RYAN D AGOSTINELLI

Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant SPOKANE, WA NPI 1043763253

General Payments — all program years on this page

$1,843.22

  • Category: General Payments
  • Program years: PY2022–2024
  • Record count: 90
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $897.46 across 45 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $897.4645

By paying entity

Latest program year (PY2024) · sorted by reported total.

By program year

Program yearAmountRecords
2022 $337.5217
2023 $608.2428
2024 $897.4645

Records — PY2024 (45)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1092752872 Boston Scientific Corporation $30.16 07/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100362435 Novo Nordisk Inc $23.50 07/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100376415 Novo Nordisk Inc $20.85 01/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100482579 Novo Nordisk Inc $20.37 05/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100494865 Novo Nordisk Inc $27.67 10/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100591790 Novo Nordisk Inc $25.35 09/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100593150 Novo Nordisk Inc $13.06 12/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100651431 Novo Nordisk Inc $22.44 03/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106416739 ABBVIE INC. $5.74 01/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106416741 ABBVIE INC. $29.77 03/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106416743 ABBVIE INC. $26.02 04/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106416745 ABBVIE INC. $12.99 05/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106416747 ABBVIE INC. $16.74 05/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106416749 ABBVIE INC. $21.47 06/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106416751 ABBVIE INC. $20.34 06/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106416753 ABBVIE INC. $24.98 09/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106416755 ABBVIE INC. $29.79 10/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106416757 ABBVIE INC. $26.49 10/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106416759 ABBVIE INC. $33.06 11/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106416761 ABBVIE INC. $24.60 11/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106416763 ABBVIE INC. $10.59 12/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1114570590 Exact Sciences Corporation $23.00 01/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1114570595 Exact Sciences Corporation $24.03 06/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1114570599 Exact Sciences Corporation $24.66 08/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1114570603 Exact Sciences Corporation $33.02 11/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117759295 Corcept Therapeutics $22.73 01/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117759333 Corcept Therapeutics $26.91 05/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117851183 Boehringer Ingelheim Pharmaceuticals, Inc. $34.54 09/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1130900000 PFIZER INC. $6.25 03/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1130906071 PFIZER INC. $11.19 04/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1130937507 PFIZER INC. $10.66 08/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1130963843 PFIZER INC. $4.32 09/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1130982202 PFIZER INC. $5.11 10/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1130984258 PFIZER INC. $8.40 10/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131005332 PFIZER INC. $14.54 02/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131137502 PFIZER INC. $19.88 01/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131213539 PFIZER INC. $14.87 11/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131232531 PFIZER INC. $1.96 01/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131266562 PFIZER INC. $24.80 11/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131891159 PFIZER INC. $26.26 08/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1136195570 Organon Llc $1.87 07/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1136195572 Organon Llc $18.56 07/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139499540 Astellas Pharma US Inc $21.01 05/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139912671 GENZYME CORPORATION $30.83 05/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1153384420 Dexcom, Inc. $22.08 04/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.