RxDoctor Payments Data

Salpy Pamboukian, MD

Advanced Heart Failure and Transplant Cardiology · Seattle, WANPI 1689607863

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $3,600 of the $4,529 with a category attached, or 79.5%. Medtronic accounts for 79.5% of it on its own, with 3 other manufacturers making up the rest. 2023 is the largest year on record at $3,600, more than ten times the $20 reported in 2019.

$4,529in general payments, 2019–2025

Across 11 payments — averaging $411.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$4K
  • Abbott$907
  • Novartis$20
  • United Therapeutics Corporation$3
$63,823in research payments, 2019–2025

Across 13 payments — averaging $4909.48 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Amgen$24K
  • Medtronic$18K
  • Boston Scientific$18K
  • Abbott$4K

What the payments were for

  • Speaking & faculty fees$3,60079%
  • Travel & lodging$82418%
  • Food & beverage$1032%
  • Education$30%

General payments by program year

19
21
22
23

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.

CompanyPaymentsTotal
Medtronic1$3,600
Abbott8$907
Novartis1$20
United Therapeutics Corporation1$3

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.

How this compares

$4,529 in reported general payments places this provider in the 60th percentile of 20 advanced heart failure and transplant cardiology providers in Washington.

See all advanced heart failure and transplant cardiology providers in Washington

Medicare billing

Part B allowed, 2024
$58,673
Medicare patients
147
Services billed
613

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
VyndamaxTafamidis11$285,943
EntrestoSacubitril/Valsartan97$146,766
JardianceEmpagliflozin90$112,352
EliquisApixaban84$96,840
CorlanorIvabradine Hcl13$19,910
Tacrolimus71$12,611
FarxigaDapagliflozin Propanediol11$12,102
Sirolimus17$9,252
Mycophenolic AcidMycophenolate Sodium27$5,892
Bumetanide17$4,165
Dapsone45$3,910
Eplerenone23$2,320
Metoprolol Succinate103$2,231
Potassium Chloride54$1,499
Torsemide64$1,451

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
NovartisEntresto$20$146,76697 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 60th percentile of 20 advanced heart failure and transplant cardiology providers in Washington.

Other advanced heart failure and transplant cardiology in Seattle

See the full list for Washington

Where these figures come from

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