David Ryon, MD
Pulmonary Disease · Evansville, INNPI 1740230267
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.7% of the total across 222 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 32 manufacturers, the largest accounting for just 18.1% — the pattern of someone who eats at a lot of different presentations.
Across 222 payments — averaging $18.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$725
- AstraZeneca$574
- Boehringer Ingelheim$546
- Insmed, Inc.$374
- Mylan Specialty L.p.$255
- Grifols USA, LLC$192
- plus $1K from 26 others
Across 2 payments — averaging $6150.00 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.
- Novartis$12K
What the payments were for
- Food & beverage$3,87397%
- Education$1313%
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 |
|---|---|---|
| GSK | 46 | $725 |
| AstraZeneca | 32 | $574 |
| Boehringer Ingelheim | 32 | $546 |
| Insmed, Inc. | 22 | $374 |
| Mylan Specialty L.p. | 11 | $255 |
| Grifols USA, LLC | 9 | $192 |
| Sunovion Pharmaceuticals Inc. | 12 | $170 |
| Sanofi | 6 | $146 |
| Regeneron Healthcare Solutions, Inc. | 5 | $127 |
| Amgen | 6 | $111 |
| Actelion Pharmaceuticals US, Inc. | 6 | $90 |
| United Therapeutics Corporation | 4 | $84 |
| Baxter Healthcare | 4 | $82 |
| Merck | 3 | $69 |
| Advanced Respiratory, Inc | 2 | $49 |
| Chiesi USA, Inc. | 3 | $46 |
| Johnson & Johnson | 2 | $45 |
| Genentech USA, Inc. | 3 | $37 |
| CSL Behring | 1 | $34 |
| Pulmonx Corporation | 1 | $27 |
| Teva Pharmaceuticals USA, Inc. | 1 | $25 |
| Viatris Specialty LLC | 1 | $24 |
| La Jolla Pharmaceutical Company | 1 | $21 |
| Astellas Pharma US Inc | 1 | $20 |
| Philips North America LLC | 1 | $20 |
| Circassia Inc. | 1 | $19 |
| Shionogi Inc | 1 | $18 |
| Monaghan Medical Corporation | 1 | $18 |
| Gilead | 1 | $15 |
| Shire North American Group Inc | 1 | $15 |
| Pfizer | 1 | $14 |
| AbbVie | 1 | $12 |
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
$4,004 in reported general payments places this provider in the 60th percentile of 258 pulmonary disease providers in Indiana.
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 197 | $164,431 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 73 | $66,940 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 25 | $17,492 |
| Breo ElliptaFluticasone/Vilanterol | 23 | $17,049 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 30 | $14,548 |
| Incruse ElliptaUmeclidinium Bromide | 18 | $12,411 |
| Varenicline Tartrate | 13 | $3,931 |
| SymbicortBudesonide/Formoterol Fumarate | 16 | $3,919 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 148 | $3,463 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 11 | $3,238 |
| Voriconazole | 11 | $2,669 |
| Fluticasone Propionate | 14 | $1,637 |
| Potassium Chloride | 12 | $1,105 |
| Wixela InhubFluticasone Propion/Salmeterol | 14 | $1,063 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 14 | $1,062 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Incruse Ellipta | $725 | $208,439268 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $574 | $70,86089 claims |
| Boehringer IngelheimStiolto Respimat | $546 | $17,49225 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 60th percentile of 258 pulmonary disease providers in Indiana.
Other pulmonary disease in Evansville
- Victor ChavezEvansville$52K
- Roger JohnsonEvansville$27K
- Raghav GuptaEvansville$10K
- David MaresAnderson$1.3M
- David WilsonSeymour$689K
- Giovanni InfusinoCrown Point$526K
- Ajay DeshpandeTerre Haute$304K
- Faisal KhanGreenwood$207K
- Sandeep KukrejaGreenwood$206K
- Raja DevanathanHobart$193K
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.