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.
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
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 |
|---|---|---|
| GSK | 27 | $21,666 |
| Aerin Medical Inc. | 6 | $896 |
| Stryker | 12 | $780 |
| Regeneron | 6 | $647 |
| Intersect ENT, Inc. | 5 | $370 |
| AstraZeneca | 11 | $364 |
| Sanofi | 5 | $362 |
| Medtronic(2 entities) | 2 | $142 |
| Neurent Medical Limited | 2 | $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.
- NUCALA$21,291
- VIVAER STYLUS$704
- RHINAER STYLUS$704
- DUPIXENT$586
- CLARIFIX CRYOTHERAPY DEVICE$257
- LATERA$257
- SCOPIS ENT$170
- TEZSPIRE$123
- PROPEL$117
- SINUVA$109
- FASENRA$107
- XPRESS ENT DILATION SYSTEM$107
- NASAL POLYPOSIS - DISEASE$100
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
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 |
|---|---|---|
| Ipratropium Bromide | 233 | $6,815 |
| Fluticasone Propionate | 35 | $685 |
| Mupirocin | 27 | $297 |
| Cephalexin | 20 | $276 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 22 | $235 |
| Prednisone | 41 | $227 |
| Azithromycin | 19 | $212 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 47 | $202 |
| Methylprednisolone | 16 | $140 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 19 | $59 |
| Levofloxacin | 13 | $54 |
Paid to pharmacies, not to this prescriber.
Other plastic surgery within the head & neck in Spokane
- Jeffrey BunnSpokane$2K
- Neal FutranSeattle$40K
- Kristen MoeSeattle$16K
- Scott BevansTacoma$9K
- Joseph BellairsFederal Way$8K
- Wayne LarrabeeSeattle$4K
- Seth SchwartzSeattle$4K
- Justin PavlovichTacoma$4K
- Nigel DenisBurien$3K
- Brittany BarberSeattle$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.