Covered recipient · General Payments record

RYAN T FISCHER

Allopathic & Osteopathic Physicians Pediatrics Pediatric Transplant Hepatology

NPI: 1093981946
CMS profile: 4822
Location: KANSAS CITY, MO

General Payments · PY2018–2024

$151,734.55

Reported across 165 records
CMS publication 2026-01-23

Latest program year · PY2024

$57,796.57

78 records · 0 disputed

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

How these totals are 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

PY2024 · sorted by reported total

Nature of payment	Amount	Records
Consulting Fee	$35,805.00	11
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$13,876.50	3
Travel and Lodging	$6,145.75	29
Food and Beverage	$1,969.32	35

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Mirum Pharmaceuticals, Inc.	$42,749.16	66
Ipsen Biopharmaceuticals, Inc	$14,923.45	10
Ipsen Pharma SAS	$74.99	1
ALBIREO PHARMA, INC.	$48.97	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$68.15	2
PY2019	$112.28	7
PY2021	$28.54	1
PY2022	$25,262.65	29
PY2023	$68,466.36	48
PY2024	$57,796.57	78

Payment records · PY2024 (78)

Sorted by paying entity, then date · as published by CMS

Program year 2024 2018 2019 2021 2022 2023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
ALBIREO PHARMA, INC.	$48.97	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1071126520	CMS
Ipsen Biopharmaceuticals, Inc	$265.00	03/28/2024	Travel and Lodging	Undisputed	01/23/2026	1091969091	CMS
Ipsen Biopharmaceuticals, Inc	$317.10	03/28/2024	Travel and Lodging	Undisputed	01/23/2026	1091969093	CMS
Ipsen Biopharmaceuticals, Inc	$5,887.00	03/28/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1091969095	CMS
Ipsen Biopharmaceuticals, Inc	$112.06	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1091969097	CMS
Ipsen Biopharmaceuticals, Inc	$10.63	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1091969089	CMS
Ipsen Biopharmaceuticals, Inc	$2,943.50	10/09/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1091969081	CMS
Ipsen Biopharmaceuticals, Inc	$201.00	10/10/2024	Travel and Lodging	Undisputed	01/23/2026	1091969079	CMS
Ipsen Biopharmaceuticals, Inc	$111.03	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1091969083	CMS
Ipsen Biopharmaceuticals, Inc	$5,046.00	10/10/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1091969085	CMS
Ipsen Biopharmaceuticals, Inc	$30.13	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1091969087	CMS
Ipsen Pharma SAS	$74.99	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1071126119	CMS
Mirum Pharmaceuticals, Inc.	$32.03	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1123324745	CMS
Mirum Pharmaceuticals, Inc.	$3,080.00	02/06/2024	Consulting Fee	Undisputed	01/23/2026	1123324747	CMS
Mirum Pharmaceuticals, Inc.	$25.00	02/06/2024	Travel and Lodging	Undisputed	01/23/2026	1123324749	CMS
Mirum Pharmaceuticals, Inc.	$19.96	02/06/2024	Travel and Lodging	Undisputed	01/23/2026	1123324751	CMS
Mirum Pharmaceuticals, Inc.	$40.20	02/06/2024	Travel and Lodging	Undisputed	01/23/2026	1123324753	CMS
Mirum Pharmaceuticals, Inc.	$327.88	02/06/2024	Travel and Lodging	Undisputed	01/23/2026	1123324755	CMS
Mirum Pharmaceuticals, Inc.	$35.00	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1123324757	CMS
Mirum Pharmaceuticals, Inc.	$27.46	02/06/2024	Travel and Lodging	Undisputed	01/23/2026	1123324759	CMS
Mirum Pharmaceuticals, Inc.	$6.84	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1123324761	CMS
Mirum Pharmaceuticals, Inc.	$3,080.00	02/06/2024	Consulting Fee	Undisputed	01/23/2026	1123324763	CMS
Mirum Pharmaceuticals, Inc.	$5.79	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1123324765	CMS
Mirum Pharmaceuticals, Inc.	$22.00	02/12/2024	Travel and Lodging	Undisputed	01/23/2026	1123324725	CMS
Mirum Pharmaceuticals, Inc.	$31.00	02/12/2024	Travel and Lodging	Undisputed	01/23/2026	1123324727	CMS
Mirum Pharmaceuticals, Inc.	$30.00	02/12/2024	Travel and Lodging	Undisputed	01/23/2026	1123324729	CMS
Mirum Pharmaceuticals, Inc.	$4.17	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1123324731	CMS
Mirum Pharmaceuticals, Inc.	$12.25	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1123324733	CMS
Mirum Pharmaceuticals, Inc.	$92.55	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1123324735	CMS
Mirum Pharmaceuticals, Inc.	$3,080.00	02/12/2024	Consulting Fee	Undisputed	01/23/2026	1123324737	CMS
Mirum Pharmaceuticals, Inc.	$9.06	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1123324739	CMS
Mirum Pharmaceuticals, Inc.	$20.00	02/12/2024	Travel and Lodging	Undisputed	01/23/2026	1123324741	CMS
Mirum Pharmaceuticals, Inc.	$20.00	02/12/2024	Travel and Lodging	Undisputed	01/23/2026	1123324743	CMS
Mirum Pharmaceuticals, Inc.	$248.57	05/30/2024	Travel and Lodging	Undisputed	01/23/2026	1123324767	CMS
Mirum Pharmaceuticals, Inc.	$96.20	05/30/2024	Travel and Lodging	Undisputed	01/23/2026	1123324769	CMS
Mirum Pharmaceuticals, Inc.	$175.72	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1123324771	CMS
Mirum Pharmaceuticals, Inc.	$34.58	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1123324773	CMS
Mirum Pharmaceuticals, Inc.	$752.69	05/30/2024	Travel and Lodging	Undisputed	01/23/2026	1123324775	CMS
Mirum Pharmaceuticals, Inc.	$90.49	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1123324777	CMS
Mirum Pharmaceuticals, Inc.	$108.59	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1123324779	CMS
Mirum Pharmaceuticals, Inc.	$2,275.00	05/30/2024	Consulting Fee	Undisputed	01/23/2026	1123324781	CMS
Mirum Pharmaceuticals, Inc.	$88.91	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1123324783	CMS
Mirum Pharmaceuticals, Inc.	$2,762.50	05/30/2024	Travel and Lodging	Undisputed	01/23/2026	1123324785	CMS
Mirum Pharmaceuticals, Inc.	$17.50	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1123324837	CMS
Mirum Pharmaceuticals, Inc.	$5.29	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1123324803	CMS
Mirum Pharmaceuticals, Inc.	$188.52	08/02/2024	Travel and Lodging	Undisputed	01/23/2026	1123324805	CMS
Mirum Pharmaceuticals, Inc.	$30.00	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1123324809	CMS
Mirum Pharmaceuticals, Inc.	$470.98	08/02/2024	Travel and Lodging	Undisputed	01/23/2026	1123324811	CMS
Mirum Pharmaceuticals, Inc.	$5,037.50	08/02/2024	Consulting Fee	Undisputed	01/23/2026	1123324813	CMS
Mirum Pharmaceuticals, Inc.	$7.00	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1123324815	CMS
Mirum Pharmaceuticals, Inc.	$19.96	08/02/2024	Travel and Lodging	Undisputed	01/23/2026	1123324817	CMS
Mirum Pharmaceuticals, Inc.	$13.52	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1123324819	CMS
Mirum Pharmaceuticals, Inc.	$118.66	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1123324821	CMS
Mirum Pharmaceuticals, Inc.	$4.50	08/02/2024	Travel and Lodging	Undisputed	01/23/2026	1123324823	CMS
Mirum Pharmaceuticals, Inc.	$143.48	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1123324825	CMS
Mirum Pharmaceuticals, Inc.	$22.93	08/02/2024	Travel and Lodging	Undisputed	01/23/2026	1123324827	CMS
Mirum Pharmaceuticals, Inc.	$28.26	08/02/2024	Travel and Lodging	Undisputed	01/23/2026	1123324829	CMS
Mirum Pharmaceuticals, Inc.	$72.00	08/02/2024	Travel and Lodging	Undisputed	01/23/2026	1123324831	CMS
Mirum Pharmaceuticals, Inc.	$5,200.00	08/02/2024	Consulting Fee	Undisputed	01/23/2026	1123324835	CMS
Mirum Pharmaceuticals, Inc.	$116.46	08/03/2024	Food and Beverage	Undisputed	01/23/2026	1123324807	CMS
Mirum Pharmaceuticals, Inc.	$69.64	08/03/2024	Food and Beverage	Undisputed	01/23/2026	1123324833	CMS
Mirum Pharmaceuticals, Inc.	$10.29	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1123324787	CMS
Mirum Pharmaceuticals, Inc.	$35.39	08/08/2024	Travel and Lodging	Undisputed	01/23/2026	1123324789	CMS
Mirum Pharmaceuticals, Inc.	$2,695.00	08/08/2024	Consulting Fee	Undisputed	01/23/2026	1123324791	CMS
Mirum Pharmaceuticals, Inc.	$40.00	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1123324793	CMS
Mirum Pharmaceuticals, Inc.	$137.93	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1123324795	CMS
Mirum Pharmaceuticals, Inc.	$3,080.00	08/08/2024	Consulting Fee	Undisputed	01/23/2026	1123324797	CMS
Mirum Pharmaceuticals, Inc.	$10.00	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1123324799	CMS
Mirum Pharmaceuticals, Inc.	$2,117.50	08/08/2024	Consulting Fee	Undisputed	01/23/2026	1123324801	CMS
Mirum Pharmaceuticals, Inc.	$18.36	10/21/2024	Travel and Lodging	Undisputed	01/23/2026	1123324839	CMS
Mirum Pharmaceuticals, Inc.	$3,080.00	10/21/2024	Consulting Fee	Undisputed	01/23/2026	1123324841	CMS
Mirum Pharmaceuticals, Inc.	$26.93	10/21/2024	Travel and Lodging	Undisputed	01/23/2026	1123324843	CMS
Mirum Pharmaceuticals, Inc.	$3,080.00	10/21/2024	Consulting Fee	Undisputed	01/23/2026	1123324845	CMS
Mirum Pharmaceuticals, Inc.	$23.36	10/21/2024	Travel and Lodging	Undisputed	01/23/2026	1123324847	CMS
Mirum Pharmaceuticals, Inc.	$28.00	10/21/2024	Travel and Lodging	Undisputed	01/23/2026	1123324849	CMS
Mirum Pharmaceuticals, Inc.	$3.13	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1123324851	CMS
Mirum Pharmaceuticals, Inc.	$147.63	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1123324853	CMS
Mirum Pharmaceuticals, Inc.	$15.00	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1123324855	CMS

Source & provenance

Dataset: CMS Open Payments — General Payments
Publisher of source data: Centers for Medicare & Medicaid Services
CMS publication date: 2026-01-23
Program years on this page: 2018, 2019, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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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.