Ryan Strilaeff, MD
Vascular & Interventional Radiology · Longview, WANPI 1093193492
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,519 of the $3,170 with a category attached, or 79.5%. 8 manufacturers reported payments, led by Inari Medical, Inc. at 50.4% of the total. Reporting peaked in 2024 at $1,423 and has fallen 78.8% since, to $301 in 2025.
Across 64 payments — averaging $49.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inari Medical, Inc.$2K
- Penumbra, Inc.$650
- Medtronic$285
- Stryker$281
- Terumo Medical Corporation$156
- Balt USA, LLC$93
- plus $108 from 2 others
What the payments were for
- Travel & lodging$50016%
- Food & beverage$2,51979%
- Education$1515%
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 |
|---|---|---|
| Inari Medical, Inc. | 30 | $1,596 |
| Penumbra, Inc. | 10 | $650 |
| Medtronic(2 entities) | 3 | $285 |
| Stryker | 15 | $281 |
| Terumo Medical Corporation | 2 | $156 |
| Balt USA, LLC | 1 | $93 |
| Bard Peripheral Vascular, Inc. | 1 | $70 |
| Pfizer | 2 | $38 |
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.
- FLOWTRIEVER CATHETER, S$1,147
- CT THROMBECTOMY SYSTEM KIT$1,147
- Indigo System$266
- MVP$151
- PROGREAT$125
- RUBY Coil$120
- FlowTriever$104
- Concerto$101
How this compares
$3,170 in reported general payments places this provider in the 65th percentile of 110 vascular & interventional radiology providers in Washington.
See all vascular & interventional radiology 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.
Other vascular & interventional radiology in Longview
- Rodney RaabeSpokane$2.4M
- Jayson BrowerSpokane$783K
- Jeffrey ChickSeattle$184K
- Sanjiv ParikhSeattle$143K
- Aparna BahetiTacoma$91K
- Douglas MurreySpokane$70K
- Karim ValjiSeattle$53K
- Kenneth SymingtonSpokane$45K
- Christopher ZylakSpokane$43K
- David LiuPoint Roberts$35K
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.