Carol Wysham, MD
Endocrinology, Diabetes & Metabolism · Spokane, WANPI 1457344541
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (54.6%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 22 manufacturers reported payments, led by Novo Nordisk at 36.2% of the total. Reporting peaked in 2019 at $283,375 and has fallen 55.7% since, to $125,596 in 2025. Among endocrinology, diabetes & metabolism 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 507 payments — averaging $1009.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$185K
- Sanofi-aventis U.S. LLC$114K
- Abbott$72K
- Lilly USA, LLC$40K
- Eli Lilly$37K
- Johnson & Johnson$34K
- plus $29K from 16 others
Across 668 payments — averaging $1637.09 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.
- Eli Lilly$443K
- AbbVie$294K
- Novo Nordisk AS$171K
- Abbott$52K
- Vanda Pharmaceuticals Inc.$46K
- Gilead$26K
- plus $61K from 5 others
What the payments were for
- Consulting fees$138,92527%
- Speaking & faculty fees$279,23355%
- Travel & lodging$77,88015%
- Food & beverage$15,7293%
- Education$250%
- Gifts$590%
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 |
|---|---|---|
| Novo Nordisk | 128 | $185,203 |
| Sanofi-aventis U.S. LLC | 45 | $114,339 |
| Abbott | 159 | $71,787 |
| Lilly USA, LLC | 53 | $40,325 |
| Eli Lilly | 28 | $37,088 |
| Johnson & Johnson | 31 | $34,310 |
| Mannkind Corporation | 12 | $5,950 |
| Boehringer Ingelheim | 11 | $5,669 |
| Cequr Corporation | 4 | $4,861 |
| Dexcom, Inc. | 2 | $3,360 |
| Astrazeneca UK Limited | 5 | $2,709 |
| AstraZeneca | 5 | $2,385 |
| Amgen | 1 | $1,500 |
| Novo Nordisk AS | 4 | $878 |
| Medtronic(2 entities) | 6 | $602 |
| Lexicon Pharmaceuticals, Inc. | 4 | $248 |
| Janssen Scientific Affairs, LLC | 3 | $233 |
| Insulet Corporation | 1 | $156 |
| Corcept Therapeutics | 1 | $84 |
| Tandem Diabetes Care, Inc. | 1 | $73 |
| Kyowa Kirin, Inc. | 2 | $66 |
| Bayer | 1 | $24 |
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.
- Ozempic$93,044
- TOUJEO$66,309
- FREESTYLE LIBRE 3$52,208
- SOLIQUA 100/33$37,042
- INVOKANA$33,876
- MOUNJARO$33,487
- Xultophy 100/3.6$20,059
- Tresiba$18,031
- JARDIANCE$15,642
- Victoza$14,668
- FreeStyle Libre$9,591
- NO PRODUCT DISCUSSED$8,546
- FreeStyle Libre Pro$5,629
- AFREZZA$5,550
- CeQur Simplicity$4,829
- DEXCOM CGM$3,360
- FARXIGA$2,275
- Repatha$1,500
- SAR439954$1,353
- SOTAGLIFLOZIN$737
How this compares
$511,850 in reported general payments places this provider in the 95th percentile of 161 endocrinology, diabetes & metabolism providers in Washington.
See all endocrinology, diabetes & metabolism 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 |
|---|---|---|
| CrysvitaBurosumab-Twza | 13 | $509,388 |
| OzempicSemaglutide | 155 | $238,296 |
| JardianceEmpagliflozin | 126 | $103,201 |
| MounjaroTirzepatide | 42 | $72,931 |
| CreonLipase/Protease/Amylase | 12 | $65,618 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 24 | $42,402 |
| Teriparatide | 14 | $35,532 |
| GenotropinSomatropin | 20 | $34,976 |
| Tresiba Flextouch U-100Insulin Degludec | 42 | $34,934 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 11 | $30,050 |
| Fiasp FlextouchInsulin Aspart (Niacinamide) | 25 | $27,208 |
| Humalog Kwikpen U-200Insulin Lispro | 11 | $23,604 |
| Novolog FlexpenInsulin Aspart | 52 | $18,112 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 24 | $14,221 |
| Synjardy XrEmpagliflozin/Metformin Hcl | 21 | $13,707 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Kyowa Kirin, Inc.Crysvita | $66 | $509,38813 claims |
| Novo NordiskOzempic, Novolog | $185,203 | $248,745177 claims |
| Boehringer IngelheimJardiance, Synjardy Xr | $5,669 | $116,908147 claims |
| Lilly USA, LLCMounjaro, Humalog, Insulin Lispro | $40,325 | $82,86596 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 161 endocrinology, diabetes & metabolism providers in Washington.
Other endocrinology, diabetes & metabolism in Spokane
- Lynn KohlmeierSpokane$518K
- Harold CathcartSpokane$5K
- Mihaela CosmaSpokane$5K
- Puneet DhillonSpokane$3K
- Jeffrey HartmanSpokane$2K
- Michael ShannonLacey$698K
- Bruce WilsonRichland$352K
- Irl HirschSeattle$192K
- Biju KunhiramanYakima$118K
- Nicole EhrhardtSeattle$111K
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.