Sara Nikravan, MD
Critical Care Medicine · Seattle, WANPI 1578771689
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $95,051 of the $106,446 with a category attached, or 89.3%. Philips North America LLC accounts for 86.0% of it on its own, with 3 other manufacturers making up the rest. Reporting peaked in 2024 at $69,750 and has fallen 97.7% since, to $1,600 in 2025. Among critical care medicine 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 34 payments — averaging $3130.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Philips North America LLC$91K
- Verathon Inc.$7K
- Fujifilm Sonosite, Inc.$5K
- Siemens Medical Solutions USA, Inc.$3K
What the payments were for
- Consulting fees$95,05189%
- Speaking & faculty fees$11,17510%
- Travel & lodging$2200%
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 |
|---|---|---|
| Philips North America LLC | 19 | $91,496 |
| Verathon Inc. | 4 | $6,525 |
| Fujifilm Sonosite, Inc. | 8 | $5,400 |
| Siemens Medical Solutions USA, Inc. | 3 | $3,025 |
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.
- (4033) US Prof Services$77,000
- Educ Ultrasound$4,900
- (7881) Ultrasound Und$4,900
- B Flex$4,500
- US Und$2,352
- EPIQ CVx$2,124
- SONOSITE PX ULTRASOUND SYSTEM$1,975
- ACUSON Origin Diagnostic Ultrasound System$1,650
- ACUSON Sequoia Diagnostic Ultrasound System$1,375
- Video Laryngoscopes$900
- SONOSITE LX$700
- Sonosite MT$700
- NPD Clinical Study$500
- Trilogy 100$220
How this compares
$106,446 in reported general payments places this provider in the 95th percentile of 115 critical care medicine 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 critical care medicine in Seattle
- Vinay GuptaSeattle$185K
- Michael SouterSeattle$20K
- Oliver McElvaneySeattle$7K
- Sharukh LokhandwalaSeattle$7K
- Raquel BartzSeattle$5K
- Nicholas MarkSeattle$4K
- David AuSeattle$4K
- Pingping SongSeattle$2K
- Rahul SharmaSeattle$1K
- Andrew LimSeattle$936
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.