Pedro Manibusan, DO
Gastroenterology · Tripler Army Medical Center, HINPI 1073799722
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,023 of the $3,110 with a category attached, or 65.1%. Boston Scientific accounts for 69.6% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2022 at $1,578 and has fallen 71.1% since, to $456 in 2025.
Across 37 payments — averaging $84.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$2K
- AbbVie$616
- Takeda Pharmaceuticals U.S.A., Inc.$140
- Covidien LP$93
- Sanofi$56
- Madrigal Pharmaceuticals$20
- plus $20 from 1 others
What the payments were for
- Travel & lodging$1,07735%
- Food & beverage$2,02365%
- Education$100%
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 |
|---|---|---|
| Boston Scientific | 21 | $2,164 |
| AbbVie | 7 | $616 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $140 |
| Covidien LP | 2 | $93 |
| Sanofi | 2 | $56 |
| Madrigal Pharmaceuticals | 1 | $20 |
| Pfizer | 1 | $20 |
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.
- SPYGLASS$1,077
- GENERAL - THERAPIES$146
- Rinvoq$125
- Skyrizi$123
- EXALT Model D$118
- GATTEX$113
- Humira$109
- ORISE$105
How this compares
$3,110 in reported general payments places this provider in the 70th percentile of 71 gastroenterology 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.
Other gastroenterology in Tripler Army Medical Center
- Cyrus EdelsonTripler Army Medical Center$2K
- John LeeTripler Army Medical Center$689
- Azfar SyedTripler Army Medical Center$122
- Naoky TsaiKailua$587K
- Russell YangHonolulu$244K
- Roland TerHonolulu$37K
- Robert JaoKailua$28K
- Shelini SooklalWailuku$21K
- Aaron SmallAiea$20K
- Daniel ChanEwa Beach$17K
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.