RxDoctor Payments Data

Steven Kirtland, MD

Pulmonary Disease · Seattle, WANPI 1841392842

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (37.4%), travel and lodging and education — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Medtronic at 38.5% of the total. Reporting peaked in 2023 at $9,513 and has fallen 92.6% since, to $700 in 2025. Among pulmonary disease 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.

$22,342in general payments, 2019–2025

Across 63 payments — averaging $354.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$9K
  • Intuitive Surgical$6K
  • Noah Medical Corporation$3K
  • Verathon Inc.$2K
  • Johnson & Johnson$1K
  • Covidien LP$443
  • plus $575 from 5 others

What the payments were for

  • Consulting fees$2,0759%
  • Speaking & faculty fees$8,36037%
  • Travel & lodging$6,68530%
  • Food & beverage$2,14210%
  • Education$3,08014%

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

$22,342 in reported general payments places this provider in the 90th percentile of 275 pulmonary disease providers in Washington.

See all pulmonary disease providers in Washington

Medicare billing

Part B allowed, 2024
$209,472
Medicare patients
510
Services billed
1,878

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
OfevNintedanib Esylate23$297,884
Trelegy ElliptaFluticasone/Umeclidin/Vilanter83$90,262
Breztri AerosphereBudesonide/Glycopyr/Formoterol76$87,520
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr81$57,109
Stiolto RespimatTiotropium Br/Olodaterol Hcl60$43,676
EliquisApixaban45$36,494
Spiriva RespimatTiotropium Bromide44$31,755
Incruse ElliptaUmeclidinium Bromide45$28,606
Spiriva HandihalerTiotropium Bromide15$15,502
Fluticasone-SalmeterolFluticasone Propion/Salmeterol42$13,568
SymbicortBudesonide/Formoterol Fumarate38$12,670
Breo ElliptaFluticasone/Vilanterol22$11,142
Advair HfaFluticasone Propion/Salmeterol16$10,857
Arnuity ElliptaFluticasone Furoate14$6,775
DuleraMometasone/Formoterol14$6,649

Paid to pharmacies, not to this prescriber.

Other pulmonary disease in Seattle

See the full list for Washington

Where these figures come from

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