Ryan Roop, MD
Hematology & Oncology · Kalispell, MTNPI 1457541799
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.1% of the total across 142 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 23 manufacturers, the largest accounting for just 15.3% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $1,451 and has fallen 79.2% since, to $301 in 2024.
Across 142 payments — averaging $15.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- E.r. Squibb & Sons, L.L.C.$333
- Histosonics, Inc.$301
- Merck$284
- Genentech USA, Inc.$249
- Novartis$214
- Eisai Inc.$118
- plus $682 from 17 others
What the payments were for
- Food & beverage$2,09596%
- Education$854%
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 |
|---|---|---|
| E.r. Squibb & Sons, L.L.C. | 34 | $333 |
| Histosonics, Inc. | 1 | $301 |
| Merck | 20 | $284 |
| Genentech USA, Inc. | 22 | $249 |
| Novartis | 12 | $214 |
| Eisai Inc. | 8 | $118 |
| Amgen | 6 | $80 |
| Johnson & Johnson | 4 | $76 |
| Incyte Corporation | 2 | $65 |
| AstraZeneca | 5 | $65 |
| Pharmacyclics LLC, An Abbvie Company | 5 | $60 |
| Clovis Oncology, Inc. | 4 | $51 |
| Gilead(2 entities) | 4 | $48 |
| Taiho Oncology, Inc. | 2 | $44 |
| Astellas Pharma US Inc | 2 | $38 |
| Ipsen Biopharmaceuticals, Inc | 2 | $34 |
| Foundation Medicine, Inc. | 2 | $30 |
| Puma Biotechnology, Inc. | 2 | $30 |
| Helsinn Therapeutics (U.S.), Inc. | 1 | $13 |
| Pfizer | 1 | $12 |
| Bristol Myers Squibb | 1 | $12 |
| Seagen Inc. | 1 | $12 |
| Sanofi | 1 | $12 |
How this compares
$2,180 in reported general payments places this provider in the 70th percentile of 37 hematology & oncology providers in Montana.
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 |
|---|---|---|
| PomalystPomalidomide | 23 | $529,467 |
| CabometyxCabozantinib S-Malate | 30 | $522,711 |
| ImbruvicaIbrutinib | 31 | $520,664 |
| XtandiEnzalutamide | 22 | $322,047 |
| RevlimidLenalidomide | 22 | $287,027 |
| Lenalidomide | 26 | $278,568 |
| CalquenceAcalabrutinib Maleate | 12 | $187,491 |
| VenclextaVenetoclax | 13 | $89,285 |
| EliquisApixaban | 67 | $49,137 |
| Abiraterone Acetate | 21 | $37,113 |
| XareltoRivaroxaban | 52 | $28,709 |
| Letrozole | 229 | $2,528 |
| ValacyclovirValacyclovir Hcl | 66 | $1,290 |
| Hydroxyurea | 50 | $994 |
| Dexamethasone | 38 | $911 |
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 |
|---|---|---|
| E.r. Squibb & Sons, L.L.C.Pomalyst | $333 | $529,46723 claims |
| Pharmacyclics LLC, An Abbvie CompanyImbruvica | $60 | $520,66431 claims |
| Astellas Pharma US IncXtandi | $38 | $322,04722 claims |
| Bristol Myers SquibbRevlimid | $12 | $287,02722 claims |
| AstraZenecaCalquence | $65 | $187,49112 claims |
| PfizerEliquis | $12 | $49,13767 claims |
| Johnson & JohnsonXarelto | $76 | $28,70952 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 70th percentile of 37 hematology & oncology providers in Montana.
Other hematology & oncology in Kalispell
- Peter WagnerKalispell$2K
- Elise AnderesKalispell$406
- Kyle KondratKalispell$379
- Karen HuntKalispell$125
- John WardKalispell$72
- Patrick CobbBillings$21K
- Thomas WeinerHelena$14K
- Aaron FrankeSidney$11K
- Carolyn AksHavre$9K
- Karl GuterGreat Falls$9K
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.