RxDoctor Payments Data

Steven Nisco, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Spokane, WANPI 1093713943

Payments from drug & device makers

What this record shows

The money is spread across several categories — travel and lodging (42.6%), food and beverage and education — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 75.2% of it on its own, with 13 other manufacturers making up the rest.

$9,360in general payments, 2019–2025

Across 74 payments — averaging $126.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Intuitive Surgical$7K
  • Edwards Lifesciences$1K
  • Medtronic$333
  • Baxter Healthcare$220
  • W. L. Gore & Associates, Inc.$145
  • AstraZeneca$125
  • plus $424 from 8 others

What the payments were for

  • Travel & lodging$3,98443%
  • Food & beverage$2,87631%
  • Education$2,50027%

General payments by program year

19
20
21
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

$9,360 in reported general payments places this provider in the 70th percentile of 105 thoracic surgery (cardiothoracic vascular surgery) providers in Washington.

See all thoracic surgery (cardiothoracic vascular surgery) providers in Washington

Medicare billing

Part B allowed, 2024
$123,042
Medicare patients
80
Services billed
200

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.

Other thoracic surgery (cardiothoracic vascular surgery) in Spokane

See the full list for Washington

Where these figures come from

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