Brian Ragona, MD
Geriatric Medicine · Joliet, ILNPI 1992701015
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.2% of the total across 72 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 17 manufacturers reported payments, led by AbbVie at 35.3% of the total. Reporting peaked in 2023 at $424 and has fallen 91.3% since, to $37 in 2025.
Across 72 payments — averaging $16.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$412
- Lilly USA, LLC$168
- Pfizer$89
- Dexcom, Inc.$62
- E.r. Squibb & Sons, L.L.C.$55
- Abbott$55
- plus $326 from 11 others
What the payments were for
- Food & beverage$1,14798%
- Education$212%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| AbbVie(2 entities) | 32 | $412 |
| Lilly USA, LLC | 9 | $168 |
| Pfizer | 4 | $89 |
| Dexcom, Inc. | 3 | $62 |
| E.r. Squibb & Sons, L.L.C. | 3 | $55 |
| Abbott | 3 | $55 |
| Indivior Inc. | 2 | $47 |
| AstraZeneca | 3 | $43 |
| Novo Nordisk | 2 | $43 |
| Hikma Pharmaceuticals USA | 2 | $38 |
| GSK | 2 | $37 |
| Novartis | 2 | $32 |
| Exact Sciences | 1 | $20 |
| Amgen | 1 | $19 |
| USWM, LLC | 1 | $17 |
| Idorsia Pharmaceuticals US Inc | 1 | $16 |
| Braeburn Inc. | 1 | $14 |
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.
- TEFLARO$128
How this compares
$1,168 in reported general payments places this provider in the 80th percentile of 147 geriatric 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 | 79 | $97,487 |
| EliquisApixaban | 59 | $78,497 |
| JardianceEmpagliflozin | 47 | $58,200 |
| FarxigaDapagliflozin Propanediol | 49 | $57,823 |
| JanuviaSitagliptin Phosphate | 43 | $46,015 |
| MounjaroTirzepatide | 21 | $43,914 |
| InvokanaCanagliflozin | 38 | $43,322 |
| XareltoRivaroxaban | 16 | $26,757 |
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 121 | $21,181 |
| Repatha PushtronexEvolocumab | 18 | $17,992 |
| Breo ElliptaFluticasone/Vilanterol | 23 | $12,336 |
| Repatha SureclickEvolocumab | 12 | $11,977 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 17 | $11,106 |
| Levothyroxine Sodium | 456 | $6,398 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 259 | $6,260 |
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 | $43 | $97,48779 claims |
| PfizerEliquis, Premarin | $89 | $83,49970 claims |
| AstraZenecaFarxiga | $43 | $57,82349 claims |
| Lilly USA, LLCMounjaro | $168 | $43,91421 claims |
| Hikma Pharmaceuticals USABuprenorphine-Naloxone | $38 | $21,181121 claims |
| GSKBreo Ellipta | $37 | $12,33623 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 80th percentile of 147 geriatric medicine providers in Illinois.
Other geriatric medicine in Joliet
- Anandavally PillaiJoliet$181
- Michael LimArlington Heights$29K
- Hima AtluriDecatur$21K
- Carlos Mella-PicelChicago$9K
- Rekha SharmaHazel Crest$8K
- Beata StykaPalos Heights$6K
- Azeem AhsanCrest Hill$6K
- Adeela CheemaChicago$5K
- Alex SanchezElgin$5K
- Seong ChinGlenview$4K
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.