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

Covered recipient · General Payments record

ANNA Y RYBKA

Allopathic & Osteopathic Physicians Obstetrics & Gynecology

NPI
1386968360
CMS profile
63389
Location
ATLANTA, GA

General Payments · PY2019–2025

$2,795.62

  • Reported across 140 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$517.17

25 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $517.17 25

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $473.74 30
PY2020 $131.50 7
PY2021 $245.59 15
PY2022 $695.40 30
PY2023 $511.27 21
PY2024 $220.95 12
PY2025 $517.17 25

Payment records · PY2025 (25)

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

Program year 2025 201920202021202220232024 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
Amgen Inc. $16.95 06/24/2025 Food and Beverage Undisputed 06/30/2026 1228403832 CMS
Astellas Pharma US Inc $16.99 01/08/2025 Food and Beverage Undisputed 06/30/2026 1238718870 CMS
Astellas Pharma US Inc $18.94 04/01/2025 Food and Beverage Undisputed 06/30/2026 1238612668 CMS
Astellas Pharma US Inc $18.20 06/17/2025 Food and Beverage Undisputed 06/30/2026 1238801019 CMS
Astellas Pharma US Inc $34.52 11/25/2025 Food and Beverage Undisputed 06/30/2026 1238619912 CMS
Astellas Pharma US Inc $28.16 12/08/2025 Food and Beverage Undisputed 06/30/2026 1238619916 CMS
Baxter Healthcare $18.20 12/19/2025 Food and Beverage Undisputed 06/30/2026 1181546481 CMS
Becton, Dickinson and Company $41.76 09/08/2025 Food and Beverage Undisputed 06/30/2026 1232253442 CMS
Biogen, Inc. $19.54 09/02/2025 Food and Beverage Undisputed 06/30/2026 1208445565 CMS
Evofem Biosciences, Inc. $15.56 05/08/2025 Food and Beverage Undisputed 06/30/2026 1253952534 CMS
Evofem Biosciences, Inc. $15.24 10/02/2025 Food and Beverage Undisputed 06/30/2026 1253952536 CMS
Exeltis, USA Inc. $21.12 01/31/2025 Food and Beverage Undisputed 06/30/2026 1218203409 CMS
Exeltis, USA Inc. $14.40 01/31/2025 Food and Beverage Undisputed 06/30/2026 1218203411 CMS
Exeltis, USA Inc. $23.52 08/06/2025 Food and Beverage Undisputed 06/30/2026 1218203413 CMS
Hologic Sales and Service, LLC $17.41 10/07/2025 Food and Beverage Undisputed 06/30/2026 1182545344 CMS
MAYNE PHARMA COMMERCIAL LLC $19.57 01/30/2025 Food and Beverage Undisputed 06/30/2026 1254314450 CMS
MAYNE PHARMA COMMERCIAL LLC $14.12 08/15/2025 Food and Beverage Undisputed 06/30/2026 1254314280 CMS
MAYNE PHARMA COMMERCIAL LLC $23.87 11/05/2025 Food and Beverage Undisputed 06/30/2026 1254313914 CMS
Meditrina $9.31 12/09/2025 Food and Beverage Undisputed 06/30/2026 1254894545 CMS
MILLICENT US INC $22.52 10/22/2025 Food and Beverage Undisputed 06/30/2026 1235203383 CMS
Minerva Surgical, Inc $29.36 03/10/2025 Food and Beverage Undisputed 06/30/2026 1179404558 CMS
Organon LLC $20.85 04/15/2025 Food and Beverage Undisputed 06/30/2026 1237704854 CMS
Organon LLC $20.16 09/09/2025 Food and Beverage Undisputed 06/30/2026 1237704852 CMS
Seqirus USA Inc $21.74 11/11/2025 Food and Beverage Undisputed 06/30/2026 1201097612 CMS
Smith+Nephew, Inc. $15.16 08/25/2025 Food and Beverage Undisputed 06/30/2026 1242233660 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
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , 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.