RxDoctor Payments Data

Paula Ryan, MD

Medical Oncology · Shenandoah, TXNPI 1043201015

Payments from drug & device makers

What this record shows

This record is dominated by other: $1,097 of the $1,468 with a category attached, or 74.7%. Novartis accounts for 74.7% of it on its own, with 7 other manufacturers making up the rest. 2025 is the largest year on record at $1,413, more than ten times the $18 reported in 2020. That places this record below the midpoint for medical oncology clinicians in TX, where the typical reported total is $4,372.

$1,468in general payments, 2019–2025

Across 24 payments — averaging $61.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novartis$1K
  • Tempus AI, Inc$208
  • Daiichi Sankyo Inc.$78
  • Pfizer$25
  • Johnson & Johnson$18
  • Eisai Inc.$16
  • plus $26 from 2 others
$1,320,369in research payments, 2019–2025

Across 135 payments — averaging $9780.51 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • AstraZeneca$555K
  • Eli Lilly$523K
  • Radius Health, Inc.$84K
  • Amgen$72K
  • Sanofi US Services Inc.$57K
  • Genentech, Inc.$18K
  • plus $10K from 1 others

What the payments were for

  • Food & beverage$25717%
  • Education$1158%
  • Other$1,09775%

General payments by program year

20
21
23
25

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

$1,468 in reported general payments places this provider in the 30th percentile of 495 medical oncology providers in Texas.

See all medical oncology providers in Texas →

Medicare billing

Part B allowed, 2024
$1,255,454
Medicare patients
307
Services billed
78,035

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

DrugClaimsCost to plans & patients
IbrancePalbociclib40$649,571
VerzenioAbemaciclib27$368,628
Anastrozole738$13,703
Exemestane28$3,579
Letrozole152$3,451
Tamoxifen Citrate49$1,262
Dexamethasone16$514
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen11$231
Gabapentin14$138

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.

CompanyPaid to this providerPart D cost of their drugs
PfizerIbrance$25$649,57140 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 30th percentile of 495 medical oncology providers in Texas.

Other medical oncology in Shenandoah

See the full list for Texas →

Where these figures come from

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