Ryan Rich, MD
Dermatology · Rogers, ARNPI 1578852455
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.3% of the total across 241 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 32 manufacturers, the largest accounting for just 22.0% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $2,380 and has fallen 73.6% since, to $629 in 2025.
Across 241 payments — averaging $21.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Sanofi$394
- UCB, Inc.$393
- Novartis$362
- Ortho Dermatologics, A Division Of Bausch Health US, LLC$262
- Johnson & Johnson$256
- plus $2K from 26 others
What the payments were for
- Food & beverage$5,09497%
- Education$1393%
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) | 53 | $1,152 |
| Sanofi | 17 | $394 |
| UCB, Inc. | 17 | $393 |
| Novartis | 17 | $362 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 14 | $262 |
| Johnson & Johnson | 10 | $256 |
| Galderma Laboratories, L.p. | 9 | $244 |
| Regeneron Healthcare Solutions, Inc. | 9 | $226 |
| Sun Pharmaceutical Industries Inc. | 11 | $226 |
| Almirall LLC | 6 | $207 |
| Pfizer | 15 | $196 |
| Mayne Pharma Commercial LLC | 11 | $192 |
| Amgen | 8 | $191 |
| Merz North America, Inc. | 2 | $168 |
| Lilly USA, LLC | 8 | $152 |
| LEO Pharma Inc. | 4 | $84 |
| Boehringer Ingelheim | 3 | $79 |
| EPI Health, LLC | 5 | $72 |
| Biofrontera Inc. | 3 | $49 |
| E.r. Squibb & Sons, L.L.C. | 2 | $40 |
| Bristol Myers Squibb | 2 | $38 |
| VYNE Pharmaceuticals Inc. | 2 | $36 |
| Journey Medical Corporation | 2 | $34 |
| Aclaris Therapeutics, Inc. | 2 | $31 |
| Convatec Inc. | 1 | $28 |
| Incyte Corporation | 1 | $28 |
| Organogenesis Inc. | 1 | $25 |
| Mimedx Group, Inc. | 1 | $18 |
| DUSA Pharmaceuticals, Inc. | 1 | $16 |
| Dermira, Inc. | 1 | $15 |
| Kerecis Limited | 1 | $14 |
| Glenmark Therapeutics Inc. | 2 | $5 |
How this compares
$5,234 in reported general payments places this provider in the 60th percentile of 75 dermatology providers in Arkansas.
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 |
|---|---|---|
| Ketoconazole | 210 | $3,523 |
| Triamcinolone Acetonide | 170 | $2,369 |
| Clobetasol Propionate | 63 | $1,422 |
| Betamethasone Dipropionate | 33 | $1,411 |
| Fluorouracil | 25 | $1,329 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 50 | $1,037 |
| Clindamycin Phosphate | 31 | $1,014 |
| Metronidazole | 26 | $984 |
| Ammonium Lactate | 30 | $607 |
| Doxycycline Monohydrate | 41 | $482 |
| Mupirocin | 64 | $415 |
| Hydrocortisone | 38 | $337 |
| Terbinafine Hcl | 14 | $87 |
| Fluconazole | 13 | $84 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Rogers
- Cheryl HullRogers$6K
- Michael GaroneRogers$5K
- Lauren McCaslinRogers$4K
- Sandra JohnsonFort Smith$543K
- Scott JacksonFayetteville$533K
- Mildred CliftonBentonville$92K
- Lance HenryFayetteville$39K
- Jennifer JacksPine Bluff$21K
- Zachary NahmiasJonesboro$15K
- Phillip StitesFort Smith$15K
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.