George Shanno, MD
Neurological Surgery · Vancouver, WANPI 1295780278
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,736 of the $8,170 with a category attached, or 70.2%. It is spread thinly across 28 manufacturers, the largest accounting for just 21.6%.
Across 126 payments — averaging $64.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alphatec Spine, Inc$2K
- Providence Medical Technology, Inc.$1K
- Microvention, Inc.$1K
- Globus Medical$997
- Johnson & Johnson$542
- Seaspine Orthopedics Corporation$417
- plus $2K from 22 others
What the payments were for
- Royalty or licence$87511%
- Travel & lodging$1,46018%
- Food & beverage$5,73670%
- Education$991%
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 |
|---|---|---|
| Alphatec Spine, Inc | 11 | $1,761 |
| Providence Medical Technology, Inc. | 20 | $1,212 |
| Microvention, Inc. | 14 | $1,210 |
| Globus Medical | 17 | $997 |
| Johnson & Johnson | 8 | $542 |
| Seaspine Orthopedics Corporation | 5 | $417 |
| Medtronic(2 entities) | 12 | $379 |
| Orthofix Medical, Inc. | 3 | $258 |
| Cerapedics Inc. | 7 | $222 |
| Brainlab, Inc. | 1 | $199 |
| Zimmer Biomet | 3 | $171 |
| Kuros Biosciences USA, Inc | 1 | $170 |
| Surgenex LLC | 1 | $168 |
| Imperative Care, Inc | 3 | $76 |
| Penumbra, Inc. | 5 | $70 |
| Qapel Medical Inc | 2 | $43 |
| Smith+Nephew | 2 | $38 |
| Icotec Medical Inc. | 1 | $37 |
| Kaneka Medical America LLC | 1 | $30 |
| Route 92 Medical, Inc. | 1 | $29 |
| Left Coast Surgical Inc | 1 | $26 |
| Microtransponder, Inc. | 1 | $22 |
| Biocomposites Inc | 1 | $19 |
| Zimvie Inc. | 1 | $17 |
| Terumo Medical Corporation | 1 | $16 |
| Abbott | 1 | $16 |
| Surgalign Spine Technologies, Inc. | 1 | $15 |
| AstraZeneca | 1 | $14 |
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.
- Other - Miscellaneous$723
- WEB Aneurysm Embolization System$577
- STENT$569
- Battalion TLIF - PC$290
- Chaperon Guiding Catheter$285
- Image Guided Surgical Device$199
- ZYFUSE$196
- MagnetOs$170
- SurGraft$168
- SurMatrix$168
- ArdeoGraft$168
- PelloGraft$168
- RenoGraft$168
- INVICTUS OPEN$149
- Solus ALIF$142
- 7D Surgical FLASH Frame$136
- Invictus MIS$132
- Embotrap$131
- SOFIA 6F-131CM STR$128
- Sentio$127
How this compares
$8,170 in reported general payments places this provider in the 70th percentile of 175 neurological surgery 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 |
|---|---|---|
| Methylprednisolone | 24 | $156 |
| Gabapentin | 22 | $152 |
| Cyclobenzaprine Hcl | 42 | $149 |
| Ibuprofen | 35 | $146 |
| Meloxicam | 30 | $104 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 31 | $93 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Vancouver
- Rod OskouianSeattle$2.4M
- Christoph HofstetterSeattle$768K
- David YamBrush Prairie$471K
- Stephen MonteithSeattle$151K
- Allan HellerSpokane$132K
- Jean-Christophe LevequeSeattle$120K
- Vijay YanamadalaSeattle$85K
- Hoan Vu TranSeattle$78K
- Martin RutkowskiSeattle$62K
- Debra SteeleRichland$61K
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.