Alexander Ryan, DO
Internal Medicine · Lincoln, NENPI 1912319344
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (59.1%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 5 manufacturers reported payments, led by Shionogi Inc at 59.1% of the total. 2025 is the largest year on record at $3,030, more than ten times the $25 reported in 2019. Among internal medicine clinicians in NE 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 10 payments — averaging $507.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Shionogi Inc$3K
- Modernatx, Inc.$2K
- Pfizer$55
- Sanofi$30
- Novo Nordisk$14
Across 870 payments — averaging $2469.26 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Sanofi Pasteur Inc.$697K
- Modernatx, Inc.$419K
- Sanofi US Services Inc.$281K
- Vertex$265K
- Janssen Research & Development, LLC$238K
- Novavax Inc$169K
- plus $80K from 4 others
What the payments were for
- Consulting fees$3,00059%
- Travel & lodging$1,72334%
- Food & beverage$3547%
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 |
|---|---|---|
| Shionogi Inc | 1 | $3,000 |
| Modernatx, Inc. | 4 | $1,978 |
| Pfizer | 3 | $55 |
| Sanofi | 1 | $30 |
| Novo Nordisk | 1 | $14 |
How this compares
$5,077 in reported general payments places this provider in the 90th percentile of 570 internal medicine providers in Nebraska.
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.
Other internal medicine in Lincoln
- Sherri ThomasLincoln$136K
- Aaron WardLincoln$15K
- Anthony RossLincoln$6K
- Wasim ChughtaiLincoln$6K
- Mary DreyLincoln$6K
- James FosnaughLincoln$3K
- Brian BoerOmaha$142K
- Adam BurdorfOmaha$29K
- David SharpOmaha$26K
- David ShinOmaha$26K
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.