Ryu Yoshida, MD
Hand Surgery · Snoqualmie, WANPI 1720348162
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (50.9%), travel and lodging and education — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Arthrex at 28.4% of the total.
Across 71 payments — averaging $135.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$3K
- Trimed, Inc.$2K
- Acumed LLC$1K
- Micromed Inc$1K
- Endo Pharmaceuticals Inc.$553
- Skeletal Dynamics Inc$311
- plus $1K from 10 others
What the payments were for
- Travel & lodging$2,54727%
- Food & beverage$4,88851%
- Education$2,17223%
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 |
|---|---|---|
| Arthrex | 16 | $2,729 |
| Trimed, Inc. | 11 | $2,490 |
| Acumed LLC | 6 | $1,321 |
| Micromed Inc | 7 | $1,103 |
| Endo Pharmaceuticals Inc. | 14 | $553 |
| Skeletal Dynamics Inc | 1 | $311 |
| Axogen | 5 | $306 |
| Polynovo North America LLC | 2 | $275 |
| Bioventus LLC | 1 | $122 |
| Sonex Health, Inc. | 1 | $100 |
| Saxum Surgical, Inc. | 1 | $91 |
| Zimmer Biomet | 1 | $71 |
| Checkpoint Surgical, Inc | 2 | $54 |
| Integra Lifesciences Corporation | 1 | $38 |
| Convatec Inc. | 1 | $24 |
| Ultragenyx Pharmaceutical Inc. | 1 | $20 |
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.
- Tools - WFS$1,606
- Anatomic Radial Head System$972
- Elbow Plating System$972
- Acu-Loc Wrist Plating System$500
- XIAFLEX$372
- Total Wrist Fusion Plating System$372
- Osteotomy System$372
- Geminus$311
- Align$311
- IJS$311
- Implate$311
- Acutrak Headless Compression Screw System$257
- Novosorb BTM$195
- Hand Fracture System$129
- AxoGuard Nerve Protector$128
- AxoGuard Nerve Connector$128
- AVANCE NERVE GRAFT$123
- Exogen$122
- Sx-One Microknife$100
How this compares
$9,607 in reported general payments places this provider in the 80th percentile of 75 hand surgery 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 |
|---|---|---|
| Ibuprofen | 25 | $81 |
| Cephalexin | 11 | $44 |
| Meloxicam | 14 | $42 |
| Oxycodone Hcl | 16 | $32 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Snoqualmie
- Thomas TrumbleBellevue$824K
- Jerry HuangSeattle$428K
- Mary ThayerBellevue$51K
- Chelsea BoeSeattle$32K
- Anthony LauderLongview$19K
- Julie RobertsFederal Way$19K
- Gregory ByrdOlympia$17K
- Chad TurnerSpokane Valley$17K
- Benjamin JacobsVancouver$16K
- Marijke DevosSilverdale$15K
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.