Nathan Sneddon, MD
Pain Medicine · Spokane Valley, WANPI 1427232925
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (53.3%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. It is spread thinly across 30 manufacturers, the largest accounting for just 17.4%. Reporting peaked in 2022 at $7,410 and has fallen 84.0% since, to $1,189 in 2025. Among pain medicine 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 296 payments — averaging $66.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$3K
- Relievant Medsystems, Inc.$3K
- Nevro Corp.$3K
- Vertos Medical, Inc.$2K
- Stimwave Technologies Incorporated$2K
- Boston Scientific$1K
- plus $4K from 24 others
Across 10 payments — averaging $22,047 each. An ownership or investment interest held by the physician or an immediate family member.
- Spinal Simplicity, LLC$220K
What the payments were for
- Consulting fees$1431%
- Travel & lodging$9,04446%
- Food & beverage$10,48253%
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 |
|---|---|---|
| Abbott | 25 | $3,420 |
| Relievant Medsystems, Inc. | 23 | $3,271 |
| Nevro Corp. | 66 | $2,958 |
| Vertos Medical, Inc. | 12 | $2,488 |
| Stimwave Technologies Incorporated | 14 | $1,692 |
| Boston Scientific | 45 | $1,457 |
| MML US, Inc. | 7 | $1,000 |
| Stryker | 5 | $898 |
| AbbVie(2 entities) | 21 | $525 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 15 | $239 |
| Biotronik NRO, Inc. | 2 | $229 |
| Collegium Pharmaceutical, Inc. | 18 | $220 |
| Ipsen Biopharmaceuticals, Inc | 8 | $208 |
| Alphatec Spine, Inc | 1 | $168 |
| Medtronic(2 entities) | 3 | $154 |
| Saluda Medical Americas, Inc. | 1 | $141 |
| Nalu Medical, Inc. | 3 | $116 |
| Pfizer | 5 | $101 |
| Biodelivery Sciences International, Inc. | 8 | $100 |
| Si-bone, Inc. | 2 | $57 |
| SPR Therapeutics, Inc | 1 | $52 |
| Amgen | 1 | $31 |
| Fidia Pharma USA Inc. | 2 | $31 |
| Lilly USA, LLC | 2 | $26 |
| Lundbeck LLC | 1 | $17 |
| Corcept Therapeutics | 1 | $16 |
| Scilex Pharmaceuticals Inc. | 1 | $15 |
| Johnson & Johnson | 1 | $14 |
| Teva Pharmaceuticals USA, Inc. | 1 | $13 |
| Biohaven Pharmaceuticals, Inc. | 1 | $12 |
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.
- Intracept$5,441
- PROCLAIM$2,560
- mild Device Kit$2,139
- CFNS StimQ Peripheral Nerve StimulatorSystem$1,533
- SCS FreedonSpinal Cord Stimulator$1,533
- ReActiv8$829
- SPINEJACK$696
- Senza Spinal Cord Stimulation System$628
- Omnia$248
- Prospera$229
- Invictus MIS$168
- SPECTRA WAVEWRITER$147
- Evoke$141
- Senza$140
- KYPHON EXPRESS II KYPHOPAK TRAY$135
- PROTG$105
- GENERAL PAIN MANAGEMENT$104
- AVAFLEX$102
How this compares
$19,670 in reported general payments places this provider in the 90th percentile of 124 pain medicine 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 |
|---|---|---|
| Duloxetine Hcl | 31 | $419 |
| RizatriptanRizatriptan Benzoate | 12 | $348 |
| Oxycodone Hcl | 15 | $127 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $124 |
| Cephalexin | 18 | $52 |
| Diazepam | 18 | $50 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Spokane Valley
- Gregory CrispSpokane Valley$9K
- Timothy DibbleSpokane Valley$3K
- Ryan BurklundSpokane Valley$3K
- Jennifer LeeKirkland$318K
- Steven StanosSeattle$206K
- Corrie AndersonSeattle$102K
- Gregory TermanSeattle$95K
- Caroline HarstroemEverett$74K
- Sloane YuVancouver$42K
- Praveen MambalamEdmonds$32K
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.