Tycho Kersten, MD
Sports Medicine · Spokane, WANPI 1568438562
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $2,232 of the $2,955 with a category attached, or 75.5%. 6 manufacturers reported payments, led by Summit Surgical Corp. at 54.5% of the total. Reporting peaked in 2023 at $2,680 and has fallen 95.2% since, to $130 in 2025.
Across 30 payments — averaging $98.49 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Summit Surgical Corp.$2K
- Arthrex$1K
- Sawtooth Surgical Solutions Inc$105
- Intuitive Surgical$89
- Vericel Corporation$60
- Vertex$20
What the payments were for
- Travel & lodging$2,23276%
- Food & beverage$70124%
- Education$211%
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 |
|---|---|---|
| Summit Surgical Corp. | 7 | $1,610 |
| Arthrex | 16 | $1,070 |
| Sawtooth Surgical Solutions Inc | 2 | $105 |
| Intuitive Surgical | 1 | $89 |
| Vericel Corporation | 3 | $60 |
| Vertex | 1 | $20 |
How this compares
$2,955 in reported general payments places this provider in the 70th percentile of 132 sports medicine 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 32 | $402 |
| Morphine Sulfate ErMorphine Sulfate | 21 | $89 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Spokane
- Jared AllredSpokane$5K
- Eric AndersonSpokane$2K
- Laura FralichSpokane$899
- Geoffrey HiggsProsser$569K
- Nicholas KennedyYakima$112K
- Nicholas VaudreuilEverett$49K
- Adam PourchoSeattle$38K
- Christopher WahlIssaquah$37K
- Nicholas WilcoxMarysville$36K
- Mathew TaylorPullman$36K
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.