RxDoctor Payments Data

Griffith Liang, MD

Pulmonary Disease · Spokane, WANPI 1891737748

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $7,980 of the $12,723 with a category attached, or 62.7%. 26 manufacturers reported payments, led by Intuitive Surgical at 31.0% of the total. Reporting peaked in 2024 at $6,243 and has fallen 69.3% since, to $1,914 in 2025. Among pulmonary disease 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.

$12,723in general payments, 2019–2025

Across 378 payments — averaging $33.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Intuitive Surgical$4K
  • AstraZeneca$2K
  • GSK$1K
  • Covidien LP$931
  • United Therapeutics Corporation$742
  • Boehringer Ingelheim$737
  • plus $3K from 20 others

What the payments were for

  • Travel & lodging$2,01516%
  • Food & beverage$7,98063%
  • Education$2,72821%

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

20
21
22
23
24
25

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.

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.

How this compares

$12,723 in reported general payments places this provider in the 90th percentile of 275 pulmonary disease providers in Washington.

See all pulmonary disease providers in Washington

Medicare billing

Part B allowed, 2024
$122,710
Medicare patients
500
Services billed
1,720

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

DrugClaimsCost to plans & patients
Trelegy ElliptaFluticasone/Umeclidin/Vilanter854$706,344
Breztri AerosphereBudesonide/Glycopyr/Formoterol339$307,796
Spiriva RespimatTiotropium Bromide222$164,943
Stiolto RespimatTiotropium Br/Olodaterol Hcl202$140,034
Breo ElliptaFluticasone/Vilanterol162$82,055
Advair HfaFluticasone Propion/Salmeterol100$54,093
SymbicortBudesonide/Formoterol Fumarate107$45,961
Spiriva HandihalerTiotropium Bromide59$42,548
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr73$40,941
DuleraMometasone/Formoterol61$34,773
Incruse ElliptaUmeclidinium Bromide75$34,056
Fluticasone-SalmeterolFluticasone Propion/Salmeterol192$32,149
Albuterol Sulfate HfaAlbuterol Sulfate664$25,515
Combivent RespimatIpratropium/Albuterol Sulfate25$17,077
EliquisApixaban24$16,188

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.

CompanyPaid to this providerPart D cost of their drugs
GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Incruse Ellipta, Arnuity Ellipta$1,053$871,0191,186 claims
AstraZenecaBreztri Aerosphere, Symbicort, Bevespi Aerosphere, Daliresp$1,928$371,363479 claims
Boehringer IngelheimSpiriva Respimat, Stiolto Respimat, Combivent Respimat$737$322,054449 claims
MerckDulera$170$34,77361 claims
PfizerEliquis$73$16,18824 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 275 pulmonary disease providers in Washington.

Other pulmonary disease in Spokane

See the full list for Washington

Where these figures come from

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