Bernie Ranchero, MD
Family Medicine · Altamont, ILNPI 1568656445
Payments from drug & device makers
Across 1,928 payments — averaging $276.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$322K
- Johnson & Johnson$75K
- Amgen$61K
- AbbVie$25K
- AstraZeneca$24K
- Phathom Pharmaceuticals, Inc.$9K
- plus $17K from 50 others
What the payments were for
- Consulting fees$4,1501%
- Speaking & faculty fees$459,83586%
- Travel & lodging$33,0046%
- Food & beverage$36,0357%
- Education$970%
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.
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
$533,120 in reported general payments places this provider in the 95th percentile of 4,116 family medicine providers in Illinois.
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 | 183 | $185,022 |
| JardianceEmpagliflozin | 142 | $115,414 |
| XareltoRivaroxaban | 87 | $77,339 |
| FarxigaDapagliflozin Propanediol | 81 | $70,889 |
| Repatha SureclickEvolocumab | 61 | $61,348 |
| EliquisApixaban | 72 | $59,698 |
| MounjaroTirzepatide | 53 | $54,137 |
| TrulicityDulaglutide | 41 | $42,745 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 43 | $40,040 |
| RybelsusSemaglutide | 32 | $35,914 |
| RexultiBrexpiprazole | 15 | $21,208 |
| CaplytaLumateperone Tosylate | 12 | $18,663 |
| Tresiba Flextouch U-200Insulin Degludec | 30 | $17,545 |
| Praluent PenAlirocumab | 29 | $15,890 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 21 | $13,463 |
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, Rybelsus | $322,292 | $220,935215 claims |
| Boehringer IngelheimJardiance, Glyxambi | $997 | $124,566156 claims |
| Lilly USA, LLCMounjaro, Trulicity, Humalog | $1,524 | $98,695109 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Brilinta | $23,676 | $90,525114 claims |
| Johnson & JohnsonXarelto | $74,560 | $77,33987 claims |
| PfizerEliquis | $856 | $59,69872 claims |
| GSKTrelegy Ellipta | $1,216 | $40,04043 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $377 | $21,20815 claims |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)Caplyta | $264 | $18,66312 claims |
| MerckVerquvo, Januvia | $562 | $14,45824 claims |
| BayerKerendia | $389 | $13,39117 claims |
| NovartisEntresto | $861 | $13,28512 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 95th percentile of 4,116 family medicine providers in Illinois.
Other family medicine in Altamont
- Daniel BruneCreve Coeur$15M
- Ali BajwaSpringfield$5.8M
- John ElsenEvergreen Park$5M
- Manohar JethaniBerwyn$4.9M
- Tiffany NguyenSkokie$3.9M
- Bradley TorphyChicago$3M
- Diana WidicusRochester$2.6M
- Nicholas WeberEureka$2.5M
- Stanley KochMorton$2.3M
- Mark ChristensenNew Lenox$2.1M
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.