Shannon Zawilski
Primary Care · Puyallup, WANPI 1134694615
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 92.9% of the total across 85 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 20 manufacturers, the largest accounting for just 20.7% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,390, 2.5 times the $548 reported in 2021. Among primary care clinicians in WA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 85 payments — averaging $47.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Revance Therapeutics, Inc.$826
- Merz North America, Inc.$765
- AbbVie$625
- Novo Nordisk$465
- Sanofi-aventis U.S. LLC$206
- Medtronic$186
- plus $924 from 14 others
What the payments were for
- Speaking & faculty fees$2737%
- Travel & lodging$20%
- Food & beverage$3,71493%
- Education$70%
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 |
|---|---|---|
| Revance Therapeutics, Inc. | 12 | $826 |
| Merz North America, Inc. | 12 | $765 |
| AbbVie | 12 | $625 |
| Novo Nordisk | 9 | $465 |
| Sanofi-aventis U.S. LLC | 9 | $206 |
| Medtronic | 2 | $186 |
| Bayer | 4 | $161 |
| Lilly USA, LLC | 6 | $146 |
| Astellas Pharma US Inc | 1 | $125 |
| Myovant Sciences Inc. | 1 | $92 |
| Biohaven Pharmaceutical Holding Company Ltd. | 3 | $82 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $78 |
| Dexcom, Inc. | 2 | $53 |
| Amarin Pharma, Inc. | 2 | $47 |
| Bausch Health US, LLC | 2 | $38 |
| Upsher-smith Laboratories LLC | 1 | $23 |
| Biohaven Pharmaceuticals, Inc. | 1 | $23 |
| Galderma Laboratories, L.p. | 1 | $20 |
| Exact Sciences | 1 | $17 |
| IBSA Pharma Inc. | 1 | $17 |
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
$3,996 in reported general payments places this provider in the 90th percentile of 94 primary care 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 |
|---|---|---|
| OzempicSemaglutide | 13 | $11,924 |
| Humulin NInsulin Nph Human Isophane | 14 | $2,183 |
| Tramadol Hcl | 15 | $563 |
| Venlafaxine Hcl ErVenlafaxine Hcl | 12 | $528 |
| Ropinirole Hcl | 12 | $300 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 20 | $280 |
| Montelukast Sodium | 11 | $279 |
| Oxycodone Hcl | 25 | $273 |
| Tizanidine Hcl | 26 | $255 |
| Rosuvastatin Calcium | 16 | $234 |
| Ondansetron OdtOndansetron | 14 | $219 |
| ProgesteroneProgesterone, Micronized | 13 | $208 |
| RizatriptanRizatriptan Benzoate | 11 | $170 |
| Atorvastatin Calcium | 14 | $161 |
| Lisinopril | 19 | $158 |
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 |
|---|---|---|
| Novo NordiskOzempic | $465 | $11,92413 claims |
| Lilly USA, LLCHumulin N | $146 | $2,18314 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 90th percentile of 94 primary care providers in Washington.
Other primary care in Puyallup
- Sara AppudorayPuyallup$3K
- Caroline SensibaPuyallup$1K
- Abubakar Abdul-RahmanSeattle$27K
- Junghee CheLakewood$20K
- Margaret StewartMill Creek$14K
- Rhonna LeeSpokane$13K
- Joan ZimmerSpokane$12K
- Kimberly RianoOlympia$8K
- James PittmanSpokane$6K
- Laura RaykowskiMontesano$3K
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.