RxDoctor Payments Data

Sean Toomey, MD

Orthopaedic Surgery · Seattle, WANPI 1003876343

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $1,017,202 of the $1,185,645 with a category attached, or 85.8%. Stryker accounts for 99.9% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2019 at $286,548 and has fallen 67.1% since, to $94,154 in 2025. Among orthopaedic surgery 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.

$1,185,645in general payments, 2019–2025

Across 1,036 payments — averaging $1144.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Stryker$1.2M
  • Davol Inc.$514
  • BD$164
  • Johnson & Johnson$121
  • Medacta USA, Inc.$59
  • Tersera Therapeutics LLC$32
  • plus $18 from 1 others
$92,764in research payments, 2019–2025

Across 14 payments — averaging $6625.96 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.

  • Stryker$93K

What the payments were for

  • Consulting fees$1,017,20286%
  • Travel & lodging$143,01312%
  • Food & beverage$25,4312%

General payments by program year

19
20
21
22
23
24
25

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
Stryker1,027$1,184,736
Davol Inc.3$514
BD1$164
Johnson & Johnson(2 entities)2$121
Medacta USA, Inc.1$59
Tersera Therapeutics LLC1$32
Radius Health, Inc.1$18

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

$1,185,645 in reported general payments places this provider in the 95th percentile of 495 orthopaedic surgery providers in Washington.

See all orthopaedic surgery providers in Washington

Medicare billing

Part B allowed, 2024
$295,869
Medicare patients
271
Services billed
17,340

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
Amoxicillin80$120
Cephalexin13$59

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in Seattle

See the full list for Washington

Where these figures come from

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