Daniel Coulston
Critical Care Medicine · Spokane, WANPI 1437178266
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 1 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Every reported general payment came from a single manufacturer, Gilead. That places this record below the midpoint for critical care medicine clinicians in WA, where the typical reported total is $138.
Across 1 payment — averaging $125.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Gilead$125
Across 174 payments — averaging $11,762 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.
- Merck$808K
- Grifols Therapeutics LLC$791K
- Gilead$430K
- AbbVie$13K
- Boehringer Ingelheim$5K
What the payments were for
- Food & beverage$125100%
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.
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 |
|---|---|---|
| Gilead | 1 | $125 |
How this compares
$125 in reported general payments places this provider in the 45th percentile of 115 critical care medicine providers in Washington.
Other critical care medicine in Spokane
- Steven RichardsonSpokane$594
- Jeremy MullaveySpokane$377
- Vinay GuptaSeattle$185K
- Sara NikravanSeattle$106K
- Michael SouterSeattle$20K
- Ravinder ShergillVancouver$16K
- Oliver McElvaneySeattle$7K
- Sharukh LokhandwalaSeattle$7K
- Kurt JensenTacoma$6K
- Raquel BartzSeattle$5K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.