Karen Ringwald, MD
Rheumatology · Fort Wayne, INNPI 1922075084
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,057 of the $3,408 with a category attached, or 89.7%. 20 manufacturers reported payments, led by AbbVie at 33.7% of the total.
Across 192 payments — averaging $17.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Amgen$670
- Novartis$357
- Johnson & Johnson$308
- Pfizer$192
- UCB, Inc.$139
- plus $592 from 14 others
What the payments were for
- Food & beverage$3,05790%
- Education$35110%
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 | 70 | $1,149 |
| Amgen(2 entities) | 44 | $670 |
| Novartis | 18 | $357 |
| Johnson & Johnson | 7 | $308 |
| Pfizer | 16 | $192 |
| UCB, Inc. | 8 | $139 |
| GSK | 9 | $133 |
| Aurinia Pharma U.S., Inc. | 2 | $129 |
| AstraZeneca(2 entities) | 3 | $60 |
| Lilly USA, LLC | 2 | $48 |
| Genentech USA, Inc. | 2 | $33 |
| E.r. Squibb & Sons, L.L.C. | 2 | $31 |
| Sanofi | 2 | $30 |
| Octapharma USA, Inc. | 1 | $22 |
| Mallinckrodt Hospital Products Inc. | 1 | $22 |
| Regeneron Healthcare Solutions, Inc. | 1 | $20 |
| Sandoz | 1 | $19 |
| Radius Health, Inc. | 1 | $18 |
| Boehringer Ingelheim | 1 | $16 |
| Bristol Myers Squibb | 1 | $11 |
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.
- LUPKYNIS$111
How this compares
$3,408 in reported general payments places this provider in the 55th percentile of 106 rheumatology 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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 135 | $1,208,076 |
| Enbrel SureclickEtanercept | 88 | $849,723 |
| EnbrelEtanercept | 57 | $469,883 |
| OrenciaAbatacept | 20 | $160,687 |
| Humira(Cf)Adalimumab | 20 | $150,138 |
| Orencia ClickjectAbatacept | 23 | $129,517 |
| RinvoqUpadacitinib | 11 | $107,683 |
| Cimzia (2 Pack)Certolizumab Pegol | 12 | $66,733 |
| ProliaDenosumab | 13 | $22,883 |
| Hydroxychloroquine Sulfate | 719 | $20,873 |
| MethotrexateMethotrexate Sodium | 633 | $14,133 |
| Leflunomide | 262 | $13,750 |
| Prednisone | 678 | $4,044 |
| Mycophenolate Mofetil | 28 | $2,758 |
| Febuxostat | 11 | $2,595 |
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 |
|---|---|---|
| AmgenEnbrel, Prolia | $670 | $492,76770 claims |
| AbbVieHumira(Cf), Rinvoq | $1,149 | $257,82131 claims |
| E.r. Squibb & Sons, L.L.C.Orencia | $31 | $160,68720 claims |
| UCB, Inc.Cimzia (2 Pack) | $139 | $66,73312 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 55th percentile of 106 rheumatology providers in Indiana.
Other rheumatology in Fort Wayne
- Nina RamessarFort Wayne$75K
- Anil RaoFort Wayne$7K
- Steven BehrendsenFort Wayne$2K
- David BattIndianapolis$577K
- Kathleen ThomasNoblesville$511K
- Keith ReichDyer$193K
- Douglas SmithIndianapolis$147K
- Ahmad SalahMerrillville$139K
- Inna AroutiounovaIndianapolis$102K
- James CohenIndianapolis$76K
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.