Victoria Ruch, PA
Physician Assistant · Wilmington, DENPI 1386237303
Payments from drug & device makers
Across 19 payments — averaging $18.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$67
- Lilly USA, LLC$65
- Paratek Pharmaceuticals, Inc.$50
- Eisai Inc.$23
- Sanofi Pasteur Inc.$22
- Seqirus USA Inc$22
- plus $106 from 7 others
What the payments were for
- Food & beverage$354100%
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 |
|---|---|---|
| Novo Nordisk | 4 | $67 |
| Lilly USA, LLC | 4 | $65 |
| Paratek Pharmaceuticals, Inc. | 1 | $50 |
| Eisai Inc. | 1 | $23 |
| Sanofi Pasteur Inc. | 1 | $22 |
| Seqirus USA Inc | 1 | $22 |
| Astellas Pharma US Inc | 1 | $19 |
| Pfizer | 1 | $18 |
| Biohaven Pharmaceuticals, Inc. | 1 | $16 |
| Merck | 1 | $15 |
| Exact Sciences | 1 | $14 |
| AstraZeneca | 1 | $13 |
| Boehringer Ingelheim | 1 | $12 |
How this compares
$354 in reported general payments places this provider in the 60th percentile of 527 physician assistant providers in Delaware.
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 |
|---|---|---|
| Ipratropium Bromide | 239 | $4,842 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 74 | $719 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 24 | $705 |
| Cephalexin | 53 | $473 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 60 | $423 |
| Methylprednisolone | 61 | $391 |
| Doxycycline Hyclate | 58 | $384 |
| Prednisone | 116 | $292 |
| Doxycycline Monohydrate | 25 | $273 |
| Mupirocin | 22 | $177 |
| Hydrochlorothiazide | 11 | $153 |
| Triamcinolone Acetonide | 25 | $129 |
| Rosuvastatin Calcium | 14 | $116 |
| ErythromycinErythromycin Base | 13 | $111 |
| Amlodipine Besylate | 20 | $95 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Wilmington
- Jason SaulWilmington$9K
- Brooke EnderleWilmington$7K
- Linhda NguyenWilmington$5K
- Matthew StumpWilmington$5K
- Christopher HoverWilmington$5K
- Julie SimsWilmington$5K
- Joan TaddeiWilmington$4K
- Gabriel PelaezWilmington$4K
- Caitlin McCarryWilmington$4K
- Samantha DelfeldWilmington$4K
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.