeannette HartRichland$263K
- Lance KeckTacoma$162K
- Erinn KingSeattle$129K
- Christy VathSeattle$75K
- Scott TaylorMercer Island$71K
- Gina FragioneGraham$69K
- Regan BrownSpokane$56K
- Justin ChapinSeattle$40K
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.