Ryan Rafa
Physician Assistant · Morgantown, WVNPI 1124663232
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,943 of the $6,798 with a category attached, or 87.4%. It is spread thinly across 21 manufacturers, the largest accounting for just 17.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $2,826 and has fallen 65.6% since, to $973 in 2025. Among physician assistant clinicians in WV 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 314 payments — averaging $21.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$1K
- AbbVie$1K
- Axsome Therapeutics, Inc.$1K
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$594
- Alkermes, Inc.$470
- Neuronetics, Inc.$452
- plus $2K from 15 others
What the payments were for
- Travel & lodging$72311%
- Food & beverage$5,94387%
- Education$1322%
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 |
|---|---|---|
| Johnson & Johnson | 18 | $1,215 |
| AbbVie | 97 | $1,159 |
| Axsome Therapeutics, Inc. | 34 | $1,012 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 29 | $594 |
| Alkermes, Inc. | 26 | $470 |
| Neuronetics, Inc. | 10 | $452 |
| Teva Pharmaceuticals USA, Inc. | 22 | $445 |
| Neurocrine Biosciences, Inc. | 8 | $207 |
| Otsuka America Pharmaceutical, Inc. | 9 | $201 |
| Indivior Inc. | 10 | $181 |
| Sunovion Pharmaceuticals Inc. | 10 | $131 |
| Takeda Pharmaceuticals U.S.A., Inc. | 8 | $129 |
| Almatica Pharma LLC | 7 | $120 |
| Avanir Pharmaceuticals, Inc. | 4 | $91 |
| Corium, LLC | 4 | $70 |
| Ironshore Pharmaceuticals Inc. | 4 | $70 |
| Lundbeck LLC | 4 | $66 |
| Vanda Pharmaceuticals Inc. | 3 | $59 |
| Neos Therapeutics, LP | 3 | $55 |
| E.r. Squibb & Sons, L.L.C. | 3 | $50 |
| Hikma Pharmaceuticals USA | 1 | $21 |
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.
- SPRAVATO$783
- Auvelity$565
- NEUROSTAR TMS THERAPY SYSTEM$244
How this compares
$6,798 in reported general payments places this provider in the 95th percentile of 833 physician assistant providers in West Virginia.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| SpravatoEsketamine Hcl | 39 | $53,505 |
| Bupropion XlBupropion Hcl | 11 | $212 |
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 |
|---|---|---|
| Johnson & JohnsonSpravato | $1,215 | $53,50539 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 95th percentile of 833 physician assistant providers in West Virginia.
Other physician assistant in Morgantown
- Jordan BrewerMorgantown$15K
- Courtney CiraMorgantown$9K
- Amanda SkrinjorichMorgantown$6K
- Travis RandolphMorgantown$6K
- Beth Ann Guzzi-PorterMorgantown$6K
- Justin MorganMorgantown$5K
- Kassandra OlgersMorgantown$4K
- Elizabeth MorrowMorgantown$4K
- Katie KisnerMorgantown$4K
- Sarah AdamczykMorgantown$4K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.