David Hou, MD
Pain Medicine · Puyallup, WANPI 1346342706
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 94.1% of the total across 186 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 9 manufacturers reported payments, led by Nevro Corp. at 45.0% of the total.
Across 186 payments — averaging $74.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nevro Corp.$6K
- Medtronic$4K
- Boston Scientific$1K
- Abbott$908
- Globus Medical$830
- Saluda Medical Americas, Inc.$300
- plus $436 from 3 others
What the payments were for
- Travel & lodging$8206%
- Food & beverage$13,02494%
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 |
|---|---|---|
| Nevro Corp. | 74 | $6,230 |
| Medtronic(2 entities) | 75 | $4,007 |
| Boston Scientific | 10 | $1,133 |
| Abbott | 8 | $908 |
| Globus Medical | 9 | $830 |
| Saluda Medical Americas, Inc. | 6 | $300 |
| Relievant Medsystems, Inc. | 2 | $184 |
| Stryker | 1 | $175 |
| Nalu Medical, Inc. | 1 | $77 |
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.
- Senza$2,040
- INTELLIS ADAPTIVESTIM$1,939
- Senza Spinal Cord Stimulation System$1,912
- Omnia$1,483
- Intracept$695
- ETERNA$681
- GENERAL PAIN MANAGEMENT$310
- INCEPTIV$274
- SPECTRA WAVEWRITER$257
- WaveWriter Alpha Prime 16$199
- PROCLAIM$198
- IVAS$175
- AVAFLEX$175
- INTELLIS$171
- Vanta$170
- Evoke$167
- TARGETSTIM$145
- ADAPTIVESTIM$142
- Senza II$135
How this compares
$13,844 in reported general payments places this provider in the 85th percentile of 124 pain medicine 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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 99 | $634 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 130 | $604 |
| Gabapentin | 39 | $571 |
| Oxycodone Hcl | 52 | $207 |
| Hydromorphone Hcl | 12 | $39 |
| Tramadol Hcl | 16 | $25 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Puyallup
- Christina JulianPuyallup$7K
- Jennifer LeeKirkland$318K
- Steven StanosSeattle$206K
- Corrie AndersonSeattle$102K
- Gregory TermanSeattle$95K
- Caroline HarstroemEverett$74K
- Sloane YuVancouver$42K
- Praveen MambalamEdmonds$32K
- Miroslav BackonjaSeattle$22K
- Ross VogelgesangOlympia$21K
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.