RxDoctor Payments Data

Ryan Siewert, MD

Family Medicine · Williston, NDNPI 1528355500

Payments from drug & device makers

$407in general payments, 2019–2025

Across 32 payments — averaging $12.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Pfizer$168
  • Boehringer Ingelheim$70
  • Takeda Pharmaceuticals U.S.A., Inc.$63
  • Exact Sciences$22
  • Astellas Pharma US Inc$20
  • Medtronic$16
  • plus $48 from 4 others

What the payments were for

  • Food & beverage$37291%
  • Education$359%

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

19
20
25

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.

How this compares

$407 in reported general payments places this provider in the 70th percentile of 337 family medicine providers in North Dakota.

See all family medicine providers in North Dakota

Medicare billing

Part B allowed, 2024
$205,422
Medicare patients
698
Services billed
5,633

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

DrugClaimsCost to plans & patients
OzempicSemaglutide93$102,981
EliquisApixaban127$89,185
Tresiba Flextouch U-200Insulin Degludec65$61,212
TrulicityDulaglutide61$59,263
JardianceEmpagliflozin52$45,214
MounjaroTirzepatide40$42,435
FarxigaDapagliflozin Propanediol46$39,150
XareltoRivaroxaban52$29,532
Trelegy ElliptaFluticasone/Umeclidin/Vilanter25$19,754
Fiasp FlextouchInsulin Aspart (Niacinamide)27$18,710
Breo ElliptaFluticasone/Vilanterol20$13,997
Novolog FlexpenInsulin Aspart36$12,059
Advair HfaFluticasone Propion/Salmeterol31$11,458
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr19$10,803
JanumetSitagliptin Phos/Metformin Hcl12$10,706

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.

CompanyPaid to this providerPart D cost of their drugs
Novo NordiskOzempic, Novolog$12$106,536112 claims
Lilly USA, LLCTrulicity, Mounjaro$12$101,699101 claims
PfizerEliquis$168$89,185127 claims
Boehringer IngelheimJardiance, Tradjenta, Spiriva Respimat$70$64,88290 claims
MerckJanumet, Janumet Xr, Januvia$11$27,15738 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 337 family medicine providers in North Dakota.

Other family medicine in Williston

See the full list for North Dakota

Where these figures come from

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