Ryan Stern, MD
Otolaryngology · Federal Way, WANPI 1487754941
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (58.9%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Aerin Medical Inc. at 59.7% of the total. 2025 is the largest year on record at $6,623, 3.7 times the $1,771 reported in 2019. Among otolaryngology 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 170 payments — averaging $86.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Aerin Medical Inc.$9K
- Medtronic$2K
- Intersect ENT, Inc.$2K
- Stryker$1K
- Arrinex, Inc.$139
- GSK$70
- plus $173 from 7 others
What the payments were for
- Consulting fees$5,80039%
- Travel & lodging$2702%
- Food & beverage$8,69759%
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 |
|---|---|---|
| Aerin Medical Inc. | 90 | $8,819 |
| Medtronic(2 entities) | 33 | $2,425 |
| Intersect ENT, Inc. | 17 | $1,890 |
| Stryker | 18 | $1,252 |
| Arrinex, Inc. | 1 | $139 |
| GSK | 3 | $70 |
| Boston Scientific | 2 | $57 |
| Novartis | 1 | $23 |
| 180 Medical, Inc. | 1 | $21 |
| Merck | 1 | $20 |
| Mckesson Medical-surgical, Inc. | 1 | $19 |
| Alk-abello, Inc | 1 | $17 |
| Neurent Medical Limited | 1 | $16 |
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.
- VIVAER STYLUS$6,936
- PROPEL$1,703
- RHINAER STYLUS$1,136
- SINUVA$1,006
- FUSION$447
- NUVENT$442
- SCOPIS ENT$305
- AUDION ET DILATION SYSTEM$267
- STEALTHSTATION S8 PLATFORM$224
- XPRESS ENT DILATION SYSTEM$177
- PHOTONBLADE$148
- CLARIFIX$139
- XPRESS LOPROFILE$132
- PTEYE PARATHYROID DETECTION SYSTEM$107
How this compares
$14,767 in reported general payments places this provider in the 95th percentile of 254 otolaryngology 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 |
|---|---|---|
| Ipratropium Bromide | 211 | $4,272 |
| Azelastine Hcl | 150 | $3,429 |
| Fluocinolone Acetonide Oil | 45 | $1,987 |
| Pantoprazole Sodium | 40 | $615 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 31 | $390 |
| Methylprednisolone | 48 | $385 |
| Fluticasone Propionate | 27 | $316 |
| CefuroximeCefuroxime Axetil | 13 | $212 |
| Ondansetron OdtOndansetron | 33 | $154 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 16 | $99 |
| Azithromycin | 27 | $92 |
| Prednisone | 29 | $91 |
| Levofloxacin | 11 | $76 |
| Clonidine Hcl | 67 | $70 |
| Lorazepam | 60 | $66 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Federal Way
- Dick HoistadFederal Way$2K
- Greg DavisPuyallup$531K
- Ian HumphreysSeattle$43K
- Douglas BackousPuyallup$36K
- Craig MillerSeattle$24K
- Sachin GuptaSeattle$23K
- Sharon CushingSeattle$19K
- Ronald KruegerMukilteo$19K
- Eric WatermanBellevue$15K
- Todd BerinsteinVancouver$14K
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.