Total Payments
$2,135
2024 Payments
$125.00
Companies
7
Transactions
25
Medicare Patients
576
Medicare Billing
$84,267
Payment Breakdown by Category
Food & Beverage$1,710 (80.1%)
Consulting$425.00 (19.9%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $1,710 | 24 | 80.1% |
| Consulting Fee | $425.00 | 1 | 19.9% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| E.R. Squibb & Sons, L.L.C. | $1,166 | 15 | $0 (2023) |
| PFIZER INC. | $571.48 | 3 | $0 (2019) |
| ViiV Healthcare Company | $125.00 | 1 | $0 (2024) |
| DePuy Synthes Sales Inc. | $103.53 | 2 | $0 (2018) |
| Novartis Pharmaceuticals Corporation | $100.00 | 1 | $0 (2018) |
| Janssen Pharmaceuticals, Inc | $49.54 | 2 | $0 (2021) |
| Allergan Inc. | $19.52 | 1 | $0 (2018) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $125.00 | 1 | ViiV Healthcare Company ($125.00) |
| 2023 | $132.63 | 1 | E.R. Squibb & Sons, L.L.C. ($132.63) |
| 2022 | $268.89 | 3 | E.R. Squibb & Sons, L.L.C. ($268.89) |
| 2021 | $132.34 | 2 | E.R. Squibb & Sons, L.L.C. ($112.68) |
| 2020 | $29.88 | 1 | Janssen Pharmaceuticals, Inc ($29.88) |
| 2019 | $793.45 | 5 | PFIZER INC. ($571.48) |
| 2018 | $441.24 | 7 | E.R. Squibb & Sons, L.L.C. ($218.19) |
| 2017 | $211.46 | 5 | E.R. Squibb & Sons, L.L.C. ($211.46) |
All Payment Transactions
25 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 10/24/2024 | ViiV Healthcare Company | APRETUDE (Biological) | Food and Beverage | In-kind items and services | $125.00 | General |
| Category: HIV | ||||||
| 02/07/2023 | E.R. Squibb & Sons, L.L.C. | ELIQUIS (Drug) | Food and Beverage | Cash or cash equivalent | $132.63 | General |
| Category: Cardiovascular | ||||||
| 11/22/2022 | E.R. Squibb & Sons, L.L.C. | ELIQUIS (Drug) | Food and Beverage | Cash or cash equivalent | $126.98 | General |
| Category: Cardiovascular | ||||||
| 10/18/2022 | E.R. Squibb & Sons, L.L.C. | CAMZYOS (Drug) | Food and Beverage | Cash or cash equivalent | $125.00 | General |
| Category: Cardiovascular | ||||||
| 07/18/2022 | E.R. Squibb & Sons, L.L.C. | CAMZYOS (Drug) | Food and Beverage | Cash or cash equivalent | $16.91 | General |
| Category: Cardiovascular | ||||||
| 11/10/2021 | E.R. Squibb & Sons, L.L.C. | — | Food and Beverage | Cash or cash equivalent | $112.68 | General |
| 04/20/2021 | Janssen Pharmaceuticals, Inc | XARELTO (Drug) | Food and Beverage | In-kind items and services | $19.66 | General |
| Category: Cardiovascular & Metabolism | ||||||
| 07/29/2020 | Janssen Pharmaceuticals, Inc | XARELTO (Drug) | Food and Beverage | In-kind items and services | $29.88 | General |
| Category: Cardiovascular & Metabolism | ||||||
| 08/15/2019 | E.R. Squibb & Sons, L.L.C. | ELIQUIS (Drug) | Food and Beverage | Cash or cash equivalent | $100.01 | General |
| Category: Cardiovascular | ||||||
| 07/19/2019 | PFIZER INC. | ELIQUIS (Drug) | Food and Beverage | In-kind items and services | $12.09 | General |
| Category: CARDIOVASCULAR;METABOLIC DISEASE | ||||||
| 04/18/2019 | PFIZER INC. | ELIQUIS (Drug) | Consulting Fee | Cash or cash equivalent | $425.00 | General |
| Category: CARDIOVASCULAR;METABOLIC DISEASE | ||||||
| 03/25/2019 | PFIZER INC. | ELIQUIS (Drug) | Food and Beverage | In-kind items and services | $134.39 | General |
| Category: CARDIOVASCULAR;METABOLIC DISEASE | ||||||
| 01/10/2019 | E.R. Squibb & Sons, L.L.C. | ELIQUIS (Drug) | Food and Beverage | Cash or cash equivalent | $121.96 | General |
| Category: Cardiovascular | ||||||
| 11/29/2018 | DePuy Synthes Sales Inc. | ORTHOVISC (Device), MONOVISC | Food and Beverage | In-kind items and services | $19.13 | General |
| Category: Sports Early Intervention | ||||||
| 11/27/2018 | DePuy Synthes Sales Inc. | ORTHOVISC (Device), MONOVISC | Food and Beverage | In-kind items and services | $84.40 | General |
| Category: Sports Early Intervention | ||||||
| 07/26/2018 | E.R. Squibb & Sons, L.L.C. | ELIQUIS (Drug) | Food and Beverage | Cash or cash equivalent | $124.97 | General |
| Category: Cardiovascular | ||||||
| 05/16/2018 | Novartis Pharmaceuticals Corporation | ENTRESTO (Drug) | Food and Beverage | In-kind items and services | $100.00 | General |
| Category: CARDIOVASCULAR | ||||||
| 03/16/2018 | Allergan Inc. | TEFLARO (Drug) | Food and Beverage | In-kind items and services | $19.52 | General |
| Category: ANTI-INFECTIVE | ||||||
| 02/16/2018 | E.R. Squibb & Sons, L.L.C. | ELIQUIS (Drug) | Food and Beverage | Cash or cash equivalent | $17.46 | General |
| Category: Cardiovascular | ||||||
| 01/11/2018 | E.R. Squibb & Sons, L.L.C. | ELIQUIS (Drug) | Food and Beverage | Cash or cash equivalent | $75.76 | General |
| Category: Cardiovascular | ||||||
| 10/30/2017 | E.R. Squibb & Sons, L.L.C. | ELIQUIS (Drug) | Food and Beverage | Cash or cash equivalent | $18.56 | General |
| Category: Cardiovascular | ||||||
| 10/24/2017 | E.R. Squibb & Sons, L.L.C. | ELIQUIS (Drug) | Food and Beverage | Cash or cash equivalent | $60.82 | General |
| Category: Cardiovascular | ||||||
| 08/22/2017 | E.R. Squibb & Sons, L.L.C. | ELIQUIS (Drug) | Food and Beverage | Cash or cash equivalent | $96.43 | General |
| Category: Cardiovascular | ||||||
| 08/21/2017 | E.R. Squibb & Sons, L.L.C. | ELIQUIS (Drug) | Food and Beverage | Cash or cash equivalent | $19.67 | General |
| Category: Cardiovascular | ||||||
| 02/06/2017 | E.R. Squibb & Sons, L.L.C. | ELIQUIS (Drug) | Food and Beverage | Cash or cash equivalent | $15.98 | General |
| Category: Cardiovascular | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 3 | 128 | 260 | $48,173 | $20,909 |
| 2022 | 4 | 164 | 289 | $57,571 | $22,915 |
| 2021 | 3 | 150 | 288 | $54,891 | $22,516 |
| 2020 | 4 | 134 | 196 | $44,633 | $17,927 |
Total Patients
576
Total Services
1,033
Medicare Billing
$84,267
Procedure Codes
14
All Medicare Procedures & Services
14 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 50 | 145 | $22,910 | $9,417 | 41.1% |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Facility | 2023 | 36 | 73 | $16,863 | $7,415 | 44.0% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2023 | 42 | 42 | $8,400 | $4,077 | 48.5% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 50 | 135 | $21,330 | $8,008 | 37.5% |
| 99233 | Follow-up hospital inpatient care per day, typically 35 minutes | Facility | 2022 | 52 | 90 | $20,790 | $7,951 | 38.2% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2022 | 51 | 53 | $10,600 | $5,038 | 47.5% |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | Facility | 2022 | 11 | 11 | $4,851 | $1,917 | 39.5% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2021 | 54 | 105 | $24,255 | $9,625 | 39.7% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2021 | 56 | 142 | $22,436 | $8,999 | 40.1% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2021 | 40 | 41 | $8,200 | $3,892 | 47.5% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2020 | 33 | 33 | $14,553 | $5,813 | 39.9% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2020 | 38 | 91 | $14,378 | $5,572 | 38.8% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2020 | 33 | 42 | $9,702 | $3,743 | 38.6% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2020 | 30 | 30 | $6,000 | $2,798 | 46.6% |
About Dr. Ryan Punsalan, M.D
Dr. Ryan Punsalan, M.D is a Internal Medicine healthcare provider based in Middletown, New York. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 05/03/2012. The National Provider Identifier (NPI) number assigned to this provider is 1871852350.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Ryan Punsalan, M.D has received a total of $2,135 in payments from pharmaceutical and medical device companies, with $125.00 received in 2024. These payments were reported across 25 transactions from 7 companies. The most common payment nature is "Food and Beverage" ($1,710).
As a Medicare-enrolled provider, Punsalan has provided services to 576 Medicare beneficiaries, totaling 1,033 services with total Medicare billing of $84,267. Data is available for 4 years (2020–2023), covering 14 distinct procedure/service records.
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Practice Information
- Specialty Internal Medicine
- Other Specialties Hospitalist
- Location Middletown, NY
- Active Since 05/03/2012
- Last Updated 11/27/2023
- Taxonomy Code 207R00000X
- Entity Type Individual
- NPI Number 1871852350
Products in Payments
- ELIQUIS (Drug) $1,483
- CAMZYOS (Drug) $141.91
- APRETUDE (Biological) $125.00
- ORTHOVISC (Device) $103.53
- ENTRESTO (Drug) $100.00
- XARELTO (Drug) $49.54
- TEFLARO (Drug) $19.52
Explore
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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