Physician profile
Maria Ryhal
NPI 1578662383
$952.13
in general payments reported to CMS, 2019-2025
18 companies · $191 in 2025
The $191 reported for 2025 was more than what a typical Family Medicine provider received nationally (typical 2025 total: $153).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $207 · 2020: $56.09 · 2023: $174 · 2024: $324 · 2025: $191.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $689.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $689.00 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Axsome Therapeutics, INC. | $136.92 | 2023-2024 | Auvelity |
| Viiv Healthcare Company | $110.77 | 2025 | Apretude |
| Novo Nordisk INC | $86.31 | 2019-2020 | |
| Pfizer INC. | $83.56 | 2023-2025 | |
| Lilly USA, LLC | $82.86 | 2019-2024 | Mounjaro |
| Exeltis, USA INC. | $82.79 | 2023-2025 | Slynd |
| Alkermes, INC. | $59.40 | 2024 | Aristada, Lybalvi |
| Glaxosmithkline, LLC. | $48.59 | 2019 | |
| Exact Sciences Corporation | $46.70 | 2025 | The Cologuard Plus Collection Kit |
| Astrazeneca Pharmaceuticals LP | $40.04 | 2024 | Airsupra, Breztri |
| Sanofi Pasteur INC. | $38.40 | 2019-2023 | |
| Allergan, INC. | $32.50 | 2019 | |
| Sage Therapeutics, LLC | $27.17 | 2024 | |
| Mylan Specialty L.P. | $17.32 | 2019 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | $15.58 | 2020 |
Show all 18 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Sumitomo Pharma America, INC. | $15.54 | 2024 | Myfembree |
| Hologic Sales and Service, LLC | $15.00 | 2019 | |
| Merck Sharp & Dohme LLC | $12.68 | 2020 |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Maria Ryhal listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.