Joseph Labrum, MD
Orthopaedic Surgery · Spokane Valley, WANPI 1639554330
Payments from drug & device makers
What this record shows
The money is spread across several categories — grants (46.2%), education and travel and lodging — rather than concentrated in one kind of arrangement. 15 manufacturers reported payments, led by Arthrex at 57.3% of the total. Reporting peaked in 2020 at $24,557 and has fallen 78.8% since, to $5,199 in 2025. Among orthopaedic surgery 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 144 payments — averaging $346.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$29K
- Smith+Nephew$8K
- Summit Surgical Corp.$4K
- Sawtooth Surgical Solutions Inc$3K
- DJO, LLC$3K
- Stryker$2K
- plus $2K from 9 others
What the payments were for
- Speaking & faculty fees$1,2503%
- Grants$23,00046%
- Travel & lodging$8,37517%
- Food & beverage$4,7169%
- Education$12,49325%
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 |
|---|---|---|
| Arthrex | 67 | $28,575 |
| Smith+Nephew | 5 | $7,574 |
| Summit Surgical Corp. | 14 | $4,214 |
| Sawtooth Surgical Solutions Inc | 20 | $3,024 |
| DJO, LLC | 4 | $3,000 |
| Stryker | 11 | $1,725 |
| Zimmer Biomet | 5 | $520 |
| CGG Medical Inc | 2 | $346 |
| Medtronic | 2 | $231 |
| Left Coast Surgical Inc | 1 | $173 |
| Integra Lifesciences Corporation | 3 | $170 |
| Vericel Corporation | 5 | $132 |
| Johnson & Johnson(2 entities) | 3 | $92 |
| Skeletal Dynamics Inc | 1 | $31 |
| Solventum Corporation | 1 | $25 |
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
$49,833 in reported general payments places this provider in the 90th percentile of 495 orthopaedic 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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 147 | $1,137 |
| Gabapentin | 158 | $1,013 |
| Ondansetron OdtOndansetron | 98 | $746 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 43 | $429 |
| Meloxicam | 41 | $108 |
| Tramadol Hcl | 11 | $46 |
| Amoxicillin | 30 | $24 |
| Prednisone | 11 | $18 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Spokane Valley
- Miguel SchmitzSpokane Valley$304K
- William BarrettRenton$7.7M
- James PritchettSeattle$6.4M
- James CrutcherSeattle$3.5M
- Keith MayoSeattle$3.1M
- Matthew SaltzmanSeattle$1.8M
- Tim LovellSpokane$1.8M
- Timothy AltonRenton$1.5M
- Burt YaszaySeattle$1.3M
- Sean ToomeySeattle$1.2M
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.