Michael Rutledge, MD
Cardiovascular Disease · Wailuku, HINPI 1265624167
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 47 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 18 manufacturers, the largest accounting for just 20.2% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $409 and has fallen 90.8% since, to $37 in 2025. That places this record below the midpoint for cardiovascular disease clinicians in HI, where the typical reported total is $1,979.
Across 47 payments — averaging $21.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abiomed$201
- Johnson & Johnson$200
- Novartis$137
- E.r. Squibb & Sons, L.L.C.$55
- Pfizer$54
- Astellas Pharma US Inc$46
- plus $303 from 12 others
What the payments were for
- Food & beverage$997100%
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 |
|---|---|---|
| Abiomed | 3 | $201 |
| Johnson & Johnson | 11 | $200 |
| Novartis | 10 | $137 |
| E.r. Squibb & Sons, L.L.C. | 2 | $55 |
| Pfizer | 3 | $54 |
| Astellas Pharma US Inc | 2 | $46 |
| Atricure, Inc. | 2 | $37 |
| Boston Scientific | 2 | $37 |
| Akcea Therapeutics, Inc. | 2 | $37 |
| AstraZeneca | 2 | $32 |
| Medtronic | 1 | $31 |
| Boehringer Ingelheim | 1 | $26 |
| Amarin Pharma, Inc. | 1 | $24 |
| Merck | 1 | $19 |
| Cardiovascular Systems Inc. | 1 | $17 |
| Sanofi-aventis U.S. LLC | 1 | $16 |
| Portola Pharmaceuticals, LLC | 1 | $13 |
| Cvrx, 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.
- Impella$134
How this compares
$997 in reported general payments places this provider in the 25th percentile of 73 cardiovascular disease 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 |
|---|---|---|
| EliquisApixaban | 81 | $49,179 |
| BrilintaTicagrelor | 24 | $13,968 |
| EntrestoSacubitril/Valsartan | 20 | $11,991 |
| Clonidine | 21 | $1,952 |
| ClopidogrelClopidogrel Bisulfate | 40 | $992 |
| Atorvastatin Calcium | 120 | $842 |
| Amlodipine Besylate | 164 | $702 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 29 | $578 |
| Hydralazine Hcl | 56 | $501 |
| Metoprolol Succinate | 51 | $486 |
| Lisinopril | 80 | $433 |
| Carvedilol | 90 | $394 |
| Rosuvastatin Calcium | 29 | $375 |
| Losartan Potassium | 69 | $372 |
| Potassium Chloride | 28 | $355 |
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 |
|---|---|---|
| PfizerEliquis | $54 | $49,17981 claims |
| AstraZenecaBrilinta | $32 | $13,96824 claims |
| NovartisEntresto | $137 | $11,99120 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 25th percentile of 73 cardiovascular disease providers in Hawaii.
Other cardiovascular disease in Wailuku
- Pamela GordonWailuku$3K
- Anil PunjabiWailuku$3K
- Amanda MarnWailuku$2K
- Wazhma AslamyWailuku$2K
- Kimble PoonWailuku$2K
- Howard BarbaroshWailuku$2K
- Jay ParikhWailuku$861
- Dipanjan BanerjeeHonolulu$331K
- Ryan SmithKaneohe$125K
- Ramy BadawiKailua$78K
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.