Ryan Frazine, MD
Internal Medicine · Paducah, KYNPI 1548339070
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.8% of the total across 547 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 44 manufacturers, the largest accounting for just 15.8% — the pattern of someone who eats at a lot of different presentations. Among internal medicine clinicians in KY with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 547 payments — averaging $15.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Novo Nordisk$1K
- Lilly USA, LLC$955
- AstraZeneca$799
- Boehringer Ingelheim$614
- Pfizer$607
- plus $3K from 38 others
Across 3 payments — averaging $9846.58 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- AstraZeneca$19K
- Amgen$11K
What the payments were for
- Food & beverage$8,610100%
- Education$200%
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.
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
$8,630 in reported general payments places this provider in the 90th percentile of 1,284 internal medicine providers in Kentucky.
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 | 234 | $267,408 |
| JardianceEmpagliflozin | 136 | $161,601 |
| OzempicSemaglutide | 88 | $152,342 |
| EliquisApixaban | 153 | $145,267 |
| FarxigaDapagliflozin Propanediol | 95 | $107,671 |
| RybelsusSemaglutide | 34 | $49,521 |
| TrulicityDulaglutide | 40 | $47,657 |
| QuliptaAtogepant | 12 | $33,001 |
| Repatha SureclickEvolocumab | 33 | $32,422 |
| XareltoRivaroxaban | 29 | $31,298 |
| Synjardy XrEmpagliflozin/Metformin Hcl | 23 | $26,897 |
| LinzessLinaclotide | 28 | $24,889 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 15 | $22,371 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 11 | $16,676 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 32 | $13,798 |
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 | $955 | $315,065274 claims |
| Novo NordiskOzempic, Rybelsus | $1,346 | $201,863122 claims |
| Boehringer IngelheimJardiance, Synjardy Xr, Stiolto Respimat | $614 | $200,122184 claims |
| PfizerEliquis, Abrysvo, Premarin | $607 | $160,649203 claims |
| AstraZenecaFarxiga, Breztri Aerosphere | $799 | $130,043110 claims |
| AbbVieQulipta, Linzess, Synthroid | $1,359 | $67,630206 claims |
| GSKTrelegy Ellipta, Shingrix, Breo Ellipta | $32 | $36,82682 claims |
| Johnson & JohnsonXarelto | $144 | $31,29829 claims |
| Astellas Pharma US IncMyrbetriq | $97 | $11,80925 claims |
| NovartisEntresto | $191 | $8,62112 claims |
| Kowa Pharmaceuticals America, Inc.Livalo | $31 | $3,86512 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 90th percentile of 1,284 internal medicine providers in Kentucky.
Other internal medicine in Paducah
- Christopher PhillipsPaducah$16K
- Fares KhaterWhitesburg$412K
- Bernard BuchananOwensboro$185K
- David ManninoLexington$168K
- John PeppinCynthiana$108K
- Sanjay KaulBrownsville$69K
- John JonesHazard$63K
- Robert SasserLouisville$62K
- Justin LandeDanville$60K
- Sanjiv GuptaGrayson$49K
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.