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

Covered recipient · General Payments record

JANESA J RYAN

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1376195222
CMS profile
11192920
Location
SPEARFISH, SD

General Payments · PY2022–2025

$2,287.17

  • Reported across 10 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$2,253.65

9 records · 0 disputed

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

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 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Travel and Lodging $1,517.09 3
Food and Beverage $736.56 6

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Smith+Nephew, Inc. $2,253.65 9

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $33.52 1
PY2025 $2,253.65 9

Payment records · PY2025 (9)

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

Program year 2025 2022 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
Smith+Nephew, Inc. $652.18 06/19/2025 Travel and Lodging Undisputed 06/30/2026 1242317872 CMS
Smith+Nephew, Inc. $585.42 06/19/2025 Travel and Lodging Undisputed 06/30/2026 1242317878 CMS
Smith+Nephew, Inc. $279.49 06/19/2025 Travel and Lodging Undisputed 06/30/2026 1242317880 CMS
Smith+Nephew, Inc. $162.35 06/19/2025 Food and Beverage Undisputed 06/30/2026 1242317882 CMS
Smith+Nephew, Inc. $189.47 06/20/2025 Food and Beverage Undisputed 06/30/2026 1242317884 CMS
Smith+Nephew, Inc. $69.93 06/21/2025 Food and Beverage Undisputed 06/30/2026 1242317876 CMS
Smith+Nephew, Inc. $85.44 06/21/2025 Food and Beverage Undisputed 06/30/2026 1242317886 CMS
Smith+Nephew, Inc. $154.18 06/21/2025 Food and Beverage Undisputed 06/30/2026 1242317888 CMS
Smith+Nephew, Inc. $75.19 07/24/2025 Food and Beverage Undisputed 06/30/2026 1242317874 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
2022, 2025
Source files
Dataset page · Bulk file · PY2022 , 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.