Peter Billing
Surgery · Kirkland, WANPI 1801817028
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (38.7%), other and consulting fees — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by Medtronic at 31.2% of the total. 2025 is the largest year on record at $45,444, 2.3 times the $19,571 reported in 2019. Among surgery clinicians in WA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 196 payments — averaging $557.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$34K
- Merit Medical Systems Inc$23K
- Reshape Lifesciences Inc.$18K
- Intuitive Surgical$17K
- Senseonics, Incorporated$5K
- Novo Nordisk$4K
- plus $9K from 12 others
What the payments were for
- Consulting fees$16,79815%
- Speaking & faculty fees$42,33039%
- Travel & lodging$5,6675%
- Food & beverage$8,5368%
- Education$13,88013%
- Gifts$160%
- Other$22,02320%
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 |
|---|---|---|
| Medtronic | 91 | $34,044 |
| Merit Medical Systems Inc | 4 | $22,947 |
| Reshape Lifesciences Inc. | 8 | $17,585 |
| Intuitive Surgical | 38 | $16,860 |
| Senseonics, Incorporated | 6 | $5,360 |
| Novo Nordisk | 17 | $3,811 |
| Covidien LP | 1 | $3,600 |
| Johnson & Johnson | 9 | $1,575 |
| Enterra Medical, Inc. | 3 | $1,387 |
| Medical Device Business Services, Inc. | 1 | $1,300 |
| Ascensia Diabetes Care US Inc. | 3 | $287 |
| Apollo Endosurgery US Inc | 3 | $194 |
| Davol Inc. | 2 | $126 |
| Lilly USA, LLC | 4 | $71 |
| Currax Pharmaceuticals LLC | 3 | $41 |
| Mentor Worldwide LLC | 1 | $38 |
| Shire North American Group Inc | 1 | $19 |
| Heron Therapeutics, Inc. | 1 | $4 |
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.
- DAVINCI XI$13,750
- Eversense$5,360
- Da Vinci Surgical System$2,619
- Signia$2,343
- ECHELON ENDOPATH$2,275
- Echelon Flex$1,544
- LigaSure$1,210
- TIF$558
- Wegovy$380
- Sonicision$160
- Signet$147
- AccuVac$126
- Saxenda$125
How this compares
$109,249 in reported general payments places this provider in the 95th percentile of 549 surgery providers in Washington.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| MounjaroTirzepatide | 69 | $72,548 |
| OzempicSemaglutide | 18 | $17,615 |
| Ondansetron OdtOndansetron | 19 | $204 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro | $71 | $72,54869 claims |
| Novo NordiskOzempic | $3,811 | $17,61518 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 95th percentile of 549 surgery providers in Washington.
Other surgery in Kirkland
- Andrew LudwigKirkland$24K
- Matthew KleinSeattle$328K
- Kevin CliveSilverdale$289K
- Adnan AlseidiSeattle$240K
- Prakash GattaTacoma$212K
- Aileen HwangIssaquah$195K
- Rajeev MisraSilverdale$183K
- Amir BastawrousSeattle$131K
- Alejandro ArnoldCovington$131K
- Brandon VanderwelShoreline$125K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.