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

ANDREW S RYALS

Allopathic & Osteopathic Physicians Family Medicine

NPI
1508295601
CMS profile
1379518
Location
FORT SMITH, AR

General Payments · PY2018–2024

$583.34

  • Reported across 37 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$159.92

11 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 $159.92 11

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Novo Nordisk AS $32.59 2
SANOFI-AVENTIS U.S. LLC $27.50 2
ABBVIE INC. $20.69 1
Organon LLC $20.46 1
Amgen Inc. $15.95 1
Exact Sciences Corporation $14.98 1
Dynavax Technologies Corporation $14.16 2
Alnylam Pharmaceuticals Inc. $13.59 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $41.09 1
PY2019 $84.23 5
PY2020 $23.62 2
PY2021 $42.98 3
PY2022 $49.66 3
PY2023 $181.84 12
PY2024 $159.92 11

Payment records · PY2024 (11)

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
ABBVIE INC. $20.69 03/25/2024 Food and Beverage Undisputed 01/23/2026 1105992058 CMS
Alnylam Pharmaceuticals Inc. $13.59 09/19/2024 Food and Beverage Undisputed 01/23/2026 1125840387 CMS
Amgen Inc. $15.95 01/30/2024 Food and Beverage Undisputed 01/23/2026 1117371495 CMS
Dynavax Technologies Corporation $13.51 08/08/2024 Food and Beverage Undisputed 01/23/2026 1082151165 CMS
Dynavax Technologies Corporation $0.65 08/08/2024 Food and Beverage Undisputed 01/23/2026 1082151171 CMS
Exact Sciences Corporation $14.98 07/30/2024 Food and Beverage Undisputed 01/23/2026 1114866273 CMS
Novo Nordisk Inc $16.17 05/28/2024 Food and Beverage Undisputed 01/23/2026 1097337101 CMS
Novo Nordisk Inc $16.42 09/03/2024 Food and Beverage Undisputed 01/23/2026 1097233547 CMS
Organon Llc $20.46 07/10/2024 Food and Beverage Undisputed 01/23/2026 1136310383 CMS
SANOFI-AVENTIS U.S. LLC $13.49 02/12/2024 Food and Beverage Undisputed 01/23/2026 1139969277 CMS
SANOFI-AVENTIS U.S. LLC $14.01 04/29/2024 Food and Beverage Undisputed 01/23/2026 1139969297 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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