Cirilo Adao
Addiction Medicine · Lakewood, WANPI 1811920010
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 135 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 21 manufacturers reported payments, led by AbbVie at 45.1% of the total. Reporting peaked in 2021 at $939 and has fallen 69.0% since, to $291 in 2025. Among addiction medicine clinicians in WA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 135 payments — averaging $18.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Otsuka America Pharmaceutical, Inc.$256
- AstraZeneca$251
- Kowa Pharmaceuticals America, Inc.$211
- Amarin Pharma, Inc.$131
- Orexo US, Inc.$86
- plus $473 from 15 others
What the payments were for
- Food & beverage$2,564100%
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 |
|---|---|---|
| AbbVie | 66 | $1,157 |
| Otsuka America Pharmaceutical, Inc. | 15 | $256 |
| AstraZeneca | 9 | $251 |
| Kowa Pharmaceuticals America, Inc. | 10 | $211 |
| Amarin Pharma, Inc. | 7 | $131 |
| Orexo US, Inc. | 5 | $86 |
| Pfizer | 3 | $85 |
| Boehringer Ingelheim | 3 | $60 |
| Lilly USA, LLC | 2 | $46 |
| Merck | 2 | $33 |
| Sunovion Pharmaceuticals Inc. | 2 | $33 |
| Nestle Healthcare Nutrition Inc. | 2 | $31 |
| GSK | 1 | $26 |
| Antares Pharma, Inc. | 1 | $24 |
| Mayne Pharma Commercial LLC | 1 | $24 |
| Exact Sciences | 1 | $22 |
| Alkermes, Inc. | 1 | $22 |
| Johnson & Johnson | 1 | $21 |
| Novo Nordisk | 1 | $18 |
| Indivior Inc. | 1 | $15 |
| Neurocrine Biosciences, Inc. | 1 | $13 |
How this compares
$2,564 in reported general payments places this provider in the 90th percentile of 39 addiction medicine providers in Washington.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| SuboxoneBuprenorphine Hcl/Naloxone Hcl | 13 | $7,342 |
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 11 | $1,565 |
| Atorvastatin Calcium | 86 | $779 |
| Gabapentin | 25 | $742 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 26 | $595 |
| Rosuvastatin Calcium | 50 | $546 |
| Amlodipine Besylate | 64 | $545 |
| Metformin Hcl | 61 | $480 |
| Omeprazole | 13 | $391 |
| Doxepin Hcl | 13 | $374 |
| Losartan Potassium | 59 | $374 |
| Lisinopril | 35 | $322 |
| Metoprolol Succinate | 40 | $321 |
| Levothyroxine Sodium | 38 | $283 |
| Pantoprazole Sodium | 17 | $281 |
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 |
|---|---|---|
| Indivior Inc.Suboxone | $15 | $7,34213 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 90th percentile of 39 addiction medicine providers in Washington.
Other addiction medicine in Lakewood
- Joy Ruiz-MollestonLakewood$6K
- Sadaf AmirLakewood$26
- Mark MurphyGig Harbor$22K
- John PatzMonroe$12K
- David CundiffLong Beach$977
- Jeffrey AllgaierRichland$762
- Tarek HaidarTacoma$758
- Elina ChernyakClarkston$612
- Phyllis HendersonYakima$566
- Kevin FeigBellingham$493
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.