Ringaile Sirvaitis
Nurse Practitioner · Concord Township, OHNPI 1447624358
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.5% of the total across 621 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 37 manufacturers, the largest accounting for just 15.1% — the pattern of someone who eats at a lot of different presentations. Among nurse practitioner clinicians in OH 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 621 payments — averaging $17.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Lilly USA, LLC$1K
- Sanofi$731
- LEO Pharma Inc.$613
- Sun Pharmaceutical Industries Inc.$608
- Johnson & Johnson$584
- plus $5K from 31 others
What the payments were for
- Food & beverage$10,32297%
- Education$3733%
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 | 87 | $1,619 |
| Lilly USA, LLC | 69 | $1,327 |
| Sanofi | 34 | $731 |
| LEO Pharma Inc. | 38 | $613 |
| Sun Pharmaceutical Industries Inc. | 40 | $608 |
| Johnson & Johnson | 36 | $584 |
| Pfizer | 36 | $581 |
| Regeneron Healthcare Solutions, Inc. | 31 | $569 |
| UCB, Inc. | 35 | $499 |
| E.r. Squibb & Sons, L.L.C. | 58 | $485 |
| Mayne Pharma Commercial LLC | 24 | $395 |
| Incyte Corporation | 22 | $367 |
| Amgen | 16 | $299 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 14 | $286 |
| Sanofi-aventis U.S. LLC | 3 | $265 |
| Novartis | 17 | $258 |
| Dermavant Sciences, Inc. | 10 | $215 |
| Janssen Scientific Affairs, LLC | 1 | $125 |
| Organon | 7 | $120 |
| Galderma Laboratories, L.p. | 7 | $114 |
| Almirall LLC | 6 | $107 |
| EPI Health, LLC | 5 | $82 |
| Convatec Inc. | 3 | $70 |
| VYNE Pharmaceuticals Inc. | 3 | $67 |
| Arcutis Biotherapeutics, Inc. | 3 | $52 |
| Nabriva Therapeutics, PLC | 3 | $43 |
| Kyowa Kirin, Inc. | 2 | $33 |
| Journey Medical Corporation | 2 | $30 |
| Biofrontera Inc. | 1 | $21 |
| LNHC, Inc | 1 | $20 |
| Verrica Pharmaceuticals Inc. | 1 | $18 |
| Botanix SB Inc | 1 | $17 |
| Cipher Pharmaceuticals US LLC | 1 | $16 |
| Paratek Pharmaceuticals, Inc. | 1 | $15 |
| Organogenesis Inc. | 1 | $15 |
| Medimetriks Pharmaceuticals, Inc. | 1 | $14 |
| Qiagen, LLC | 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
$10,696 in reported general payments places this provider in the 95th percentile of 4,700 nurse practitioner providers in Ohio.
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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 12 | $163,284 |
| Clobetasol Propionate | 123 | $4,998 |
| Fluorouracil | 48 | $4,513 |
| Metronidazole | 25 | $2,502 |
| Clindamycin Phosphate | 51 | $2,204 |
| Ketoconazole | 221 | $1,995 |
| Doxycycline Hyclate | 99 | $1,323 |
| Triamcinolone Acetonide | 206 | $1,076 |
| Mupirocin | 127 | $931 |
| Nystatin | 60 | $771 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 11 | $266 |
| ValacyclovirValacyclovir Hcl | 17 | $146 |
| Methylprednisolone | 19 | $93 |
| Terbinafine Hcl | 13 | $16 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Concord Township
- Margaret BobonichCleveland$235K
- Mary GallagherWestlake$229K
- Sonia HissettCincinnati$179K
- Ashley TaylorNew Albany$107K
- Beth FaimanCleveland$101K
- Katherine AlexanderColumbus$99K
- Tiffany JonesCincinnati$99K
- Kate NewmanWestlake$78K
- Daniella GerySouth Euclid$73K
- Amy HazelCanton$63K
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.