Sjardo Steneker, MD
Family Medicine · Burien, WANPI 1346444296
Payments from drug & device makers
Across 276 payments — averaging $23.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$555
- Orexo US, Inc.$482
- Johnson & Johnson$395
- Boehringer Ingelheim$347
- Idorsia Pharmaceuticals US Inc$344
- plus $2K from 21 others
What the payments were for
- Food & beverage$6,527100%
- 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 |
|---|---|---|
| AbbVie(2 entities) | 102 | $2,383 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 13 | $555 |
| Orexo US, Inc. | 38 | $482 |
| Johnson & Johnson | 11 | $395 |
| Boehringer Ingelheim | 8 | $347 |
| Idorsia Pharmaceuticals US Inc | 15 | $344 |
| Otsuka America Pharmaceutical, Inc. | 7 | $257 |
| Lilly USA, LLC | 10 | $244 |
| Pfizer | 11 | $240 |
| Kowa Pharmaceuticals America, Inc. | 15 | $225 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 7 | $165 |
| Takeda Pharmaceuticals U.S.A., Inc. | 6 | $142 |
| Exact Sciences | 4 | $128 |
| Novo Nordisk | 4 | $108 |
| Eisai Inc. | 5 | $101 |
| Lundbeck LLC | 4 | $88 |
| Sunovion Pharmaceuticals Inc. | 3 | $62 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $54 |
| Currax Pharmaceuticals LLC | 3 | $46 |
| Amgen | 1 | $33 |
| Supernus Pharmaceuticals, Inc. | 1 | $24 |
| Azurity Pharmaceuticals, Inc. | 1 | $22 |
| Esperion Therapeutics, Inc. | 1 | $19 |
| Kaleo, Inc. | 1 | $18 |
| Merck | 1 | $18 |
| Mylan Specialty L.p. | 1 | $18 |
| Bardy Diagnostics, Inc. | 1 | $15 |
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
$6,534 in reported general payments places this provider in the 95th percentile of 2,275 family 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| EliquisApixaban | 36 | $47,396 |
| VraylarCariprazine Hcl | 25 | $37,051 |
| OzempicSemaglutide | 29 | $28,847 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 25 | $17,247 |
| JardianceEmpagliflozin | 26 | $14,026 |
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 124 | $12,430 |
| TrulicityDulaglutide | 12 | $11,797 |
| ZubsolvBuprenorphine Hcl/Naloxone Hcl | 16 | $10,848 |
| Advair HfaFluticasone Propion/Salmeterol | 20 | $8,917 |
| Oxycodone Hcl | 389 | $7,340 |
| LinzessLinaclotide | 15 | $6,915 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 158 | $6,071 |
| Buprenorphine Hcl | 163 | $5,532 |
| BelsomraSuvorexant | 12 | $4,968 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 108 | $4,827 |
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 |
|---|---|---|
| PfizerEliquis | $240 | $47,39636 claims |
| AbbVieVraylar, Linzess, Synthroid | $2,383 | $46,09058 claims |
| Novo NordiskOzempic | $108 | $28,84729 claims |
| Boehringer IngelheimJardiance | $347 | $14,02626 claims |
| Lilly USA, LLCTrulicity | $244 | $11,79712 claims |
| Orexo US, Inc.Zubsolv | $482 | $10,84816 claims |
| MerckBelsomra | $18 | $4,96812 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 95th percentile of 2,275 family medicine providers in Washington.
Other family medicine in Burien
- Daniel RivasBurien$50K
- Anton GraschWenatchee$5.3M
- Gaylon KippBellevue$4.8M
- Steven KasterWenatchee$4M
- Angela EakinSpokane$3M
- Jonathan StabenCheney$2.5M
- Emily ZaragozaSeattle$1.9M
- Brad FrandsenPort Orchard$1.7M
- Kevin HatfieldSeattle$527K
- Steven SmithAuburn$438K
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.