Nurse Practitioner Program year 2025 Reported 2021–2025 Source: CMS Open Payments, 2026 publication

Ryain Alexander

Nurse Practitioner, Critical Care Medicine Ripley, MS Nurse Practitioner

NPI 1508466467 CMS profile 10485581

103 Cunningham Dr, Ripley, MS 38663

Open in the dashboard

General payments

$2,425

39 records reported · program years 2021–2025

Research payments

$0

Paid to them · None reported · program years 2021–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Ryain Alexander of Ripley, MS is reported in the CMS Open Payments database as having received $2,425 across 39 general payments and $0 in research payments paid 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.

General payments for this record sit in the 93rd percentile of Nurse Practitioner, Critical Care Medicine 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 $824 11
2024 General $90 3
2023 General $246 4
2022 General $824 15
2021 General $440 6

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Ryain Alexander
  • Nurse Practitioner, Critical Care Medicine median
  • Middle half of Nurse Practitioner, Critical Care Medicine
  • National median

In program year 2025, general payments to Ryain Alexander were reported at $824. Among 524 Nurse Practitioner, Critical Care Medicine profiles paid that year, the median was $119 and the middle half received between $34 and $300.

Show as a table
Year Ryain Alexander Nurse Practitioner, Critical Care Medicine median Middle half National median
2019 $0 — — $163
2020 $0 — — $114
2021 $440 $103 $27–$237 $132
2022 $824 $125 $44–$255 $149
2023 $246 $116 $32–$261 $160
2024 $90 $122 $32–$292 $164
2025 $824 $119 $34–$300 $169

Breakdown

Who paid General payments · program years 2021–2025
  1. Medline Industries, Inc. $1,197 13 payments
  2. PolyNovo North America LLC $631 6 payments
  3. PolyMedics Innovations Inc $161 3 payments
  4. Kerecis Limited $136 3 payments
  5. Teleflex LLC $134 5 payments
  6. Merck Sharp & Dohme Corporation $103 5 payments
  7. Smith+Nephew, Inc. $25 1 payment
  8. Avita Medical Americas, LLC $20 1 payment
  9. Medela LLC $19 2 payments

Every payment, record by record

What the payments were for General payments · program years 2021–2025
  1. Food and Beverage $2,425 39 payments
Products named General payments · program years 2021–2025
  1. NOVOSORB BTM $631 6 payments
  2. Hyalomatrix Wound Device $423 5 payments
  3. PluroGel Burn & Wound Dressings $423 5 payments
  4. MEDLINE INDUSTRIES, INC. $299 4 payments
  5. ARROW $134 5 payments
  6. Kerecis SurgiClose Wound Care $119 2 payments
  7. Kerecis SurgiClose Wound Care $119 2 payments
  8. Kerecis SurgiClose Wound Care $119 2 payments
  9. Kerecis GraftGuide $119 2 payments
  10. Kerecis SurgiClose Wound Care $119 2 payments
  11. Other $393 21 payments

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 · 5 drugs

Part D claims

157

Median for Nurse Practitioner: 389

Drug cost

$13,865

Median for Nurse Practitioner: $21,885

Branded share of claims

82.2%

Median for Nurse Practitioner: 19.6%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Xarelto Rivaroxaban Brand 12 $12,743
Clopidogrel Clopidogrel Bisulfate Brand 48 $431
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen Brand 69 $366
Cilostazol Generic 11 $277
Oxycodone Hcl Generic 17 $49

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 229,976 Part D prescribers listed as Nurse Practitioner; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 19 billing codes

Paid by Medicare

$15,925

Medicare's payments for the services billed

Medicare patients

193

Average age 73

Services billed

246

110 women, 83 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Arthritis 60%
Diabetes 55%
Ischemic heart disease 45%
Chronic kidney disease 39%
Heart failure 31%
COPD 27%
Depression 27%

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

39 reported

Every 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.

Other Nurse Practitioner, Critical Care Medicine in Mississippi

Related records

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.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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