Mamie Higgins, MD
Otolaryngology · Seattle, WANPI 1558707927
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 38 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 11 manufacturers reported payments, led by Acclarent, Inc at 32.1% of the total.
Across 38 payments — averaging $62.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acclarent, Inc$758
- Stryker$423
- Medtronic$328
- Intersect ENT, Inc.$315
- Integra Lifesciences Corporation$125
- Sanofi$102
- plus $312 from 5 others
What the payments were for
- Food & beverage$2,363100%
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 |
|---|---|---|
| Acclarent, Inc | 20 | $758 |
| Stryker | 5 | $423 |
| Medtronic(2 entities) | 2 | $328 |
| Intersect ENT, Inc. | 3 | $315 |
| Integra Lifesciences Corporation | 2 | $125 |
| Sanofi | 1 | $102 |
| Amgen | 1 | $101 |
| 3-d Matrix, Inc. | 1 | $83 |
| Phadia US Inc. | 1 | $72 |
| GSK | 1 | $36 |
| Optinose US, Inc. | 1 | $20 |
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.
- PROPEL$297
- TruDi Nav Cable$270
- DUPIXENT$205
- FUSION$167
- XPRESS LOPROFILE$162
- 1788$138
- ACCLARENT NAVWIRE Sinus Navigation Guidewire$118
- TEZSPIRE$101
How this compares
$2,363 in reported general payments places this provider in the 80th 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 |
|---|---|---|
| Fluticasone Propionate | 188 | $2,119 |
| Ipratropium Bromide | 62 | $1,578 |
| Azelastine Hcl | 38 | $1,514 |
| Mupirocin | 106 | $976 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 43 | $461 |
| Doxycycline Hyclate | 31 | $330 |
| Ciprofloxacin Hcl | 13 | $99 |
| Oxycodone Hcl | 31 | $53 |
| Prednisone | 16 | $37 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Seattle
- Ian HumphreysSeattle$43K
- Craig MillerSeattle$24K
- Sachin GuptaSeattle$23K
- Sharon CushingSeattle$19K
- Albert MeratiSeattle$9K
- Alexander ChiuSeattle$9K
- Lucy ShiSeattle$4K
- Zain RizviSeattle$4K
- Mien Chi ChenSeattle$3K
- Rocco FerrandinoSeattle$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.