Ruth Keeling, PA
Physician Assistant · Middletown, NYNPI 1235804584
Payments from drug & device makers
Across 102 payments — averaging $21.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Harmony Biosciences LLC$290
- CSL Behring$280
- Takeda Pharmaceuticals U.S.A., Inc.$216
- Regeneron Healthcare Solutions, Inc.$192
- Aerin Medical Inc.$161
- Sanofi$156
- plus $942 from 14 others
What the payments were for
- Food & beverage$2,238100%
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 |
|---|---|---|
| Harmony Biosciences LLC | 13 | $290 |
| CSL Behring | 13 | $280 |
| Takeda Pharmaceuticals U.S.A., Inc. | 8 | $216 |
| Regeneron Healthcare Solutions, Inc. | 11 | $192 |
| Aerin Medical Inc. | 4 | $161 |
| Sanofi | 9 | $156 |
| Jazz Pharmaceuticals Inc. | 7 | $156 |
| GSK | 6 | $133 |
| Novartis | 4 | $102 |
| Kaleo, Inc. | 5 | $96 |
| Axsome Therapeutics, Inc. | 4 | $82 |
| Optinose US, Inc. | 4 | $74 |
| Alk-abello, Inc | 3 | $71 |
| AstraZeneca | 3 | $57 |
| Merck | 3 | $41 |
| Medtronic | 1 | $41 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $29 |
| Stryker | 1 | $25 |
| Grifols USA, LLC | 1 | $20 |
| Hikma Pharmaceuticals USA | 1 | $16 |
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.
- VIVAER STYLUS$128
- RHINAER STYLUS$128
How this compares
$2,238 in reported general payments places this provider in the 85th percentile of 11,358 physician assistant providers in New York.
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 |
|---|---|---|
| Ipratropium Bromide | 128 | $5,665 |
| Budesonide | 16 | $4,405 |
| Fluticasone Propionate | 114 | $3,381 |
| Famotidine | 199 | $3,140 |
| Azelastine Hcl | 81 | $2,689 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 12 | $2,538 |
| Levocetirizine Dihydrochloride | 96 | $2,201 |
| Ofloxacin | 32 | $1,436 |
| Omeprazole | 41 | $923 |
| Mometasone Furoate | 27 | $676 |
| Montelukast Sodium | 57 | $550 |
| Fluocinolone Acetonide Oil | 11 | $471 |
| Mupirocin | 42 | $343 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 25 | $313 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 11 | $267 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Middletown
- Henry YuBronx$1M
- Michael AsbachAmherst$962K
- Janelle BunceJamestown$565K
- Kristyl Cuenca-SiskoNew York$478K
- Melissa WhiteGarden City$320K
- Lawrence HermanHolbrook$315K
- Kaitlyn NelsonBrooklyn$289K
- Sari KatzGarden City$271K
- Julius NwosuBronx$256K
- Cameron KiserNew York$225K
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.