Nathan Sautter, MD
Otolaryngology · Olympia, WANPI 1457472961
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,431 of the $3,387 with a category attached, or 71.8%. 21 manufacturers reported payments, led by Medical Device Business Services, Inc. at 28.2% of the total. Among otolaryngology clinicians in WA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 68 payments — averaging $49.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$956
- Medtronic$515
- Aerin Medical Inc.$396
- Intersect ENT, Inc.$350
- Integra Lifesciences Corporation$205
- GSK$194
- plus $771 from 15 others
What the payments were for
- Travel & lodging$95628%
- Food & beverage$2,43172%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 3 | $956 |
| Medtronic(2 entities) | 8 | $515 |
| Aerin Medical Inc. | 7 | $396 |
| Intersect ENT, Inc. | 6 | $350 |
| Integra Lifesciences Corporation | 2 | $205 |
| GSK | 9 | $194 |
| Acclarent, Inc | 3 | $139 |
| Sanofi | 4 | $105 |
| Alk-abello, Inc | 5 | $98 |
| Kaleo, Inc. | 4 | $73 |
| Regeneron Healthcare Solutions, Inc. | 3 | $69 |
| Inspire Medical Systems, Inc. | 3 | $62 |
| Stryker | 1 | $44 |
| Optinose US, Inc. | 2 | $39 |
| Med-el Corporation | 2 | $33 |
| Merz North America, Inc. | 1 | $22 |
| Merck | 1 | $20 |
| Hologic Sales And Service, LLC | 1 | $18 |
| Smith+Nephew | 1 | $17 |
| Novartis | 1 | $17 |
| Olympus America Inc. | 1 | $15 |
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.
- VIVAER STYLUS$246
- RHINAER STYLUS$246
- Acclarent Aera$172
- FUSION$124
- TruDi Nav Cable$110
- NUVENT$108
How this compares
$3,387 in reported general payments places this provider in the 90th 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 |
|---|---|---|
| Ipratropium Bromide | 214 | $6,752 |
| Azelastine Hcl | 112 | $3,749 |
| Fluticasone Propionate | 127 | $1,867 |
| Ofloxacin | 34 | $1,656 |
| Omeprazole | 97 | $1,044 |
| Desonide | 22 | $590 |
| Montelukast Sodium | 70 | $512 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 30 | $449 |
| Nortriptyline Hcl | 22 | $415 |
| Mupirocin | 32 | $278 |
| Acetic Acid | 11 | $255 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 34 | $253 |
| Pantoprazole Sodium | 15 | $239 |
| Gabapentin | 21 | $234 |
| Prednisone | 62 | $169 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Olympia
- Sung-Won KimOlympia$3K
- Matthew JungOlympia$3K
- Greg DavisPuyallup$531K
- Ian HumphreysSeattle$43K
- Douglas BackousPuyallup$36K
- Craig MillerSeattle$24K
- Sachin GuptaSeattle$23K
- Sharon CushingSeattle$19K
- Ronald KruegerMukilteo$19K
- Eric WatermanBellevue$15K
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.