Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

BYRAM NEWTON RATLIFF

Allopathic & Osteopathic Physicians Obstetrics & Gynecology

NPI
1417032194
CMS profile
336506
Location
MT STERLING, KY

General Payments · PY2018–2024

$3,052.88

  • Reported across 96 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$311.29

16 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 paymentAmountRecords
Food and Beverage $311.29 16

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $1,598.68 18
PY2019 $213.52 18
PY2020 $225.70 8
PY2021 $85.43 5
PY2022 $325.73 16
PY2023 $292.53 15
PY2024 $311.29 16

Payment records · PY2024 (16)

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

Program year 2024 201820192020202120222023 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
Astellas Pharma US Inc $13.67 08/22/2024 Food and Beverage Undisputed 01/23/2026 1139382674 CMS
Exact Sciences Corporation $14.89 06/28/2024 Food and Beverage Undisputed 01/23/2026 1114848318 CMS
Exact Sciences Corporation $15.66 09/19/2024 Food and Beverage Undisputed 01/23/2026 1114848324 CMS
Exeltis, USA Inc. $17.67 07/11/2024 Food and Beverage Undisputed 01/23/2026 1150002688 CMS
Exeltis, USA Inc. $16.98 10/10/2024 Food and Beverage Undisputed 01/23/2026 1150002690 CMS
Exeltis, USA Inc. $16.49 12/05/2024 Food and Beverage Undisputed 01/23/2026 1150002692 CMS
Gynesonics, Inc. $18.81 01/22/2024 Food and Beverage Undisputed 01/23/2026 1128623553 CMS
Gynesonics, Inc. $18.27 07/10/2024 Food and Beverage Undisputed 01/23/2026 1128623555 CMS
Hologic Sales and Service, LLC $14.38 12/09/2024 Food and Beverage Undisputed 01/23/2026 1084879849 CMS
Merck Sharp & Dohme LLC $16.75 05/29/2024 Food and Beverage Undisputed 01/23/2026 1141646620 CMS
PFIZER INC. $28.34 06/20/2024 Food and Beverage Undisputed 01/23/2026 1131670475 CMS
Sage Therapeutics, Inc. $25.72 01/08/2024 Food and Beverage Undisputed 01/23/2026 1120410367 CMS
Sage Therapeutics, Inc. $30.64 05/31/2024 Food and Beverage Undisputed 01/23/2026 1120395116 CMS
Sage Therapeutics, Inc. $28.09 08/05/2024 Food and Beverage Undisputed 01/23/2026 1120395118 CMS
Sage Therapeutics, Inc. $19.96 10/23/2024 Food and Beverage Undisputed 01/23/2026 1120393786 CMS
Sage Therapeutics, Inc. $14.97 12/11/2024 Food and Beverage Undisputed 01/23/2026 1120401298 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, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , 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.