Who Paid My Doc
Paula Ryan
Medical Oncology Shenandoah, TX Medical Doctor
NPI 1043201015 CMS profile 506817
9200 Pinecroft Dr Ste 450, Ste 600, Shenandoah, TX 77380
General payments
$1,468
Research payments
$4,222
Ownership & investment interest
$0
Research they led as principal investigator
$1,316,147
Through program year 2025, Paula Ryan of Shenandoah, TX is reported in the CMS Open Payments database as having received $1,468 across 24 general payments and $4,222 in research payments paid to them. Separately, studies naming them as principal investigator received $1,316,147 in research payments, paid to institutions rather than to them.
No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them. The principal-investigator line is research money paid to institutions for studies they led — not to them — and is not added to anything either.
General payments for this record sit in the 53rd percentile of Medical Oncology profiles with reported payments. Percentile describes the distribution, not the conduct.
By program year
5 rows| Year | Kind | Relative to this record's peak year | Amount | Records |
|---|---|---|---|---|
| 2025 | General | $1,413 | 21 | |
| 2023 | General | $25 | 1 | |
| 2021 | General | $12 | 1 | |
| 2020 | General | $18 | 1 | |
| 2019 | Research | $4,222 | 1 |
Beside peers
- Paula Ryan
- Medical Oncology median
- Middle half of Medical Oncology
- National median
In program year 2025, general payments to Paula Ryan were reported at $1,413. Among 3,316 Medical Oncology profiles paid that year, the median was $1,128 and the middle half received between $147 and $5,675.
Show as a table
| Year | Paula Ryan | Medical Oncology median | Middle half | National median |
|---|---|---|---|---|
| 2019 | $0 | $968 | $140–$6,658 | $163 |
| 2020 | $18 | $747 | $102–$5,891 | $114 |
| 2021 | $12 | $430 | $50–$4,098 | $132 |
| 2022 | $0 | $812 | $127–$4,907 | $149 |
| 2023 | $25 | $957 | $144–$5,248 | $160 |
| 2024 | $0 | $1,042 | $149–$5,650 | $164 |
| 2025 | $1,413 | $1,128 | $147–$5,675 | $169 |
Breakdown
A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.
Prescribing to Medicare patients
Part D · data year 2024 · 9 drugsPart D claims
1,075
Drug cost
$1,041,078
Branded share of claims
7.3%
| Drug | Type | Relative to their largest | Claims | Drug cost |
|---|---|---|---|---|
| Ibrance Palbociclib | Brand | 40 | $649,571 | |
| Verzenio Abemaciclib | Brand | 27 | $368,628 | |
| Anastrozole | Generic | 738 | $13,703 | |
| Exemestane | Generic | 28 | $3,579 | |
| Letrozole | Generic | 152 | $3,451 | |
| Tamoxifen Citrate | Generic | 49 | $1,262 | |
| Dexamethasone | Generic | 16 | $514 | |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | Brand | 11 | $231 | |
| Gabapentin | Generic | 14 | $138 |
Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 3,431 Part D prescribers listed as Medical Oncology; they describe a distribution and say nothing about conduct.
Billing to Medicare
Part B · data year 2024 · 110 billing codesPaid by Medicare
$1,001,942
Medicare patients
307
Services billed
78,035
| Condition among their Medicare patients | Relative to the most common | Share of patients |
|---|---|---|
| Cancer | 75% | |
| High blood pressure | 73% | |
| Arthritis | 46% | |
| Diabetes | 28% | |
| Depression | 26% | |
| Chronic kidney disease | 25% | |
| Ischemic heart disease | 24% | |
| Osteoporosis | 23% |
| Drug given in the clinic | Where | Patients | Services | Paid by Medicare |
|---|---|---|---|---|
| Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) Q0138 | Office | 21 | 15,300 | $4,108 |
| Injection, fosaprepitant, 1 mg J1453 | Office | 16 | 6,150 | $683 |
| Injection, zoledronic acid, 1 mg J3489 | Office | 14 | 84 | $384 |
| Injection, palonosetron hcl, 25 mcg J2469 | Office | 18 | 510 | $365 |
| Infusion, normal saline solution , 1000 cc J7030 | Office | 23 | 61 | $127 |
| Injection, dexamethasone sodium phosphate, 1 mg J1100 | Office | 20 | 654 | $59 |
| Injection, diphenhydramine hcl, up to 50 mg J1200 | Office | 11 | 43 | $28 |
| Injection, potassium chloride, per 2 meq J3480 | Office | 11 | 280 | $24 |
Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.
Records
25 reportedEvery payment, record by record
Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.
Related records
Medical Oncology in Texas
Practitioners in the same specialty and state, ranked by reported value.
All Medical Oncology
Everyone recorded under this specialty, nationwide.
Doctors in Texas
Every practitioner in the state with a reported payment.
How to read this page
What each amount means, and what it does not mean.
What this means
U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.
An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.
Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.