RxDoctor Payments Data

Robert Hustrulid, MD

Internal Medicine · Spokane, WANPI 1528079217

Payments from drug & device makers

$405in general payments, 2019–2025

Across 15 payments — averaging $27.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Sumitomo Pharma America, Inc.$176
  • Astellas Pharma US Inc$100
  • Amgen$50
  • Takeda Pharmaceuticals U.S.A., Inc.$28
  • Lilly USA, LLC$26
  • AbbVie$14
  • plus $13 from 1 others

What the payments were for

  • Food & beverage$30575%
  • Education$10025%

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

19
21
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.

How this compares

$405 in reported general payments places this provider in the 80th percentile of 2,038 internal medicine providers in Washington.

See all internal medicine providers in Washington

Medicare billing

Part B allowed, 2024
$133,032
Medicare patients
139
Services billed
1,971

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
XareltoRivaroxaban32$35,581
EliquisApixaban24$26,766
FarxigaDapagliflozin Propanediol17$21,636
MyrbetriqMirabegron21$14,721
JardianceEmpagliflozin14$9,393
OzempicSemaglutide11$8,327
Nebivolol Hcl82$4,296
Estradiol32$2,429
Levothyroxine Sodium155$1,893
Omeprazole75$1,613
Tadalafil12$1,299
Pantoprazole Sodium76$1,291
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen36$1,197
Losartan Potassium122$1,171
Tamsulosin Hcl82$1,151

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.

CompanyPaid to this providerPart D cost of their drugs
Johnson & JohnsonXarelto$13$35,58132 claims
Astellas Pharma US IncMyrbetriq$100$14,72121 claims
Lilly USA, LLCOlanzapine$26$20117 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 2,038 internal medicine providers in Washington.

Other internal medicine in Spokane

See the full list for Washington

Where these figures come from

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