Ryain Alexander, NP
Critical Care Medicine · Ripley, MSNPI 1508466467
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 39 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 9 manufacturers reported payments, led by Medline Industries LP at 49.3% of the total.
Across 39 payments — averaging $62.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medline Industries LP$1K
- Polynovo North America LLC$631
- Polymedics Innovations Inc.$161
- Kerecis Limited$136
- Teleflex LLC$134
- Merck$103
- plus $64 from 3 others
What the payments were for
- Food & beverage$2,425100%
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 |
|---|---|---|
| Medline Industries LP | 13 | $1,197 |
| Polynovo North America LLC | 6 | $631 |
| Polymedics Innovations Inc. | 3 | $161 |
| Kerecis Limited | 3 | $136 |
| Teleflex LLC | 5 | $134 |
| Merck | 5 | $103 |
| Smith+Nephew | 1 | $25 |
| Avita Medical Americas, LLC | 1 | $20 |
| Medela LLC | 2 | $19 |
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
$2,425 in reported general payments places this provider in the 70th percentile of 23 critical care medicine providers in Mississippi.
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 |
|---|---|---|
| XareltoRivaroxaban | 12 | $12,743 |
| ClopidogrelClopidogrel Bisulfate | 48 | $431 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 69 | $366 |
| Cilostazol | 11 | $277 |
| Oxycodone Hcl | 17 | $49 |
Paid to pharmacies, not to this prescriber.
Other critical care medicine in Ripley
- Emily BrumfieldJackson$14K
- Robert WalleyHattiesburg$8K
- Todd HendersonSouthaven$5K
- Lekha DeereJackson$5K
- Geeta GyamlaniJackson$3K
- Lauren BeasleyColumbus$3K
- Wade ChristopherJackson$2K
- Daniel CastilloJackson$2K
- Christopher SwiftMeridian$986
- Joe PresslerHattiesburg$946
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.