Randall Ruppel, MD
Pediatric Critical Care Medicine · Roanoke, VANPI 1598749384
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.0% of the total across 127 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 18 manufacturers reported payments, led by Teva Pharmaceuticals USA, Inc. at 26.5% of the total.
Across 127 payments — averaging $21.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Teva Pharmaceuticals USA, Inc.$738
- Johnson & Johnson$595
- Neurocrine Biosciences, Inc.$324
- Otsuka America Pharmaceutical, Inc.$275
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$219
- Lundbeck LLC$152
- plus $480 from 12 others
What the payments were for
- Food & beverage$2,67296%
- Education$1114%
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.
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
$2,783 in reported general payments places this provider in the 85th percentile of 28 pediatric critical care medicine providers in Virginia.
See all pediatric critical care medicine 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.
Other pediatric critical care medicine in Roanoke
- Virginia PowelRoanoke$261
- Heidi DaltonFalls Church$52K
- Rana Sharara ChamiFalls Church$24K
- Keith KocisFalls Church$22K
- Douglas WillsonRichmond$2K
- Arif AlamRichmond$368
- Michael SpaederCharlottesville$200
- Anthony CamerotaCharlottesville$200
- Megan TzengFalls Church$146
- Christopher RayRichmond$142
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.