Troy Dillard, MD
Endocrinology, Diabetes & Metabolism · Vancouver, WANPI 1730351529
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (58.7%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 22 manufacturers reported payments, led by Lilly USA, LLC at 49.1% of the total. Reporting peaked in 2019 at $15,880 and has fallen 94.1% since, to $930 in 2025. Among endocrinology, diabetes & metabolism 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.
Across 144 payments — averaging $175.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$12K
- Boehringer Ingelheim$10K
- Abbott$494
- Novo Nordisk$334
- Medtronic$297
- Amgen$265
- plus $1K from 16 others
What the payments were for
- Consulting fees$4,38817%
- Speaking & faculty fees$14,86359%
- Travel & lodging$2,54410%
- Food & beverage$3,49714%
- Education$500%
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 |
|---|---|---|
| Lilly USA, LLC | 25 | $12,447 |
| Boehringer Ingelheim | 21 | $10,247 |
| Abbott | 9 | $494 |
| Novo Nordisk | 20 | $334 |
| Medtronic(2 entities) | 14 | $297 |
| Amgen(2 entities) | 12 | $265 |
| AstraZeneca | 4 | $243 |
| BETA Bionics, Inc. | 8 | $238 |
| Xeris Pharmaceuticals, Inc. | 8 | $156 |
| Tandem Diabetes Care, Inc. | 4 | $130 |
| Dexcom, Inc. | 3 | $76 |
| Sequel Med Tech, LLC | 2 | $69 |
| Novartis | 2 | $46 |
| Nevro Corp. | 2 | $43 |
| Bayer | 2 | $41 |
| Amphastar Pharmaceuticals, Inc. | 2 | $41 |
| Recordati_rare_diseases_inc. | 1 | $39 |
| Verity Pharmaceuticals Inc. | 1 | $36 |
| Astellas Pharma US Inc | 1 | $32 |
| Averitas Pharma Inc. | 1 | $24 |
| Ascendis Pharma Endocrinology Inc | 1 | $23 |
| Insulet Corporation | 1 | $22 |
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.
- JARDIANCE$21,917
- iLet Bionic Pancreas$434
- FREESTYLE LIBRE 3$353
How this compares
$25,341 in reported general payments places this provider in the 90th percentile of 161 endocrinology, diabetes & metabolism providers in Washington.
See all endocrinology, diabetes & metabolism 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 |
|---|---|---|
| OzempicSemaglutide | 153 | $211,046 |
| TrulicityDulaglutide | 77 | $86,742 |
| JardianceEmpagliflozin | 64 | $75,929 |
| MounjaroTirzepatide | 46 | $50,811 |
| JanuviaSitagliptin Phosphate | 52 | $48,511 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 23 | $48,311 |
| TradjentaLinagliptin | 52 | $46,707 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 35 | $39,374 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 45 | $29,801 |
| Tresiba Flextouch U-200Insulin Degludec | 11 | $22,822 |
| Fiasp FlextouchInsulin Aspart (Niacinamide) | 16 | $20,366 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 18 | $18,146 |
| Humalog Kwikpen U-100Insulin Lispro | 65 | $16,258 |
| Gvoke Hypopen 2-PackGlucagon | 26 | $16,112 |
| Repatha SureclickEvolocumab | 16 | $15,114 |
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 |
|---|---|---|
| Novo NordiskOzempic, Novolog | $334 | $216,665170 claims |
| Lilly USA, LLCTrulicity, Mounjaro, Humalog, Insulin Lispro | $12,447 | $143,138152 claims |
| Boehringer IngelheimJardiance, Tradjenta | $10,247 | $122,636116 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 90th percentile of 161 endocrinology, diabetes & metabolism providers in Washington.
Other endocrinology, diabetes & metabolism in Vancouver
- Katherine ChubinskayaVancouver$15K
- Saumya KumarVancouver$2K
- Michael ShannonLacey$698K
- Lynn KohlmeierSpokane$518K
- Carol WyshamSpokane$512K
- Bruce WilsonRichland$352K
- Irl HirschSeattle$192K
- Biju KunhiramanYakima$118K
- Nicole EhrhardtSeattle$111K
- Kristina UtzschneiderSeattle$72K
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.