Samuel Rayner, MD
Pulmonary Disease · Seattle, WANPI 1982993606
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $4,825 of the $5,072 with a category attached, or 95.1%. 6 manufacturers reported payments, led by Verathon Inc. at 49.3% of the total. Reporting peaked in 2021 at $1,680 and has fallen 98.5% since, to $25 in 2025.
Across 12 payments — averaging $422.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Verathon Inc.$3K
- Fujifilm Sonosite, Inc.$2K
- Medtronic$167
- Merck$44
- Bayer$31
- United Therapeutics Corporation$5
Across 5 payments — averaging $40,000 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.
- Bayer$100K
- United Therapeutics Corporation$100K
What the payments were for
- Consulting fees$4,82595%
- Food & beverage$2475%
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 |
|---|---|---|
| Verathon Inc. | 4 | $2,500 |
| Fujifilm Sonosite, Inc. | 3 | $2,325 |
| Medtronic | 1 | $167 |
| Merck | 2 | $44 |
| Bayer | 1 | $31 |
| United Therapeutics Corporation | 1 | $5 |
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.
- SONOSITE PX ULTRASOUND SYSTEM$1,625
- B Flex$1,500
- SONOSITE LX$700
- BFLEX$500
- ONE TOUCH SMART CABLE$500
- Avalus$167
How this compares
$5,072 in reported general payments places this provider in the 80th percentile of 275 pulmonary disease 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 |
|---|---|---|
| UptraviSelexipag | 87 | $1,855,354 |
| Tyvaso DpiTreprostinil | 44 | $994,377 |
| Ambrisentan | 213 | $551,716 |
| OpsumitMacitentan | 43 | $548,813 |
| Orenitram ErTreprostinil Diolamine | 24 | $370,772 |
| AdempasRiociguat | 28 | $342,243 |
| Tadalafil | 59 | $38,534 |
| Bosentan | 13 | $16,179 |
| Sildenafil Citrate | 103 | $10,741 |
| Torsemide | 105 | $2,023 |
| Potassium Chloride | 91 | $1,229 |
| Nifedipine ErNifedipine | 12 | $319 |
| Spironolactone | 21 | $119 |
| Furosemide | 22 | $98 |
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 |
|---|---|---|
| BayerAdempas | $31 | $342,24328 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 80th percentile of 275 pulmonary disease providers in Washington.
Other pulmonary disease in Seattle
- Jed GordenSeattle$236K
- Oneil BainsSeattle$156K
- Ganesh RaghuSeattle$147K
- Jeffrey CarySeattle$106K
- Amy DickeySeattle$71K
- Lawrence HoSeattle$70K
- Christopher GossSeattle$44K
- Reena MehraSeattle$36K
- Rebecca SellSeattle$30K
- Peter LearySeattle$27K
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.