RxDoctor Payments Data

Nazem Akoum, MD

Clinical Cardiac Electrophysiology · Seattle, WANPI 1265627095

Payments from drug & device makers

What this record shows

The money is spread across several categories — travel and lodging (55.6%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. Boston Scientific accounts for 71.0% of it on its own, with 5 other manufacturers making up the rest. That places this record below the midpoint for clinical cardiac electrophysiology clinicians in WA, where the typical reported total is $7,912.

$6,076in general payments, 2019–2025

Across 33 payments — averaging $184.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Boston Scientific$4K
  • Acutus Medical, Inc.$877
  • Abbott$507
  • Sanofi-aventis U.S. LLC$196
  • Medtronic$103
  • Novo Nordisk$78
$321,310in research payments, 2019–2025

Across 30 payments — averaging $10,710 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Philips North America LLC$264K
  • Boston Scientific$57K

What the payments were for

  • Consulting fees$1,25021%
  • Travel & lodging$3,37656%
  • Food & beverage$1,37923%
  • Education$701%

General payments by program year

19
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.

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

$6,076 in reported general payments places this provider in the 45th percentile of 68 clinical cardiac electrophysiology providers in Washington.

See all clinical cardiac electrophysiology providers in Washington

Medicare billing

Part B allowed, 2024
$134,253
Medicare patients
631
Services billed
1,148

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
EliquisApixaban120$176,775
XareltoRivaroxaban33$49,158
Metoprolol Succinate55$859
Amiodarone Hcl36$637

Paid to pharmacies, not to this prescriber.

Other clinical cardiac electrophysiology in Seattle

See the full list for Washington

Where these figures come from

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