Ryan Duarte, PA
Physician Assistant · Pasco, WANPI 1720127020
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.9% of the total across 395 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 29 manufacturers, the largest accounting for just 17.5% — the pattern of someone who eats at a lot of different presentations. Among physician assistant clinicians in WA 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 395 payments — averaging $23.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Lilly USA, LLC$1K
- Johnson & Johnson$1K
- UCB, Inc.$774
- E.r. Squibb & Sons, L.L.C.$727
- Amgen$499
- plus $3K from 23 others
What the payments were for
- Food & beverage$8,99397%
- Education$2833%
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 | 104 | $1,626 |
| Lilly USA, LLC | 53 | $1,268 |
| Johnson & Johnson | 46 | $1,223 |
| UCB, Inc. | 37 | $774 |
| E.r. Squibb & Sons, L.L.C. | 25 | $727 |
| Amgen | 16 | $499 |
| Regeneron Healthcare Solutions, Inc. | 15 | $452 |
| Galderma Laboratories, L.p. | 13 | $334 |
| Arcutis Biotherapeutics, Inc. | 18 | $327 |
| Sanofi | 5 | $310 |
| Novartis | 17 | $299 |
| Incyte Corporation | 6 | $292 |
| Boehringer Ingelheim | 5 | $201 |
| Dermavant Sciences, Inc. | 4 | $146 |
| Sun Pharmaceutical Industries Inc. | 3 | $128 |
| Blueprint Medicines Corporation | 1 | $118 |
| Janssen Scientific Affairs, LLC | 1 | $113 |
| Pfizer | 6 | $96 |
| LEO Pharma Inc. | 4 | $74 |
| Organon | 3 | $58 |
| Almirall LLC | 2 | $34 |
| Biofrontera Inc. | 2 | $33 |
| Helsinn Therapeutics (U.S.), Inc. | 2 | $31 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 2 | $28 |
| Fresenius Kabi USA, LLC | 1 | $20 |
| Kyowa Kirin, Inc. | 1 | $18 |
| VYNE Pharmaceuticals Inc. | 1 | $18 |
| Genentech USA, Inc. | 1 | $15 |
| Strata Skin Sciences, Inc. | 1 | $14 |
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
$9,276 in reported general payments places this provider in the 95th percentile of 2,741 physician assistant providers in Washington.
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 |
|---|---|---|
| Clobetasol Propionate | 61 | $4,990 |
| Triamcinolone Acetonide | 83 | $1,432 |
| Ketoconazole | 72 | $1,221 |
| Betamethasone Dipropionate | 22 | $1,084 |
| Desonide | 20 | $934 |
| Doxycycline Hyclate | 50 | $821 |
| Dapsone | 11 | $597 |
| Clindamycin Phosphate | 16 | $468 |
| Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc | 12 | $389 |
| Imiquimod | 11 | $262 |
| Ciclopirox | 15 | $244 |
| Dutasteride | 16 | $173 |
| Mupirocin | 20 | $161 |
| ValacyclovirValacyclovir Hcl | 12 | $147 |
| Spironolactone | 15 | $84 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Pasco
- Jill KandoraShoreline$437K
- Jeannette HartRichland$263K
- Lance KeckTacoma$162K
- Erinn KingSeattle$129K
- Christy VathSeattle$75K
- Scott TaylorMercer Island$71K
- Gina FragioneGraham$69K
- Regan BrownSpokane$56K
- Justin ChapinSeattle$40K
- Susan DuffyBellevue$23K
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.