Jin Lo Tomblin, PA
Surgical · Spokane, WANPI 1356315808
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (51.1%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 94.8% of it on its own, with 9 other manufacturers making up the rest. 2025 is the largest year on record at $20,233, more than ten times the $16 reported in 2022. Among surgical clinicians in WA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 51 payments — averaging $406.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$20K
- Getinge USA Sales, LLC$279
- Abiomed$225
- Medtronic$144
- Abbott$129
- Actelion Pharmaceuticals US, Inc.$128
- plus $181 from 4 others
What the payments were for
- Speaking & faculty fees$2,00010%
- Travel & lodging$6,28030%
- Food & beverage$1,8499%
- Education$10,60051%
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 |
|---|---|---|
| Intuitive Surgical | 34 | $19,644 |
| Getinge USA Sales, LLC | 7 | $279 |
| Abiomed | 2 | $225 |
| Medtronic | 1 | $144 |
| Abbott | 1 | $129 |
| Actelion Pharmaceuticals US, Inc. | 1 | $128 |
| Sawtooth Surgical Solutions Inc | 1 | $93 |
| Atricure, Inc. | 2 | $44 |
| Zimmer Biomet | 1 | $27 |
| W. L. Gore & Associates, Inc. | 1 | $16 |
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.
- Da Vinci Surgical System$19,105
- Avalus$144
- Perclose ProStyle$129
- UPTRAVI$128
- OPSUMIT$128
How this compares
$20,729 in reported general payments places this provider in the 95th percentile of 404 surgical 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 Hcl | 16 | $73 |
| Metoprolol Tartrate | 13 | $55 |
| ClopidogrelClopidogrel Bisulfate | 12 | $42 |
| Potassium Chloride | 14 | $40 |
| Furosemide | 15 | $18 |
Paid to pharmacies, not to this prescriber.
Other surgical in Spokane
- James GarciaSpokane$3K
- Kurt KohlerSpokane$3K
- Sara GussenhovenSpokane$2K
- Gretchen ThornerYakima$612K
- Jana FlenerRenton$93K
- Jeffrey StepanianKirkland$52K
- Philip HujdicRenton$17K
- Mark MashitaEverett$16K
- Lee Or RutenbergSeattle$13K
- Wesley SumrallBremerton$8K
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.