Irvin Snyder, DO
Internal Medicine · Ripley, WVNPI 1205899317
Payments from drug & device makers
Across 188 payments — averaging $16.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$515
- Johnson & Johnson$500
- Novo Nordisk$467
- AstraZeneca$219
- Mylan Specialty L.p.$206
- Amgen$160
- plus $966 from 23 others
What the payments were for
- Food & beverage$3,033100%
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.
How this compares
$3,033 in reported general payments places this provider in the 85th percentile of 573 internal medicine providers in West Virginia.
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 |
|---|---|---|
| EliquisApixaban | 303 | $265,215 |
| PromactaEltrombopag Olamine | 13 | $163,452 |
| OzempicSemaglutide | 76 | $110,909 |
| TrulicityDulaglutide | 48 | $64,824 |
| JardianceEmpagliflozin | 89 | $62,871 |
| EntrestoSacubitril/Valsartan | 36 | $43,320 |
| XareltoRivaroxaban | 45 | $42,474 |
| Tresiba Flextouch U-200Insulin Degludec | 14 | $40,635 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 28 | $36,865 |
| JanuviaSitagliptin Phosphate | 46 | $34,004 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 33 | $32,111 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 55 | $29,322 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 41 | $25,635 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 32 | $23,443 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 25 | $23,298 |
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 |
|---|---|---|
| PfizerEliquis, Abrysvo | $515 | $269,948318 claims |
| NovartisPromacta, Entresto | $44 | $206,77349 claims |
| Novo NordiskOzempic | $467 | $110,90976 claims |
| Boehringer IngelheimJardiance, Spiriva Respimat, Combivent Respimat | $23 | $84,550114 claims |
| GSKTrelegy Ellipta, Anoro Ellipta, Incruse Ellipta | $129 | $71,85580 claims |
| Lilly USA, LLCTrulicity | $83 | $64,82448 claims |
| Johnson & JohnsonXarelto, Invega Sustenna | $500 | $61,49456 claims |
| AstraZenecaBreztri Aerosphere, Farxiga, Symbicort | $219 | $51,05876 claims |
| MerckJanuvia | $17 | $34,00446 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33 | $15 | $32,11133 claims |
| Astellas Pharma US IncMyrbetriq | $31 | $8,17722 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 85th percentile of 573 internal medicine providers in West Virginia.
Other internal medicine in Ripley
- Ward PaineMorgantown$5.1M
- William ChapmanCharleston$1.7M
- Mustafa AwiliHuntington$906K
- David PickeringParkersburg$694K
- Laura DavissonMorgantown$118K
- Michael BrumageClendenin$87K
- Govind PatelFairmont$59K
- Lynn SmithLewisburg$31K
- Bisher MustafaHuntington$28K
- Johny AlencherryMartinsburg$27K
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.