Noeru Okamura, DO
Family Medicine · Olympia, WANPI 1588058200
Payments from drug & device makers
Across 52 payments — averaging $19.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$229
- Boehringer Ingelheim$118
- Dexcom, Inc.$115
- Lilly USA, LLC$73
- Pfizer$61
- Teva Pharmaceuticals USA, Inc.$58
- plus $341 from 12 others
What the payments were for
- Food & beverage$995100%
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 |
|---|---|---|
| Amgen | 13 | $229 |
| Boehringer Ingelheim | 6 | $118 |
| Dexcom, Inc. | 1 | $115 |
| Lilly USA, LLC | 4 | $73 |
| Pfizer | 4 | $61 |
| Teva Pharmaceuticals USA, Inc. | 4 | $58 |
| Novo Nordisk | 3 | $54 |
| Astellas Pharma US Inc | 2 | $40 |
| Johnson & Johnson | 2 | $38 |
| Merck | 3 | $35 |
| GSK | 2 | $33 |
| AstraZeneca | 2 | $28 |
| Phadia US Inc. | 1 | $22 |
| Otsuka America Pharmaceutical, Inc. | 1 | $22 |
| Novartis | 1 | $19 |
| Mylan Specialty L.p. | 1 | $18 |
| Radius Health, Inc. | 1 | $15 |
| Sanofi-aventis U.S. LLC | 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.
How this compares
$995 in reported general payments places this provider in the 80th percentile of 2,275 family 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 |
|---|---|---|
| EliquisApixaban | 95 | $106,241 |
| OzempicSemaglutide | 72 | $79,896 |
| JardianceEmpagliflozin | 59 | $45,163 |
| TrulicityDulaglutide | 29 | $32,064 |
| MounjaroTirzepatide | 31 | $28,768 |
| XareltoRivaroxaban | 15 | $25,622 |
| MyrbetriqMirabegron | 39 | $21,648 |
| FarxigaDapagliflozin Propanediol | 24 | $21,537 |
| EntrestoSacubitril/Valsartan | 16 | $15,615 |
| Tresiba Flextouch U-100Insulin Degludec | 14 | $11,416 |
| Arnuity ElliptaFluticasone Furoate | 44 | $10,277 |
| Atorvastatin Calcium | 550 | $7,776 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 27 | $5,272 |
| VascepaIcosapent Ethyl | 17 | $5,234 |
| Gabapentin | 215 | $5,130 |
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, Paxlovid | $61 | $107,670110 claims |
| Novo NordiskOzempic | $54 | $79,89672 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $73 | $60,83360 claims |
| Boehringer IngelheimJardiance | $118 | $45,16359 claims |
| Johnson & JohnsonXarelto | $38 | $25,62215 claims |
| Astellas Pharma US IncMyrbetriq | $40 | $21,64839 claims |
| AstraZenecaFarxiga | $28 | $21,53724 claims |
| NovartisEntresto | $19 | $15,61516 claims |
| GSKArnuity Ellipta | $33 | $10,27744 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 80th percentile of 2,275 family medicine providers in Washington.
Other family medicine in Olympia
- Anton GraschWenatchee$5.3M
- Gaylon KippBellevue$4.8M
- Steven KasterWenatchee$4M
- Angela EakinSpokane$3M
- Jonathan StabenCheney$2.5M
- Emily ZaragozaSeattle$1.9M
- Brad FrandsenPort Orchard$1.7M
- Kevin HatfieldSeattle$527K
- Steven SmithAuburn$438K
- John RobinsonEdmonds$425K
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.