Ralph Snyderman
Rheumatology · Durham, NCNPI 1679657530
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $1,227,845 of the $1,281,950 with a category attached, or 95.8%. Irhythm Technologies, Inc. accounts for 99.6% of it on its own, with 1 other manufacturer making up the rest. Among rheumatology clinicians in NC with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 111 payments — averaging $11,549 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Irhythm Technologies, Inc.$1.3M
- Johnson & Johnson$6K
What the payments were for
- Consulting fees$1,227,84596%
- Speaking & faculty fees$5,2960%
- Travel & lodging$45,4434%
- Food & beverage$2,7020%
- Gifts$4560%
- Other$2100%
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 |
|---|---|---|
| Irhythm Technologies, Inc. | 108 | $1,276,445 |
| Johnson & Johnson | 3 | $5,505 |
How this compares
$1,281,950 in reported general payments places this provider in the 95th percentile of 210 rheumatology providers in North Carolina.
Other rheumatology in Durham
- Joseph ShanahanDurham$407K
- Megan ClowseDurham$72K
- Virginia KrausDurham$31K
- Laura SchanbergDurham$20K
- David LeverenzDurham$11K
- Gordon LamCharlotte$2.7M
- Wendy SimmonsWilmington$462K
- Andrew LasterCharlotte$421K
- Ana RossRaleigh$417K
- Gwenesta MeltonFayetteville$410K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.