Ryan Forbess, MD
Family Medicine · Orange Beach, ALNPI 1508155805
Payments from drug & device makers
Across 402 payments — averaging $15.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$917
- Novo Nordisk$853
- Lilly USA, LLC$608
- AstraZeneca$592
- Amarin Pharma, Inc.$541
- Antares Pharma, Inc.$374
- plus $2K from 33 others
What the payments were for
- Food & beverage$6,22399%
- Education$451%
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(2 entities) | 83 | $917 |
| Novo Nordisk | 50 | $853 |
| Lilly USA, LLC | 40 | $608 |
| AstraZeneca | 31 | $592 |
| Amarin Pharma, Inc. | 42 | $541 |
| Antares Pharma, Inc. | 22 | $374 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 11 | $211 |
| Pfizer | 11 | $193 |
| Amgen(2 entities) | 12 | $186 |
| Kowa Pharmaceuticals America, Inc. | 12 | $181 |
| GSK | 10 | $158 |
| Novartis | 9 | $146 |
| Sanofi-aventis U.S. LLC | 8 | $146 |
| Supernus Pharmaceuticals, Inc. | 2 | $114 |
| Takeda Pharmaceuticals U.S.A., Inc. | 5 | $109 |
| Halozyme Inc | 4 | $89 |
| Merck | 6 | $86 |
| Bayer | 5 | $85 |
| Corium, LLC | 4 | $76 |
| Axsome Therapeutics, Inc. | 3 | $61 |
| Tolmar, Inc. | 3 | $52 |
| Johnson & Johnson | 3 | $49 |
| Abbott | 2 | $42 |
| Hikma Pharmaceuticals USA | 3 | $41 |
| Tris Pharma Inc | 2 | $39 |
| Neos Therapeutics, LP | 2 | $39 |
| Phathom Pharmaceuticals, Inc. | 2 | $38 |
| Biohaven Pharmaceuticals, Inc. | 2 | $33 |
| Agepha Pharma FZ LLC | 2 | $33 |
| Esperion Therapeutics, Inc. | 2 | $31 |
| Medline Industries LP | 1 | $26 |
| Bausch Health US, LLC | 1 | $18 |
| Paratek Pharmaceuticals, Inc. | 1 | $17 |
| Exact Sciences | 1 | $15 |
| Mylan Specialty L.p. | 1 | $15 |
| Otsuka America Pharmaceutical, Inc. | 1 | $15 |
| Idorsia Pharmaceuticals US Inc | 1 | $13 |
| Sunovion Pharmaceuticals Inc. | 1 | $12 |
| Teva Pharmaceuticals USA, Inc. | 1 | $11 |
How this compares
$6,268 in reported general payments places this provider in the 85th percentile of 1,680 family medicine providers in Alabama.
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 |
|---|---|---|
| MounjaroTirzepatide | 443 | $474,534 |
| OzempicSemaglutide | 349 | $393,300 |
| EliquisApixaban | 120 | $128,308 |
| JardianceEmpagliflozin | 61 | $66,379 |
| TrulicityDulaglutide | 63 | $64,124 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 61 | $49,867 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 52 | $32,891 |
| XareltoRivaroxaban | 29 | $28,750 |
| FarxigaDapagliflozin Propanediol | 29 | $26,272 |
| Tresiba Flextouch U-200Insulin Degludec | 38 | $23,238 |
| WegovySemaglutide | 15 | $19,693 |
| JanuviaSitagliptin Phosphate | 11 | $13,860 |
| XyostedTestosterone Enanthate | 15 | $8,802 |
| Atorvastatin Calcium | 502 | $5,423 |
| Breo ElliptaFluticasone/Vilanterol | 11 | $4,882 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity | $608 | $538,658506 claims |
| Novo NordiskOzempic, Wegovy | $853 | $412,993364 claims |
| PfizerEliquis | $193 | $128,308120 claims |
| AstraZenecaBreztri Aerosphere, Farxiga | $592 | $59,16381 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $158 | $54,74972 claims |
| Johnson & JohnsonXarelto | $49 | $28,75029 claims |
| MerckJanuvia | $86 | $13,86011 claims |
| Antares Pharma, Inc.Xyosted | $374 | $8,80215 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 85th percentile of 1,680 family medicine providers in Alabama.
Other family medicine in Orange Beach
- Michael VaughnBirmingham$9.9M
- William NixonGuntersville$7.1M
- Randall QuinnCullman$5.4M
- Matthew CaldwellAthens$4.1M
- Michael CarterHuntsville$3.4M
- Howard RubensteinSaraland$3.3M
- Randle MiddletonHuntsville$3.3M
- Aaron KarrSheffield$3.1M
- Nidal MorrarFoley$3M
- Timothy HowardHuntsville$3M
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.