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.
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
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
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 |
|---|---|---|
| Microvention, Inc. | 115 | $148,709 |
| Balt USA, LLC | 26 | $1,975 |
| Rapid Medical Ltd | 5 | $229 |
| Siemens Medical Solutions USA, Inc. | 1 | $151 |
| Integra Lifesciences Corporation | 1 | $136 |
| Boston Scientific | 1 | $121 |
| Medtronic | 2 | $56 |
| Globus Medical | 2 | $55 |
| Qapel Medical Inc | 1 | $20 |
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.
- WEB$76,093
- WEB Aneurysm Embolization System$63,903
- STENT$1,247
- Barricade Coil System$536
- MAGIC Catheter$536
- Optima Thermal Coil System$536
- Sofia$401
- LVIS Jr.$385
- Optima Coil System$316
- Scepter XC Balloon Catheter$236
- TIGERTRIEVER 17 REVASCULARIZATION DEVICE$160
- COMANECI 17$160
- CorPath Imaging System$151
- LVIS$149
- HydroFrame Coil$141
- HydroSoft 3D Coil$141
- HydroSoft Coil$141
- CODMAN CERTAS$136
- CUSA CLARITY$136
- CODMAN HAKIM$136
How this compares
$151,452 in reported general payments places this provider in the 95th percentile of 175 neurological surgery 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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 38 | $403 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Seattle
- Rod OskouianSeattle$2.4M
- Christoph HofstetterSeattle$768K
- Jean-Christophe LevequeSeattle$120K
- Vijay YanamadalaSeattle$85K
- Hoan Vu TranSeattle$78K
- Martin RutkowskiSeattle$62K
- Bailey ZampellaSeattle$38K
- Melanie WalkerSeattle$38K
- Elias EliasSeattle$35K
- Ryder GwinnSeattle$35K
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.