Ryan Barnes, MD
Physical Medicine & Rehabilitation · Spokane, WANPI 1992933881
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 33 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 17 manufacturers, the largest accounting for just 14.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $332 and has fallen 55.6% since, to $147 in 2025.
Across 33 payments — averaging $24.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sawtooth Surgical Solutions Inc$118
- Alnylam Pharmaceuticals Inc.$104
- Merz Pharmaceuticals, LLC$95
- AbbVie$64
- Ipsen Biopharmaceuticals, Inc$55
- Collegium Pharmaceutical, Inc.$55
- plus $302 from 11 others
What the payments were for
- Food & beverage$792100%
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 |
|---|---|---|
| Sawtooth Surgical Solutions Inc | 1 | $118 |
| Alnylam Pharmaceuticals Inc. | 1 | $104 |
| Merz Pharmaceuticals, LLC | 3 | $95 |
| AbbVie(2 entities) | 3 | $64 |
| Ipsen Biopharmaceuticals, Inc | 2 | $55 |
| Collegium Pharmaceutical, Inc. | 3 | $55 |
| Novartis | 4 | $48 |
| Amneal Pharmaceuticals LLC | 3 | $41 |
| Teva Pharmaceuticals USA, Inc. | 3 | $36 |
| Johnson & Johnson | 2 | $33 |
| Biodelivery Sciences International, Inc. | 2 | $30 |
| Greenwich Biosciences, Inc. | 1 | $23 |
| AstraZeneca | 1 | $22 |
| Pfizer | 1 | $20 |
| Medtronic | 1 | $19 |
| Avanir Pharmaceuticals, Inc. | 1 | $15 |
| Zyla Life Sciences, Inc. | 1 | $14 |
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.
- ONPATTRO$104
How this compares
$792 in reported general payments places this provider in the 75th percentile of 260 physical medicine & rehabilitation providers in Washington.
See all physical medicine & rehabilitation 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 |
|---|---|---|
| BelbucaBuprenorphine Hcl | 42 | $40,976 |
| NucyntaTapentadol Hcl | 29 | $37,583 |
| OxycontinOxycodone Hcl | 14 | $30,474 |
| Buprenorphine | 39 | $8,546 |
| Buprenorphine Hcl | 101 | $4,674 |
| Lidocaine | 20 | $2,989 |
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 19 | $2,883 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 55 | $2,658 |
| Duloxetine Hcl | 132 | $2,093 |
| Tramadol Hcl | 146 | $2,055 |
| Tramadol Hcl ErTramadol Hcl | 26 | $1,910 |
| Baclofen | 49 | $1,815 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 66 | $1,722 |
| Pregabalin | 91 | $1,319 |
| Tizanidine Hcl | 64 | $784 |
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 |
|---|---|---|
| Collegium Pharmaceutical, Inc.Belbuca, Nucynta | $55 | $78,55971 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 75th percentile of 260 physical medicine & rehabilitation providers in Washington.
Other physical medicine & rehabilitation in Spokane
- Karen StanekSpokane$19K
- Ross BogeySpokane$4K
- Aaron KingSpokane$3K
- Patrick SotoSpokane$3K
- John LongSpokane$2K
- Natalie CooperSpokane$1K
- Nassim RadSeattle$231K
- Nelson HagerTacoma$186K
- Martin ChildersSeattle$170K
- Theodore BrownKirkland$62K
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.