Total Payments
$1,062
2024 Payments
$111.64
Companies
20
Transactions
43
Medicare Patients
2,736
Medicare Billing
$266,375
Payment Breakdown by Category
Food & Beverage$897.64 (84.5%)
Travel$164.46 (15.5%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $897.64 | 40 | 84.5% |
| Travel and Lodging | $164.46 | 3 | 15.5% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| GENZYME CORPORATION | $199.91 | 6 | $0 (2024) |
| Entellus Medical, Inc. | $164.46 | 3 | $0 (2017) |
| LivaNova USA, Inc. | $98.45 | 2 | $0 (2018) |
| Regeneron Healthcare Solutions, Inc. | $96.75 | 5 | $0 (2024) |
| Medtronic, Inc. | $85.73 | 3 | $0 (2023) |
| Intersect ENT, Inc. | $84.09 | 3 | $0 (2021) |
| Stryker Corporation | $69.56 | 2 | $0 (2019) |
| Smith+Nephew, Inc. | $36.58 | 3 | $0 (2020) |
| kaleo, Inc. | $33.29 | 2 | $0 (2022) |
| Mylan Specialty L.P. | $27.39 | 2 | $0 (2017) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $111.64 | 4 | GENZYME CORPORATION ($76.98) |
| 2023 | $116.59 | 5 | GENZYME CORPORATION ($65.74) |
| 2022 | $140.47 | 5 | Medtronic, Inc. ($49.08) |
| 2021 | $66.58 | 2 | Intersect ENT, Inc. ($46.09) |
| 2020 | $66.91 | 4 | Intersect ENT, Inc. ($20.93) |
| 2019 | $112.04 | 7 | GENZYME CORPORATION ($21.84) |
| 2018 | $191.29 | 6 | LivaNova USA, Inc. ($98.45) |
| 2017 | $256.58 | 10 | Entellus Medical, Inc. ($164.46) |
All Payment Transactions
43 individual payment records from CMS Open Payments — Page 1 of 2
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 11/15/2024 | GENZYME CORPORATION | DUPIXENT (Biological) | Food and Beverage | In-kind items and services | $35.86 | General |
| Category: Immunology | ||||||
| 10/25/2024 | Ambu Inc. | — | Food and Beverage | Cash or cash equivalent | $14.98 | General |
| 08/23/2024 | Regeneron Healthcare Solutions, Inc. | DUPIXENT (Biological) | Food and Beverage | In-kind items and services | $19.68 | General |
| Category: INFLAMMATION AND IMMUNOLOGY | ||||||
| 06/21/2024 | GENZYME CORPORATION | DUPIXENT (Biological), DUPIXENT | Food and Beverage | In-kind items and services | $41.12 | General |
| Category: Immunology | ||||||
| 11/10/2023 | Medtronic, Inc. | LIGASURE (Device) | Food and Beverage | In-kind items and services | $16.16 | General |
| Category: Vessel Sealing | ||||||
| 08/25/2023 | Merck Sharp & Dohme LLC | — | Food and Beverage | In-kind items and services | $17.80 | General |
| 08/04/2023 | Regeneron Healthcare Solutions, Inc. | DUPIXENT (Biological) | Food and Beverage | In-kind items and services | $16.89 | General |
| Category: INFLAMMATION AND IMMUNOLOGY | ||||||
| 06/23/2023 | GENZYME CORPORATION | DUPIXENT (Biological), DUPIXENT | Food and Beverage | In-kind items and services | $36.29 | General |
| Category: Immunology | ||||||
| 02/24/2023 | GENZYME CORPORATION | DUPIXENT (Biological), DUPIXENT | Food and Beverage | In-kind items and services | $29.45 | General |
| Category: Immunology | ||||||
| 08/05/2022 | Medtronic, Inc. | STEALTHSTATION S8 PLATFORM (Device) | Food and Beverage | In-kind items and services | $49.08 | General |
| Category: Image Guided Surgery Products | ||||||
| 07/08/2022 | GENZYME CORPORATION | DUPIXENT (Biological) | Food and Beverage | In-kind items and services | $35.35 | General |
| Category: Immunology | ||||||
| 05/20/2022 | Regeneron Healthcare Solutions, Inc. | DUPIXENT (Biological) | Food and Beverage | In-kind items and services | $23.22 | General |
| Category: INFLAMMATION AND IMMUNOLOGY | ||||||
| 03/18/2022 | Regeneron Healthcare Solutions, Inc. | DUPIXENT (Biological) | Food and Beverage | In-kind items and services | $18.96 | General |
| Category: INFLAMMATION AND IMMUNOLOGY | ||||||
| 03/11/2022 | kaleo, Inc. | AUVI-Q (Drug) | Food and Beverage | In-kind items and services | $13.86 | General |
| Category: Allergy | ||||||
| 09/17/2021 | Intersect ENT, Inc. | PROPEL (Device) | Food and Beverage | In-kind items and services | $46.09 | General |
| Category: Otolaryngology (Ear, Nose, Throat) | ||||||
| 07/02/2021 | Medtronic, Inc. | StealthStation (Device) | Food and Beverage | In-kind items and services | $20.49 | General |
| Category: Image Guided Surgery Products | ||||||
| 10/02/2020 | Intersect ENT, Inc. | SINUVA (Drug) | Food and Beverage | In-kind items and services | $20.93 | General |
| Category: Otolaryngology (Ear, Nose, Throat) | ||||||
| 02/28/2020 | Smith+Nephew, Inc. | PROCISE Tonsil (Device) | Food and Beverage | In-kind items and services | $11.41 | General |
| Category: ENT | ||||||
| 02/21/2020 | Aerin Medical Inc. | VivAer (Device), RhinAer | Food and Beverage | In-kind items and services | $16.57 | General |
| Category: Ear, Nose & Throat | ||||||
| 01/17/2020 | Regeneron Healthcare Solutions, Inc. | LIBTAYO (Biological) | Food and Beverage | In-kind items and services | $18.00 | General |
| Category: ONCOLOGY | ||||||
| 11/08/2019 | Olympus America Inc. | Celon System (Device), Olympus ENT Fiber Scopes | Food and Beverage | In-kind items and services | $11.54 | General |
| Category: ENT Products | ||||||
| 10/11/2019 | GENZYME CORPORATION | DUPIXENT (Drug) | Food and Beverage | In-kind items and services | $21.84 | General |
| Category: IMMUNOLOGY | ||||||
| 08/30/2019 | Stryker Corporation | NSE - NASOPORE/ OTOPORE (Device) | Food and Beverage | Cash or cash equivalent | $20.39 | General |
| Category: NEURO SPINE ENT | ||||||
| 07/12/2019 | Shire North American Group Inc | NATPARA (PARATHYROID HORMONE) (Drug) | Food and Beverage | In-kind items and services | $12.31 | General |
| Category: INTERNAL MEDICINE | ||||||
| 07/06/2019 | Acera Surgical, Inc. | Restrata Wound Matrix (Device) | Food and Beverage | In-kind items and services | $11.61 | General |
| Category: Wound Care | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 13 | 543 | 775 | $200,442 | $56,499 |
| 2022 | 14 | 697 | 931 | $209,487 | $60,507 |
| 2021 | 14 | 737 | 914 | $277,750 | $80,126 |
| 2020 | 15 | 759 | 1,071 | $269,992 | $69,244 |
Total Patients
2,736
Total Services
3,691
Medicare Billing
$266,375
Procedure Codes
56
All Medicare Procedures & Services
56 procedure records from CMS Medicare Utilization — Page 1 of 3
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 130 | 176 | $45,492 | $14,930 | 32.8% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 148 | 197 | $34,445 | $11,938 | 34.7% |
| 14060 | Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less | Office | 2023 | 12 | 12 | $27,071 | $7,010 | 25.9% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 85 | 85 | $22,056 | $6,260 | 28.4% |
| 69433 | Incision of eardrum with insertion of eardrum tube under local or topical anesthesia | Office | 2023 | 19 | 21 | $13,692 | $3,212 | 23.5% |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | Office | 2023 | 32 | 36 | $11,569 | $2,952 | 25.5% |
| 31231 | Diagnostic exam of nasal passages using an endoscope | Office | 2023 | 24 | 25 | $14,783 | $2,927 | 19.8% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 23 | 23 | $9,140 | $2,694 | 29.5% |
| 70486 | Ct scan of face without contrast | Office | 2023 | 15 | 15 | $7,875 | $1,376 | 17.5% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 12 | 12 | $4,025 | $1,116 | 27.7% |
| 95117 | Professional service for multiple injections of allergen | Office | 2023 | 18 | 132 | $5,544 | $1,002 | 18.1% |
| 11104 | Punch biopsy, first skin growth | Office | 2023 | 12 | 12 | $4,373 | $984.95 | 22.5% |
| 95027 | Test for allergy using airborne allergenic extract injected into skin | Office | 2023 | 13 | 29 | $377.00 | $95.20 | 25.3% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 143 | 196 | $50,662 | $17,066 | 33.7% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 175 | 248 | $43,363 | $15,148 | 34.9% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 105 | 105 | $27,245 | $7,909 | 29.0% |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | Office | 2022 | 59 | 71 | $22,817 | $6,258 | 27.4% |
| 69433 | Incision of eardrum with insertion of eardrum tube under local or topical anesthesia | Office | 2022 | 28 | 28 | $19,968 | $4,599 | 23.0% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 29 | 29 | $11,524 | $3,005 | 26.1% |
| 31231 | Diagnostic exam of nasal passages using an endoscope | Office | 2022 | 23 | 24 | $14,191 | $2,897 | 20.4% |
| 70486 | Ct scan of face without contrast | Office | 2022 | 14 | 14 | $7,350 | $1,149 | 15.6% |
| 95117 | Professional service for multiple injections of allergen | Office | 2022 | 12 | 83 | $3,486 | $653.93 | 18.8% |
| 92557 | Comprehensive hearing and speech recognition test | Office | 2022 | 29 | 30 | $3,300 | $650.68 | 19.7% |
| 69210 | Removal of impacted ear wax | Office | 2022 | 17 | 18 | $2,532 | $508.49 | 20.1% |
| 92567 | Test to assess middle ear function | Office | 2022 | 36 | 39 | $1,638 | $350.99 | 21.4% |
About Dr. Stephen Ryals, M.D
Dr. Stephen Ryals, M.D is a Allergy & Immunology healthcare provider based in Dalton, Georgia. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 05/13/2006. The National Provider Identifier (NPI) number assigned to this provider is 1376594440.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Stephen Ryals, M.D has received a total of $1,062 in payments from pharmaceutical and medical device companies, with $111.64 received in 2024. These payments were reported across 43 transactions from 20 companies. The most common payment nature is "Food and Beverage" ($897.64).
As a Medicare-enrolled provider, Ryals has provided services to 2,736 Medicare beneficiaries, totaling 3,691 services with total Medicare billing of $266,375. Data is available for 4 years (2020–2023), covering 56 distinct procedure/service records.
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Practice Information
- Specialty Allergy & Immunology
- Other Specialties Otolaryngology
- Location Dalton, GA
- Active Since 05/13/2006
- Last Updated 09/11/2025
- Taxonomy Code 207K00000X
- Entity Type Individual
- NPI Number 1376594440
Products in Payments
- DUPIXENT (Biological) $256.82
- XprESS Multi-Sinus Dilation System (Device) $164.46
- VNS Therapy (Device) $98.45
- ENTELLUS - XPRESS ENT DILATION SYSTEM (Device) $49.17
- STEALTHSTATION S8 PLATFORM (Device) $49.08
- PROPEL (Device) $46.09
- SINUVA (Drug) $38.00
- Dymista (Drug) $27.39
- DUPIXENT (Drug) $21.84
- C Topical Solution 4 CII (Drug) $20.85
- StealthStation (Device) $20.49
- NSE - NASOPORE/ OTOPORE (Device) $20.39
- Otovel (Drug) $19.74
- Auvi-Q (Drug) $19.43
- LIBTAYO (Biological) $18.00
- PRE-PEN (Drug) $17.28
- VivAer (Device) $16.57
- LIGASURE (Device) $16.16
- AUVI-Q (Drug) $13.86
- Coblation - Turbinate Wands (Device) $13.13
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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.