Ryan West, MD
Internal Medicine · Paris, KYNPI 1679736037
Payments from drug & device makers
Across 183 payments — averaging $16.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$847
- GSK$451
- Novo Nordisk$222
- Boehringer Ingelheim$196
- Bayer$195
- AstraZeneca$193
- plus $887 from 23 others
What the payments were for
- Food & beverage$2,992100%
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 |
|---|---|---|
| Lilly USA, LLC | 51 | $847 |
| GSK | 28 | $451 |
| Novo Nordisk | 13 | $222 |
| Boehringer Ingelheim | 13 | $196 |
| Bayer | 11 | $195 |
| AstraZeneca | 14 | $193 |
| Novartis | 7 | $127 |
| Pfizer | 7 | $112 |
| Exact Sciences | 6 | $101 |
| Johnson & Johnson | 5 | $81 |
| Esperion Therapeutics, Inc. | 4 | $71 |
| AbbVie | 4 | $63 |
| Merck | 3 | $45 |
| Shire North American Group Inc | 2 | $30 |
| Teva Pharmaceuticals USA, Inc. | 1 | $24 |
| Verona Pharma, Inc. | 1 | $24 |
| Axsome Therapeutics, Inc. | 1 | $22 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $21 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $20 |
| Otsuka America Pharmaceutical, Inc. | 1 | $20 |
| Lundbeck LLC | 1 | $18 |
| Minerva Surgical, Inc | 1 | $15 |
| Amgen | 1 | $15 |
| Currax Pharmaceuticals LLC | 1 | $14 |
| Vertical Pharmaceuticals, LLC | 1 | $14 |
| Supernus Pharmaceuticals, Inc. | 1 | $13 |
| Kowa Pharmaceuticals America, Inc. | 1 | $12 |
| Amarin Pharma, Inc. | 1 | $12 |
| Corium, LLC | 1 | $11 |
How this compares
$2,992 in reported general payments places this provider in the 80th percentile of 1,284 internal medicine providers in Kentucky.
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 |
|---|---|---|
| JardianceEmpagliflozin | 82 | $49,268 |
| OzempicSemaglutide | 46 | $41,978 |
| TrulicityDulaglutide | 25 | $23,970 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 21 | $13,577 |
| EliquisApixaban | 31 | $13,089 |
| Spiriva HandihalerTiotropium Bromide | 25 | $12,578 |
| Humalog Mix 75-25 KwikpenInsulin Lispro Protamin/Lispro | 12 | $7,140 |
| Breo ElliptaFluticasone/Vilanterol | 15 | $6,699 |
| VyvanseLisdexamfetamine Dimesylate | 11 | $4,100 |
| Buspirone Hcl | 69 | $1,690 |
| Ventolin HfaAlbuterol Sulfate | 23 | $1,274 |
| Fluticasone Propionate | 79 | $1,198 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 43 | $1,174 |
| Montelukast Sodium | 194 | $765 |
| Memantine Hcl | 27 | $744 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance | $196 | $49,26882 claims |
| Novo NordiskOzempic | $222 | $41,97846 claims |
| Lilly USA, LLCTrulicity | $847 | $23,97025 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $451 | $20,27736 claims |
| PfizerEliquis | $112 | $13,08931 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Vyvanse | $21 | $4,10011 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 80th percentile of 1,284 internal medicine providers in Kentucky.
Other internal medicine in Paris
- Mark AdamsLondon$15.4M
- Matthew WenkerErlanger$12.8M
- Jason ChesneyLouisville$6.3M
- Neil FarrisLexington$3M
- David JohnsonOwensboro$787K
- Hollis ClarkMurray$780K
- Fares KhaterWhitesburg$412K
- Christopher PhillipsPaducah$315K
- Cynthia Bowman-StroudPaducah$234K
- Bernard BuchananOwensboro$224K
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.