Iryna Rybak
Medical · West Sacramento, CANPI 1134969702
Payments from drug & device makers
Across 85 payments — averaging $19.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$243
- Pfizer$221
- Bayer$193
- Lilly USA, LLC$162
- Amgen$87
- AbbVie$80
- plus $671 from 18 others
What the payments were for
- Food & beverage$1,658100%
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 |
|---|---|---|
| Novo Nordisk | 11 | $243 |
| Pfizer | 14 | $221 |
| Bayer | 10 | $193 |
| Lilly USA, LLC | 8 | $162 |
| Amgen | 5 | $87 |
| AbbVie | 4 | $80 |
| Sanofi-aventis U.S. LLC | 4 | $77 |
| Johnson & Johnson | 3 | $75 |
| Vertex | 2 | $53 |
| Boehringer Ingelheim | 2 | $52 |
| Kowa Pharmaceuticals America, Inc. | 3 | $51 |
| Hologic Sales And Service, LLC | 2 | $49 |
| Electromed, Inc. | 4 | $45 |
| Cranial Technologies, Inc | 2 | $31 |
| AstraZeneca | 2 | $29 |
| Exact Sciences | 1 | $29 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $28 |
| Boston Scientific | 1 | $26 |
| Merck | 1 | $26 |
| GSK | 1 | $25 |
| Otsuka America Pharmaceutical, Inc. | 1 | $24 |
| Sanofi | 1 | $21 |
| Xeris Pharmaceuticals, Inc. | 1 | $15 |
| LNHC, Inc | 1 | $14 |
How this compares
$1,658 in reported general payments places this provider in the 70th percentile of 2,087 medical providers in California.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Gabapentin | 11 | $130 |
| Amlodipine Besylate | 17 | $16 |
Paid to pharmacies, not to this prescriber.
Other medical in West Sacramento
- Nicola LowreyOrange$655K
- Justin LoveLoma Linda$553K
- David DoriguzziLancaster$514K
- Alison GracomIrvine$467K
- Jeffrey BonnaudLos Angeles$314K
- Ana TorresLaguna Beach$229K
- Heather ParlettRedlands$168K
- Deirdre MoxleyFullerton$149K
- Tri leGardena$127K
- Linda RankLadera Ranch$105K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.