RxDoctor Payments Data

Michael Cruz, MD

Plastic Surgery within the Head & Neck · Spokane, WANPI 1083665145

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $20,800 of the $25,485 with a category attached, or 81.6%. GSK accounts for 85.0% of it on its own, with 11 other manufacturers making up the rest. 2025 is the largest year on record at $19,978, more than ten times the $626 reported in 2019. Among plastic surgery within the head & neck 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.

$25,485in general payments, 2019–2025

Across 82 payments — averaging $310.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • GSK$22K
  • Aerin Medical Inc.$896
  • Stryker$780
  • Regeneron$647
  • Intersect ENT, Inc.$370
  • AstraZeneca$364
  • plus $762 from 6 others

What the payments were for

  • Consulting fees$4002%
  • Speaking & faculty fees$20,80082%
  • Travel & lodging$1791%
  • Food & beverage$4,10616%

General payments by program year

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
GSK27$21,666
Aerin Medical Inc.6$896
Stryker12$780
Regeneron6$647
Intersect ENT, Inc.5$370
AstraZeneca11$364
Sanofi5$362
Medtronic(2 entities)2$142
Neurent Medical Limited2$99
Arrinex, Inc.1$78
Optinose US, Inc.3$53
Regeneron Healthcare Solutions, Inc.2$28

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

$25,485 in reported general payments places this provider in the 95th percentile of 21 plastic surgery within the head & neck providers in Washington.

See all plastic surgery within the head & neck providers in Washington

Medicare billing

Part B allowed, 2024
$149,898
Medicare patients
192
Services billed
779

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

DrugClaimsCost to plans & patients
Ipratropium Bromide233$6,815
Fluticasone Propionate35$685
Mupirocin27$297
Cephalexin20$276
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav22$235
Prednisone41$227
Azithromycin19$212
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen47$202
Methylprednisolone16$140
Acetaminophen-CodeineAcetaminophen With Codeine19$59
Levofloxacin13$54

Paid to pharmacies, not to this prescriber.

Other plastic surgery within the head & neck in Spokane

See the full list for Washington

Where these figures come from

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