Lorena de Marco Garcia, MD
Vascular Surgery · Yakima, WANPI 1265744577
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (50.8%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. Inari Medical, Inc. accounts for 93.6% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2022 at $26,283 and has fallen 97.5% since, to $646 in 2025. Among vascular 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 119 payments — averaging $500.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inari Medical, Inc.$56K
- Medtronic$815
- W. L. Gore & Associates, Inc.$727
- Stryker$646
- Boston Scientific$448
- Cook Medical LLC$230
- plus $925 from 11 others
What the payments were for
- Consulting fees$30,25051%
- Speaking & faculty fees$18,17131%
- Travel & lodging$3,8656%
- Food & beverage$6,57711%
- Education$6541%
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 |
|---|---|---|
| Inari Medical, Inc. | 55 | $55,728 |
| Medtronic(2 entities) | 19 | $815 |
| W. L. Gore & Associates, Inc. | 5 | $727 |
| Stryker | 6 | $646 |
| Boston Scientific | 9 | $448 |
| Cook Medical LLC | 5 | $230 |
| Silk Road Medical, Inc. | 3 | $198 |
| Tactile Systems Technology Inc | 3 | $166 |
| KCI USA, Inc. | 1 | $155 |
| Bolton Medical Inc | 1 | $148 |
| Johnson & Johnson | 2 | $76 |
| Smith+Nephew | 3 | $49 |
| Shockwave Medical, Inc | 1 | $39 |
| Lemaitre Vascular, Inc. | 2 | $36 |
| Organogenesis Inc. | 2 | $35 |
| EKOS Corporation | 1 | $18 |
| Penumbra, Inc. | 1 | $4 |
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.
- FLOWTRIEVER CATHETER, S$55,271
- CT THROMBECTOMY SYSTEM KIT$54,909
- C3 Delivery System$347
- ENDURANT IIS$311
- CLOTTRIEVER BOLD CATHETER$281
- ARTIX MT$263
- EXCLUDER Iliac Branch Endoprosthesis$232
- ACTIVAC$155
- SNAP$155
- VAC VERAFLO$155
- PREVENA$155
- Relay Grafts$148
- FlowTriever$142
- ClotTriever$142
- VENOUS WALLSTENT$139
- Flexitouch Plus$137
- ENTRE$137
- ENROUTE Transcarotid Stent$133
- ENROUTE Transcarotid Neuroprotection System$133
- VIABAHN VBX Balloon Expandable Endoprosthesis$120
How this compares
$59,518 in reported general payments places this provider in the 90th percentile of 111 vascular 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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 19 | $236 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Yakima
- Benjamin StarnesSeatle$666K
- Kathleen GibsonBellevue$593K
- Brian FerrisBellevue$170K
- Sara ZettervallSeattle$126K
- Paul HayesSeattle$83K
- Elina QuirogaSeattle$69K
- Mark MeissnerSeattle$43K
- Stephen MurraySpokane$38K
- Niten SinghSeattle$33K
- Matthew SweetSeattle$28K
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.