Ryan Smith, MD
Family Medicine · Clearwater, FLNPI 1376802710
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (43.3%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Patterson Companies, Inc. accounts for 67.6% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2022 at $2,774 and has fallen 99.2% since, to $23 in 2025.
Across 62 payments — averaging $59.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Patterson Companies, Inc.$3K
- GSK$620
- Lilly USA, LLC$183
- Novo Nordisk$78
- Novartis$48
- Boehringer Ingelheim$40
- plus $229 from 8 others
What the payments were for
- Travel & lodging$60016%
- Food & beverage$1,49740%
- Education$1,60043%
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 |
|---|---|---|
| Patterson Companies, Inc. | 3 | $2,500 |
| GSK | 26 | $620 |
| Lilly USA, LLC | 11 | $183 |
| Novo Nordisk | 4 | $78 |
| Novartis | 3 | $48 |
| Boehringer Ingelheim | 2 | $40 |
| Pfizer | 2 | $39 |
| Exact Sciences | 2 | $37 |
| Medtronic | 2 | $37 |
| Bayer | 2 | $36 |
| AstraZeneca | 2 | $31 |
| Insmed, Inc. | 1 | $20 |
| Dexcom, Inc. | 1 | $15 |
| Johnson & Johnson | 1 | $14 |
How this compares
$3,697 in reported general payments places this provider in the 85th percentile of 7,282 family medicine providers in Florida.
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 |
|---|---|---|
| TrulicityDulaglutide | 47 | $71,601 |
| MounjaroTirzepatide | 52 | $70,841 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 86 | $65,842 |
| EliquisApixaban | 65 | $60,744 |
| XareltoRivaroxaban | 31 | $33,803 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 125 | $3,400 |
| Gabapentin | 135 | $2,788 |
| LantusInsulin Glargine,hum.Rec.Anlog | 27 | $2,678 |
| Atorvastatin Calcium | 301 | $2,352 |
| Omeprazole | 158 | $1,715 |
| Levothyroxine Sodium | 140 | $1,630 |
| Omega-3 Acid Ethyl Esters | 12 | $1,472 |
| Lisinopril | 286 | $1,222 |
| Nifedipine ErNifedipine | 15 | $1,168 |
| Pantoprazole Sodium | 79 | $1,139 |
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, LLCTrulicity, Mounjaro, Humulin 70-30 | $183 | $142,999112 claims |
| GSKTrelegy Ellipta | $620 | $65,84286 claims |
| PfizerEliquis | $39 | $60,74465 claims |
| Johnson & JohnsonXarelto | $14 | $33,80331 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 85th percentile of 7,282 family medicine providers in Florida.
Other family medicine in Clearwater
- David HicksClearwater$33K
- Noah LeeOakland Park$1.2M
- Angela RosselotBelle Isle$977K
- Richard LappOrlando$702K
- Hal BrownVero Beach$477K
- Lisa EvansBoca Raton$473K
- Giovana Rene CrooksBoca Raton$407K
- Edward BraunSt Petersburg$364K
- Samuel GreenleePensacola$235K
- Kevin FitzgeraldStuart$198K
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.