John Ryan, MD
Family Medicine · McAllen, TXNPI 1396791562
Payments from drug & device makers
Across 20 payments — averaging $16.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$95
- Novo Nordisk$48
- Amgen$43
- Boehringer Ingelheim$38
- Johnson & Johnson$33
- Pfizer$16
- plus $52 from 4 others
What the payments were for
- Food & beverage$325100%
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.
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 | 7 | $95 |
| Novo Nordisk | 2 | $48 |
| Amgen | 2 | $43 |
| Boehringer Ingelheim | 2 | $38 |
| Johnson & Johnson | 2 | $33 |
| Pfizer | 1 | $16 |
| Merck | 1 | $15 |
| Lilly USA, LLC | 1 | $13 |
| Tactile Systems Technology Inc | 1 | $12 |
| Astellas Pharma US Inc | 1 | $12 |
How this compares
$325 in reported general payments places this provider in the 40th percentile of 8,760 family medicine providers in Texas.
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 |
|---|---|---|
| JardianceEmpagliflozin | 65 | $90,267 |
| JanuviaSitagliptin Phosphate | 57 | $72,252 |
| MyrbetriqMirabegron | 42 | $39,607 |
| FarxigaDapagliflozin Propanediol | 24 | $30,267 |
| EliquisApixaban | 19 | $28,444 |
| TrulicityDulaglutide | 11 | $27,715 |
| JanumetSitagliptin Phos/Metformin Hcl | 27 | $27,416 |
| OzempicSemaglutide | 13 | $22,328 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 14 | $19,786 |
| Janumet XrSitagliptin Phos/Metformin Hcl | 16 | $18,781 |
| XareltoRivaroxaban | 11 | $16,688 |
| JentaduetoLinagliptin/Metformin Hcl | 13 | $14,948 |
| TradjentaLinagliptin | 11 | $14,486 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 20 | $10,103 |
| Baclofen | 32 | $8,154 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance, Jentadueto, Tradjenta | $38 | $119,70189 claims |
| MerckJanuvia, Janumet, Janumet Xr | $15 | $118,449100 claims |
| Astellas Pharma US IncMyrbetriq | $12 | $39,60742 claims |
| PfizerEliquis | $16 | $28,44419 claims |
| Lilly USA, LLCTrulicity | $13 | $27,71511 claims |
| Novo NordiskOzempic | $48 | $22,32813 claims |
| GSKTrelegy Ellipta | $95 | $19,78614 claims |
| Johnson & JohnsonXarelto | $33 | $16,68811 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 40th percentile of 8,760 family medicine providers in Texas.
Other family medicine in McAllen
- Joel SolisMcAllen$21.1M
- Dimple DesaiMcAllen$3.4M
- Douglas DenhamSan Antonio$68.5M
- Vicki MillerPasadena$58.3M
- Hareshkumar BogharaDesoto$30.3M
- Earl MartinTomball$30.1M
- Lisa HollowayHouston$30.1M
- William SegerFort Worth$27.5M
- Veronica FragosoHouston$24.5M
- George AtieeSan Antonio$19.9M
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.