Marilyn Ryan, MD
Endocrinology, Diabetes & Metabolism · Paoli, PANPI 1386733780
Payments from drug & device makers
Across 123 payments — averaging $16.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$804
- Novo Nordisk$281
- Sanofi-aventis U.S. LLC$256
- Abbott$153
- Medtronic$75
- AbbVie$74
- plus $427 from 14 others
What the payments were for
- Food & beverage$2,071100%
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 |
|---|---|---|
| Lilly USA, LLC | 52 | $804 |
| Novo Nordisk | 16 | $281 |
| Sanofi-aventis U.S. LLC | 13 | $256 |
| Abbott | 10 | $153 |
| Medtronic | 4 | $75 |
| AbbVie | 5 | $74 |
| AstraZeneca | 4 | $67 |
| Bayer | 3 | $65 |
| Bigfoot Biomedical Inc | 2 | $47 |
| BETA Bionics, Inc. | 2 | $41 |
| Xeris Pharmaceuticals, Inc. | 2 | $36 |
| IBSA Pharma Inc. | 2 | $26 |
| Amgen | 1 | $24 |
| GSK | 1 | $22 |
| Sequel Med Tech, LLC | 1 | $21 |
| Boehringer Ingelheim | 1 | $20 |
| Intuity Medical Inc | 1 | $18 |
| UCB, Inc. | 1 | $16 |
| Insulet Corporation | 1 | $14 |
| Valeritas, Inc. | 1 | $11 |
How this compares
$2,071 in reported general payments places this provider in the 55th percentile of 388 endocrinology, diabetes & metabolism providers in Pennsylvania.
See all endocrinology, diabetes & metabolism providers in Pennsylvania →
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 |
|---|---|---|
| OzempicSemaglutide | 471 | $794,986 |
| JardianceEmpagliflozin | 330 | $397,548 |
| JanuviaSitagliptin Phosphate | 118 | $134,848 |
| TrulicityDulaglutide | 45 | $74,250 |
| FarxigaDapagliflozin Propanediol | 67 | $63,745 |
| MounjaroTirzepatide | 36 | $45,085 |
| SynthroidLevothyroxine Sodium | 371 | $35,704 |
| Tresiba Flextouch U-100Insulin Degludec | 58 | $34,805 |
| TradjentaLinagliptin | 32 | $23,540 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 28 | $19,456 |
| Nano 2nd Gen Pen NeedlePen Needle, Diabetic | 118 | $14,383 |
| Janumet XrSitagliptin Phos/Metformin Hcl | 17 | $14,139 |
| Novolog FlexpenInsulin Aspart | 62 | $13,400 |
| Tresiba Flextouch U-200Insulin Degludec | 15 | $12,978 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 30 | $12,304 |
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 |
|---|---|---|
| Novo NordiskOzempic, Novolog | $281 | $804,486488 claims |
| Boehringer IngelheimJardiance, Tradjenta | $20 | $421,088362 claims |
| Lilly USA, LLCTrulicity, Mounjaro, Humalog | $804 | $127,487104 claims |
| AstraZenecaFarxiga | $67 | $63,74567 claims |
| AbbVieSynthroid, Armour Thyroid | $74 | $36,452382 claims |
| IBSA Pharma Inc.Tirosint | $26 | $5,37415 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 388 endocrinology, diabetes & metabolism providers in Pennsylvania.
Other endocrinology, diabetes & metabolism in Paoli
- Mona Al MukaddamPhiladelphia$3.9M
- Serge JabbourPhiladelphia$3.1M
- Mihaela BiscoveanuPhiladelphia$1.5M
- Barbara SimonPhiladelphia$1M
- Mitchell LazarPhiladelphia$1M
- Vijay BahlPittsburgh$998K
- Intekhab AhmedPhiladelphia$926K
- Erin KershawPittsburgh$804K
- Geraldo SaavedraWhitehall$698K
- Arvind CavaleFeasterville Trevose$662K
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.