Lynette Tsai, MD
Obstetrics & Gynecology · Honolulu, HINPI 1124133988
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.6% of the total across 257 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 23 manufacturers reported payments, led by Amgen at 35.8% of the total. Reporting peaked in 2019 at $1,442 and has fallen 54.9% since, to $650 in 2025. Among obstetrics & gynecology clinicians in HI 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 257 payments — averaging $24.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$2K
- Astellas Pharma US Inc$734
- Radius Health, Inc.$720
- AbbVie$673
- Bayer$463
- Covidien LP$280
- plus $1K from 17 others
What the payments were for
- Food & beverage$6,30099%
- Education$921%
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 |
|---|---|---|
| Amgen | 98 | $2,292 |
| Astellas Pharma US Inc | 23 | $734 |
| Radius Health, Inc. | 27 | $720 |
| AbbVie | 35 | $673 |
| Bayer | 23 | $463 |
| Covidien LP | 3 | $280 |
| Pfizer | 8 | $155 |
| Roche Diagnostics Corporation | 4 | $132 |
| Exeltis, USA Inc. | 7 | $129 |
| Avanos Medical | 1 | $121 |
| Hologic Sales And Service, LLC | 4 | $117 |
| Merck | 5 | $95 |
| Applied Medical Resources Corporation | 1 | $87 |
| Revance Therapeutics, Inc. | 3 | $74 |
| Agile Therapeutics, Inc. | 3 | $61 |
| Organon | 3 | $54 |
| Myovant Sciences Inc. | 2 | $49 |
| Coopersurgical, Inc. | 2 | $44 |
| Intuitive Surgical | 1 | $38 |
| Therapeuticsmd, Inc. | 1 | $23 |
| Merz North America, Inc. | 1 | $20 |
| Johnson & Johnson | 1 | $18 |
| Sumitomo Pharma America, Inc. | 1 | $13 |
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.
- EVENITY$267
- TruClear$133
- Veozah$125
- ON-Q* PUMP AND ACCESSORIES$121
- AbsorbaTack$120
- Tymlos$118
- Prolia$116
- Orilissa$102
How this compares
$6,393 in reported general payments places this provider in the 95th percentile of 225 obstetrics & gynecology providers in Hawaii.
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 |
|---|---|---|
| ProliaDenosumab | 126 | $217,345 |
| TymlosAbaloparatide | 11 | $29,920 |
| PremarinEstrogens, Conjugated | 29 | $13,663 |
| Raloxifene Hcl | 65 | $10,547 |
| YuvafemEstradiol | 27 | $5,173 |
| Ibandronate Sodium | 56 | $4,204 |
| Alendronate Sodium | 78 | $1,630 |
| Estradiol | 25 | $1,318 |
| ValacyclovirValacyclovir Hcl | 17 | $726 |
| Nystatin | 30 | $371 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 12 | $229 |
| Triamcinolone Acetonide | 32 | $143 |
| Ciprofloxacin Hcl | 18 | $112 |
| Misoprostol | 11 | $23 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AmgenProlia | $2,292 | $217,345126 claims |
| Radius Health, Inc.Tymlos | $720 | $29,92011 claims |
| PfizerPremarin | $155 | $13,66329 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 95th percentile of 225 obstetrics & gynecology providers in Hawaii.
Other obstetrics & gynecology in Honolulu
- Richard McCartinHonolulu$32K
- Tricia WrightHonolulu$22K
- Bradley SakaguchiHonolulu$11K
- Harry YoshinoHonolulu$7K
- Franklin DaoHonolulu$5K
- Bliss KaneshiroHonolulu$5K
- Kurt YoshinoHonolulu$4K
- Cheryl Lynn RudyHonolulu$4K
- Gary KimotoHonolulu$4K
- Cheryl LeialohaHonolulu$3K
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.