Ralph Wisniewski, MD
Gastroenterology · Lynchburg, VANPI 1992770309
Payments from drug & device makers
Across 337 payments — averaging $17.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Johnson & Johnson$1K
- Ironwood Pharmaceuticals, Inc$498
- Takeda Pharmaceuticals U.S.A., Inc.$249
- QOL Medical, LLC$239
- Regeneron Healthcare Solutions, Inc.$209
- plus $2K from 22 others
What the payments were for
- Food & beverage$5,800100%
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 | 146 | $1,828 |
| Johnson & Johnson | 52 | $1,186 |
| Ironwood Pharmaceuticals, Inc | 24 | $498 |
| Takeda Pharmaceuticals U.S.A., Inc. | 20 | $249 |
| QOL Medical, LLC | 13 | $239 |
| Regeneron Healthcare Solutions, Inc. | 3 | $209 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 10 | $184 |
| Covidien LP | 3 | $171 |
| Daiichi Sankyo Inc. | 6 | $132 |
| Davol Inc. | 1 | $130 |
| Pfizer | 9 | $126 |
| UCB, Inc. | 8 | $114 |
| Ferring Pharmaceuticals Inc. | 7 | $106 |
| Bristol Myers Squibb | 6 | $99 |
| Phathom Pharmaceuticals, Inc. | 4 | $76 |
| Nestle Healthcare Nutrition Inc. | 5 | $69 |
| Merck | 3 | $57 |
| Ardelyx, Inc. | 3 | $52 |
| Aimmune Therapeutics, Inc. | 2 | $41 |
| Medtronic | 2 | $40 |
| Capsovision, Inc. | 1 | $39 |
| Sanofi | 2 | $37 |
| Lilly USA, LLC | 2 | $37 |
| Amgen | 1 | $20 |
| Madrigal Pharmaceuticals | 1 | $18 |
| Ipsen Biopharmaceuticals, Inc | 1 | $17 |
| Intercept Pharmaceuticals, Inc. | 1 | $15 |
| Braintree Laboratories, Inc. | 1 | $13 |
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
$5,800 in reported general payments places this provider in the 55th percentile of 473 gastroenterology providers in Virginia.
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 |
|---|---|---|
| StelaraUstekinumab | 22 | $613,885 |
| Humira(Cf) PenAdalimumab | 17 | $258,106 |
| OcalivaObeticholic Acid | 13 | $121,907 |
| LinzessLinaclotide | 27 | $17,496 |
| Mesalamine | 26 | $14,001 |
| Omeprazole | 264 | $3,630 |
| Budesonide EcBudesonide | 16 | $2,916 |
| ClenpiqSod Picosulf/Mag Ox/Citric Ac | 12 | $2,068 |
| Dexlansoprazole DrDexlansoprazole | 12 | $1,918 |
| Pantoprazole Sodium | 156 | $1,852 |
| Esomeprazole Magnesium | 35 | $1,661 |
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 20 | $1,295 |
| Budesonide DrBudesonide | 12 | $1,206 |
| Sulfasalazine | 18 | $1,014 |
| Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl | 48 | $687 |
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 |
|---|---|---|
| Johnson & JohnsonStelara | $1,186 | $613,88522 claims |
| Intercept Pharmaceuticals, Inc.Ocaliva | $15 | $121,90713 claims |
| AbbVieLinzess | $1,828 | $17,49627 claims |
| Ferring Pharmaceuticals Inc.Clenpiq | $106 | $2,06812 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 473 gastroenterology providers in Virginia.
Other gastroenterology in Lynchburg
- Larry ClarkLynchburg$8.5M
- Arun SanyalRichmond$5.5M
- Mitchell ShiffmanNewport News$4.7M
- Jasmohan BajajRichmond$4.4M
- Michael FuchsRichmond$1.9M
- Stephen CaldwellCharlottesville$1.8M
- Nirish ShahRoanoke$1.7M
- Michael RyanNorfolk$1.5M
- Omer KhalidNorth Chesterfield$1.2M
- Binu JohnRichmond$1M
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.