Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

Covered recipient · General Payments record

IRYNA RYBAK

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

NPI
1134969702
CMS profile
11567842
Location
WEST SACRAMENTO, CA

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

General Payments · PY2024–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$1,238.94

64 records · 0 disputed

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

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,238.94 64

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2024 $418.93 21
PY2025 $1,238.94 64

Payment records · PY2025 (64)

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Program year 2025 2024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Kowa Pharmaceuticals America, Inc. $14.44 12/15/2025 Food and Beverage No dispute reported 06/30/2026 1243152979 CMS
LNHC, Inc $14.32 12/11/2025 Food and Beverage No dispute reported 06/30/2026 1242608723 CMS
Electromed, Inc. $12.91 12/10/2025 Food and Beverage No dispute reported 06/30/2026 1224609140 CMS
Bayer Healthcare Pharmaceuticals Inc. $26.59 12/09/2025 Food and Beverage No dispute reported 06/30/2026 1225759064 CMS
PFIZER INC. $19.85 12/06/2025 Food and Beverage No dispute reported 06/30/2026 1230992436 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $22.82 12/02/2025 Food and Beverage No dispute reported 06/30/2026 1223046056 CMS
Exact Sciences Corporation $28.58 11/24/2025 Food and Beverage No dispute reported 06/30/2026 1235267447 CMS
GENZYME CORPORATION $20.71 11/17/2025 Food and Beverage No dispute reported 06/30/2026 1233714542 CMS
Novo Nordisk Inc $20.68 11/14/2025 Food and Beverage No dispute reported 06/30/2026 1188654105 CMS
Bayer Healthcare Pharmaceuticals Inc. $30.57 11/12/2025 Food and Beverage No dispute reported 06/30/2026 1225759060 CMS
Bayer Healthcare Pharmaceuticals Inc. $30.71 10/14/2025 Food and Beverage No dispute reported 06/30/2026 1225759057 CMS
Lilly USA, LLC $23.34 10/13/2025 Food and Beverage No dispute reported 06/30/2026 1187089405 CMS
Amgen Inc. $19.89 10/10/2025 Food and Beverage No dispute reported 06/30/2026 1228843588 CMS
Electromed, Inc. $13.02 09/30/2025 Food and Beverage No dispute reported 06/30/2026 1224609137 CMS
PFIZER INC. $22.04 09/05/2025 Food and Beverage No dispute reported 06/30/2026 1229719979 CMS
Bayer Healthcare Pharmaceuticals Inc. $2.84 09/03/2025 Food and Beverage No dispute reported 06/30/2026 1225759037 CMS
Bayer Healthcare Pharmaceuticals Inc. $7.87 09/03/2025 Food and Beverage No dispute reported 06/30/2026 1225759053 CMS
Novo Nordisk Inc $30.88 08/29/2025 Food and Beverage No dispute reported 06/30/2026 1188725893 CMS
Kowa Pharmaceuticals America, Inc. $16.85 08/25/2025 Food and Beverage No dispute reported 06/30/2026 1243152974 CMS
GlaxoSmithKline, LLC. $25.09 08/22/2025 Food and Beverage No dispute reported 06/30/2026 1191745837 CMS
Cranial Technologies, Inc $15.94 08/21/2025 Food and Beverage No dispute reported 06/30/2026 1246310129 CMS
Bayer Healthcare Pharmaceuticals Inc. $3.00 08/20/2025 Food and Beverage No dispute reported 06/30/2026 1225759041 CMS
Bayer Healthcare Pharmaceuticals Inc. $10.13 08/20/2025 Food and Beverage No dispute reported 06/30/2026 1225759045 CMS
Lilly USA, LLC $21.62 08/19/2025 Food and Beverage No dispute reported 06/30/2026 1187089403 CMS
SANOFI-AVENTIS U.S. LLC $21.59 08/15/2025 Food and Beverage No dispute reported 06/30/2026 1233714522 CMS
PFIZER INC. $14.58 08/12/2025 Food and Beverage No dispute reported 06/30/2026 1229887049 CMS
PFIZER INC. $1.13 08/12/2025 Food and Beverage No dispute reported 06/30/2026 1231044673 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $28.45 08/11/2025 Food and Beverage No dispute reported 06/30/2026 1241657865 CMS
Bayer Healthcare Pharmaceuticals Inc. $29.97 08/01/2025 Food and Beverage No dispute reported 06/30/2026 1225759049 CMS
Electromed, Inc. $10.45 07/30/2025 Food and Beverage No dispute reported 06/30/2026 1224609143 CMS
Novo Nordisk Inc $19.57 07/29/2025 Food and Beverage No dispute reported 06/30/2026 1188744076 CMS
Amgen Inc. $14.66 07/28/2025 Food and Beverage No dispute reported 06/30/2026 1228843579 CMS
Hologic Sales and Service, LLC $25.37 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1182628695 CMS
Lilly USA, LLC $18.60 07/15/2025 Food and Beverage No dispute reported 06/30/2026 1187125561 CMS
Bayer Healthcare Pharmaceuticals Inc. $22.99 07/09/2025 Food and Beverage No dispute reported 06/30/2026 1225759030 CMS
Kowa Pharmaceuticals America, Inc. $20.20 06/27/2025 Food and Beverage No dispute reported 06/30/2026 1243152970 CMS
Electromed, Inc. $8.45 06/17/2025 Food and Beverage No dispute reported 06/30/2026 1224609129 CMS
Novo Nordisk Inc $24.67 06/17/2025 Food and Beverage No dispute reported 06/30/2026 1189043771 CMS
Lilly USA, LLC $18.27 06/16/2025 Food and Beverage No dispute reported 06/30/2026 1187018508 CMS
Bayer Healthcare Pharmaceuticals Inc. $28.62 06/11/2025 Food and Beverage No dispute reported 06/30/2026 1225759033 CMS
Amgen Inc. $15.87 06/09/2025 Food and Beverage No dispute reported 06/30/2026 1228843607 CMS
Boston Scientific Corporation $26.46 06/04/2025 Food and Beverage No dispute reported 06/30/2026 1181601859 CMS
Janssen Pharmaceuticals, Inc $28.95 06/03/2025 Food and Beverage No dispute reported 06/30/2026 1174295670 CMS
VERTEX PHARMACEUTICALS INCORPORATED $27.79 06/02/2025 Food and Beverage No dispute reported 06/30/2026 1213910162 CMS
Novo Nordisk Inc $30.70 05/27/2025 Food and Beverage No dispute reported 06/30/2026 1188983180 CMS
Amgen Inc. $16.09 05/21/2025 Food and Beverage No dispute reported 06/30/2026 1228843599 CMS
Otsuka America Pharmaceutical, Inc. $23.50 04/15/2025 Food and Beverage No dispute reported 06/30/2026 1227955669 CMS
Amgen Inc. $20.51 04/07/2025 Food and Beverage No dispute reported 06/30/2026 1228843565 CMS
PFIZER INC. $34.47 04/04/2025 Food and Beverage No dispute reported 06/30/2026 1228958484 CMS
Hologic Sales and Service, LLC $23.34 03/20/2025 Food and Beverage No dispute reported 06/30/2026 1182628540 CMS
Novo Nordisk Inc $24.04 03/18/2025 Food and Beverage No dispute reported 06/30/2026 1188559666 CMS
VERTEX PHARMACEUTICALS INCORPORATED $25.17 03/13/2025 Food and Beverage No dispute reported 06/30/2026 1213822826 CMS
PFIZER INC. $19.49 03/03/2025 Food and Beverage No dispute reported 06/30/2026 1228907879 CMS
AstraZeneca Pharmaceuticals LP $14.41 02/25/2025 Food and Beverage No dispute reported 06/30/2026 1207287516 CMS
PFIZER INC. $20.22 02/24/2025 Food and Beverage No dispute reported 06/30/2026 1228875404 CMS
PFIZER INC. $3.77 02/24/2025 Food and Beverage No dispute reported 06/30/2026 1230935042 CMS
SANOFI-AVENTIS U.S. LLC $16.76 02/19/2025 Food and Beverage No dispute reported 06/30/2026 1233714564 CMS
Lilly USA, LLC $15.79 02/18/2025 Food and Beverage No dispute reported 06/30/2026 1187018506 CMS
Janssen Pharmaceuticals, Inc $25.95 02/12/2025 Food and Beverage No dispute reported 06/30/2026 1174295694 CMS
PFIZER INC. $14.34 01/28/2025 Food and Beverage No dispute reported 06/30/2026 1229892329 CMS
PFIZER INC. $1.21 01/28/2025 Food and Beverage No dispute reported 06/30/2026 1231041344 CMS
AstraZeneca Pharmaceuticals LP $14.58 01/22/2025 Food and Beverage No dispute reported 06/30/2026 1206362711 CMS
Novo Nordisk Inc $12.79 01/22/2025 Food and Beverage No dispute reported 06/30/2026 1188793888 CMS
Janssen Pharmaceuticals, Inc $20.48 01/09/2025 Food and Beverage No dispute reported 06/30/2026 1174295640 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2024, 2025
Source files
Dataset page · Bulk file · PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.

Cite this record.

Plain
IRYNA RYBAK, NPI 1134969702. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1134969702.
APA 7
IndustryPayments. (2026). IRYNA RYBAK, NPI 1134969702 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1134969702
Bluebook
IRYNA RYBAK, NPI 1134969702, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1134969702.

Source: Centers for Medicare & Medicaid Services, Open Payments.