Jamie Litvack
Otolaryngology · Everett, WANPI 1487809703
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,300 of the $4,964 with a category attached, or 66.5%. 13 manufacturers reported payments, led by Medtronic at 39.9% of the total. Reporting peaked in 2024 at $1,796 and has fallen 85.7% since, to $258 in 2025. Among otolaryngology 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 49 payments — averaging $101.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$2K
- Aerin Medical Inc.$2K
- Intersect ENT, Inc.$359
- Arrinex, Inc.$252
- Regeneron Healthcare Solutions, Inc.$217
- NICO Corporation$185
- plus $302 from 7 others
What the payments were for
- Travel & lodging$1,56632%
- Food & beverage$3,30066%
- Education$982%
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 |
|---|---|---|
| Medtronic(2 entities) | 20 | $1,979 |
| Aerin Medical Inc. | 12 | $1,670 |
| Intersect ENT, Inc. | 5 | $359 |
| Arrinex, Inc. | 2 | $252 |
| Regeneron Healthcare Solutions, Inc. | 2 | $217 |
| NICO Corporation | 1 | $185 |
| Integra Lifesciences Corporation | 1 | $123 |
| Stryker | 1 | $46 |
| Boehringer Ingelheim | 1 | $37 |
| Cook Medical LLC | 1 | $37 |
| Sanofi | 1 | $26 |
| Acclarent, Inc | 1 | $18 |
| Eisai Inc. | 1 | $15 |
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.
- VIVAER STYLUS$1,266
- STEALTHSTATION S8 PLATFORM$602
- PROPEL$496
- RHINAER STYLUS$457
- NUVENT$357
- CLARIFIX$252
- FUSION$231
- NICO AUTOMATED PRESERVATION SYSTEM$185
- NICO BRAINPATH$185
- NICO MENIGLIDE$185
- NICO SECUREHOLD$185
- NICO FLUID SYSTEM$185
- PTEYE PARATHYROID DETECTION SYSTEM$159
- CODMAN CERTAS$123
- CUSA CLARITY$123
- DURAGEN$123
- DURASEAL EXACT$123
- CODMAN HAKIM PRECISION VALVE$123
- DUPIXENT$118
How this compares
$4,964 in reported general payments places this provider in the 90th percentile of 254 otolaryngology 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 |
|---|---|---|
| Ipratropium Bromide | 33 | $714 |
| Ofloxacin | 20 | $675 |
| Azelastine Hcl | 33 | $629 |
| Omeprazole | 36 | $623 |
| Mupirocin | 64 | $589 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 21 | $405 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 22 | $326 |
| Fluticasone Propionate | 20 | $165 |
| Montelukast Sodium | 16 | $97 |
| Ondansetron OdtOndansetron | 12 | $57 |
| Oxycodone Hcl | 11 | $24 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Everett
- Jeffrey AdamsEverett$3K
- Fariha FaridEverett$3K
- Carlos GreenEverett$2K
- Greg DavisPuyallup$531K
- Ian HumphreysSeattle$43K
- Douglas BackousPuyallup$36K
- Craig MillerSeattle$24K
- Sachin GuptaSeattle$23K
- Sharon CushingSeattle$19K
- Ronald KruegerMukilteo$19K
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.