Carl Garabedian, MD
Pediatric Cardiology · Spokane, WANPI 1083666127
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (40.8%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 7 manufacturers reported payments, led by Edwards Lifesciences at 30.2% of the total. Reporting peaked in 2022 at $3,608 and has fallen 92.0% since, to $288 in 2025.
Across 52 payments — averaging $193.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Edwards Lifesciences$3K
- Medtronic$2K
- Abbott$2K
- Bayer$2K
- Merck$62
- Renata Medical, Inc.$24
- plus $21 from 1 others
Across 13 payments — averaging $887.62 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.
- Abbott$12K
What the payments were for
- Consulting fees$4,10041%
- Travel & lodging$3,62536%
- Food & beverage$2,31423%
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 |
|---|---|---|
| Edwards Lifesciences | 2 | $3,030 |
| Medtronic(2 entities) | 26 | $2,444 |
| Abbott | 19 | $2,359 |
| Bayer | 1 | $2,100 |
| Merck | 2 | $62 |
| Renata Medical, Inc. | 1 | $24 |
| Actelion Pharmaceuticals US, Inc. | 1 | $21 |
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.
- Adempas$2,100
- AMPLATZER$1,415
- Melody$1,386
- AMPLATZER PICCOLO$422
- HARMONY$163
How this compares
$10,039 in reported general payments places this provider in the 85th percentile of 49 pediatric cardiology 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 |
|---|---|---|
| Tadalafil | 12 | $20,875 |
| LanoxinDigoxin | 12 | $10,804 |
| Metoprolol Succinate | 15 | $197 |
| JantovenWarfarin Sodium | 11 | $82 |
Paid to pharmacies, not to this prescriber.
Other pediatric cardiology in Spokane
- Steven HealanSpokane$4K
- Charles AndersonSpokane$344
- Jennifer PlymaleSpokane$134
- Richard JensenSpokane$128
- Dean LorimerSpokane$76
- Hrair GarabedianSpokane$12
- Thomas JonesSeattle$721K
- Brian MorraySeattle$183K
- Michael PortmanSeattle$48K
- Patrick SullivanSeattle$47K
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.