Ralph McKibbin
Gastroenterology · Altoona, PANPI 1467486035
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $45,530 of the $57,171 with a category attached, or 79.6%. AbbVie accounts for 89.7% of it on its own, with 26 other manufacturers making up the rest. Reporting peaked in 2019 at $23,695 and has fallen 99.9% since, to $25 in 2025. Among gastroenterology clinicians in PA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 232 payments — averaging $246.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$51K
- E.r. Squibb & Sons, L.L.C.$4K
- Johnson & Johnson$356
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$282
- Takeda Pharmaceuticals U.S.A., Inc.$262
- Pfizer$210
- plus $943 from 21 others
What the payments were for
- Consulting fees$3001%
- Speaking & faculty fees$45,53080%
- Travel & lodging$7,37613%
- Food & beverage$3,8657%
- Education$990%
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(2 entities) | 100 | $51,288 |
| E.r. Squibb & Sons, L.L.C. | 3 | $3,830 |
| Johnson & Johnson(2 entities) | 25 | $356 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 22 | $282 |
| Takeda Pharmaceuticals U.S.A., Inc. | 21 | $262 |
| Pfizer | 14 | $210 |
| Boston Scientific | 2 | $133 |
| Bristol Myers Squibb | 5 | $82 |
| Axonics, Inc. | 4 | $81 |
| Ironwood Pharmaceuticals, Inc | 5 | $68 |
| Intercept Pharmaceuticals, Inc. | 3 | $61 |
| Amgen | 3 | $60 |
| Biofire Diagnostics, LLC | 1 | $60 |
| Medtronic(2 entities) | 2 | $56 |
| Daiichi Sankyo Inc. | 3 | $46 |
| Braintree Laboratories, Inc. | 3 | $45 |
| QOL Medical, LLC | 2 | $36 |
| Fujifilm Healthcare Americas Corporation | 2 | $32 |
| Merck | 2 | $31 |
| AstraZeneca | 2 | $29 |
| Curium US LLC | 1 | $25 |
| UCB, Inc. | 2 | $24 |
| Ardelyx, Inc. | 1 | $21 |
| Ferring Pharmaceuticals Inc. | 1 | $15 |
| Redhill Biopharma Inc. | 1 | $15 |
| Sanofi | 1 | $12 |
| Alfasigma USA, Inc. | 1 | $12 |
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.
How this compares
$57,171 in reported general payments places this provider in the 90th percentile of 935 gastroenterology providers in Pennsylvania.
Other gastroenterology in Altoona
- Mitul PatelAltoona$123K
- Miguel RegueiroPittsburgh$1.5M
- Adam PeytonAllentown$985K
- Shahin RahimianWaynesboro$592K
- Sandra El-HachemPittsburgh$472K
- Harshit KharaDanville$438K
- Kofi ClarkeHershey$426K
- Michael KochmanPhiladelphia$361K
- Gary LichtensteinPhiladelphia$342K
- Elie AounPittsburgh$323K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.