Raul Dominguiano, MD
Family Medicine · Ephrata, WANPI 1083731947
Payments from drug & device makers
Across 98 payments — averaging $19.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boehringer Ingelheim$435
- Pfizer$231
- GSK$223
- Lilly USA, LLC$214
- AstraZeneca$180
- Amgen$144
- plus $475 from 10 others
What the payments were for
- Food & beverage$1,895100%
- Education$70%
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 |
|---|---|---|
| Boehringer Ingelheim | 23 | $435 |
| Pfizer | 11 | $231 |
| GSK | 13 | $223 |
| Lilly USA, LLC | 7 | $214 |
| AstraZeneca | 12 | $180 |
| Amgen | 6 | $144 |
| Sanofi-aventis U.S. LLC | 6 | $119 |
| Mylan Specialty L.p. | 4 | $63 |
| Merck | 4 | $63 |
| Teva Pharmaceuticals USA, Inc. | 3 | $56 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $47 |
| Novartis | 2 | $45 |
| Supernus Pharmaceuticals, Inc. | 2 | $27 |
| Johnson & Johnson | 1 | $23 |
| Novo Nordisk | 1 | $20 |
| Hikma Pharmaceuticals USA | 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.
- JARDIANCE$111
How this compares
$1,902 in reported general payments places this provider in the 90th 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 | 43 | $45,411 |
| XareltoRivaroxaban | 27 | $30,783 |
| JardianceEmpagliflozin | 23 | $29,895 |
| MyrbetriqMirabegron | 12 | $16,911 |
| Spiriva HandihalerTiotropium Bromide | 18 | $15,556 |
| TrulicityDulaglutide | 11 | $15,548 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 16 | $14,708 |
| FarxigaDapagliflozin Propanediol | 11 | $10,348 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 11 | $6,036 |
| SymbicortBudesonide/Formoterol Fumarate | 19 | $5,600 |
| Gabapentin | 151 | $3,883 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 113 | $3,783 |
| Atorvastatin Calcium | 300 | $3,651 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 25 | $2,482 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 20 | $2,383 |
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 | $231 | $45,41143 claims |
| Johnson & JohnsonXarelto | $23 | $30,78327 claims |
| Boehringer IngelheimJardiance | $435 | $29,89523 claims |
| GSKTrelegy Ellipta, Anoro Ellipta | $223 | $20,74527 claims |
| AstraZenecaFarxiga, Symbicort | $180 | $15,94830 claims |
| Lilly USA, LLCTrulicity | $214 | $15,54811 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 90th percentile of 2,275 family medicine providers in Washington.
Other family medicine in Ephrata
- 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.