RxDoctor Payments Data

Stephen Monteith, MD

Neurological Surgery · Seattle, WANPI 1689868119

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $122,625 of the $151,452 with a category attached, or 81.0%. Microvention, Inc. accounts for 98.2% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2019 at $41,510 and has fallen 60.8% since, to $16,275 in 2025. Among neurological 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.

$151,452in general payments, 2019–2025

Across 154 payments — averaging $983.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Microvention, Inc.$149K
  • Balt USA, LLC$2K
  • Rapid Medical Ltd$229
  • Siemens Medical Solutions USA, Inc.$151
  • Integra Lifesciences Corporation$136
  • Boston Scientific$121
  • plus $131 from 3 others
$273,761in research payments, 2019–2025

Across 37 payments — averaging $7398.96 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.

  • Balt USA, LLC$274K

What the payments were for

  • Consulting fees$12,5178%
  • Speaking & faculty fees$122,62581%
  • Travel & lodging$11,9838%
  • Food & beverage$4,3273%

General payments by program year

19
20
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.

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

$151,452 in reported general payments places this provider in the 95th percentile of 175 neurological surgery providers in Washington.

See all neurological surgery providers in Washington

Medicare billing

Part B allowed, 2024
$154,442
Medicare patients
166
Services billed
401

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
ClopidogrelClopidogrel Bisulfate38$403

Paid to pharmacies, not to this prescriber.

Other neurological surgery in Seattle

See the full list for Washington

Where these figures come from

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