Stephen Rechenmacher, MD
Clinical Cardiac Electrophysiology · Vancouver, WANPI 1417273129
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 29 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Boston Scientific accounts for 79.0% of it on its own, with 4 other manufacturers making up the rest. Reporting peaked in 2024 at $174 and has fallen 64.9% since, to $61 in 2025. That places this record below the midpoint for clinical cardiac electrophysiology clinicians in WA, where the typical reported total is $7,912.
Across 29 payments — averaging $18.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$421
- Biosense Webster, Inc.$68
- Amgen$19
- Medtronic$14
- Regeneron Healthcare Solutions, Inc.$11
What the payments were for
- Food & beverage$532100%
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 |
|---|---|---|
| Boston Scientific | 24 | $421 |
| Biosense Webster, Inc. | 2 | $68 |
| Amgen | 1 | $19 |
| Medtronic | 1 | $14 |
| Regeneron Healthcare Solutions, Inc. | 1 | $11 |
How this compares
$532 in reported general payments places this provider in the 15th percentile of 68 clinical cardiac electrophysiology providers in Washington.
See all clinical cardiac electrophysiology 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 | 249 | $301,549 |
| MultaqDronedarone Hcl | 11 | $21,935 |
| XareltoRivaroxaban | 16 | $18,978 |
| CorlanorIvabradine Hcl | 11 | $9,704 |
| Metoprolol Succinate | 145 | $2,158 |
| Mexiletine Hcl | 12 | $1,543 |
| Diltiazem 24hr Er (Xr)Diltiazem Hcl | 22 | $1,363 |
| Flecainide Acetate | 26 | $784 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 19 | $770 |
| Dilt-XrDiltiazem Hcl | 18 | $561 |
| SotalolSotalol Hcl | 18 | $490 |
| Amiodarone Hcl | 34 | $449 |
| Omeprazole | 29 | $444 |
| Losartan Potassium | 42 | $425 |
| Carvedilol | 36 | $356 |
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 |
|---|---|---|
| AmgenCorlanor | $19 | $9,70411 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 15th percentile of 68 clinical cardiac electrophysiology providers in Washington.
Other clinical cardiac electrophysiology in Vancouver
- Madhan NellaiyappanVancouver$3K
- Gust BardySeattle$130.7M
- Babak NazerSeattle$124K
- Maheer GandhavadiBellevue$118K
- Toshimasa OkabeSeattle$114K
- Darryl WellsSeattle$112K
- Arun R Mahankali SridharSeattle$94K
- Jeanne PooleSeattle$81K
- Amier AhmadSunnyside$58K
- Tariq SalamTacoma$56K
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.