Ryan Williams, PA
Surgical · Las Vegas, NVNPI 1043611957
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 33 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 11 manufacturers reported payments, led by Stryker at 45.6% of the total.
Across 33 payments — averaging $43.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$650
- Integra Lifesciences Corporation$196
- Boston Scientific$152
- Forte Bio-pharma LLC$92
- Si-bone, Inc.$73
- Cerapedics Inc.$67
- plus $196 from 5 others
What the payments were for
- Food & beverage$1,424100%
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 |
|---|---|---|
| Stryker | 13 | $650 |
| Integra Lifesciences Corporation | 2 | $196 |
| Boston Scientific | 3 | $152 |
| Forte Bio-pharma LLC | 1 | $92 |
| Si-bone, Inc. | 4 | $73 |
| Cerapedics Inc. | 2 | $67 |
| Zimmer Biomet | 3 | $58 |
| Organogenesis Inc. | 1 | $45 |
| Pacira Pharmaceuticals Incorporated | 2 | $34 |
| Orthofix Medical, Inc. | 1 | $32 |
| Saluda Medical Americas, Inc. | 1 | $26 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- TENOGLIDE$176
- INSIGNIA$121
- PANGEA$113
- T2 ALPHA$113
- EVEREST SPINAL SYSTEM$107
How this compares
$1,424 in reported general payments places this provider in the 65th percentile of 91 surgical providers in Nevada.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 17 | $320 |
| Methocarbamol | 24 | $249 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 16 | $148 |
| Diclofenac Sodium | 14 | $137 |
| Tizanidine Hcl | 25 | $118 |
Paid to pharmacies, not to this prescriber.
Other surgical in Las Vegas
- Heather RohrerLas Vegas$253K
- Andrea EghterafiLas Vegas$11K
- Kasie PalmerLas Vegas$8K
- Jeffrey HaynesLas Vegas$8K
- Darin DutsonLas Vegas$8K
- Anastasia van LeuvenLas Vegas$6K
- Edmund Afrim-AntwiLas Vegas$4K
- Milan PatelLas Vegas$4K
- Heather TaLas Vegas$3K
- Sherry HallLas Vegas$3K
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.