RxDoctor Payments Data

Adam Cox, MD

Internal Medicine · Kirkwood, MONPI 1003158338

Payments from drug & device makers

$3,208in general payments, 2019–2025

Across 184 payments — averaging $17.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$798
  • Pfizer$470
  • GSK$293
  • Novo Nordisk$275
  • Lilly USA, LLC$248
  • AstraZeneca$210
  • plus $915 from 18 others

What the payments were for

  • Food & beverage$3,194100%
  • Education$150%

Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.

General payments by program year

19
20
22
23
24
25

Who reported the general payments

Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.

How this compares

$3,208 in reported general payments places this provider in the 80th percentile of 2,097 internal medicine providers in Missouri.

See all internal medicine providers in Missouri

Medicare billing

Part B allowed, 2024
$61,151
Medicare patients
187
Services billed
629

What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.

Most prescribed under Part D

DrugClaimsCost to plans & patients
MounjaroTirzepatide42$61,210
RybelsusSemaglutide26$41,390
OzempicSemaglutide36$38,744
TrulicityDulaglutide28$35,485
JardianceEmpagliflozin23$34,586
EliquisApixaban25$32,086
FarxigaDapagliflozin Propanediol23$23,817
Trelegy ElliptaFluticasone/Umeclidin/Vilanter28$18,032
XareltoRivaroxaban11$15,440
Breo ElliptaFluticasone/Vilanterol29$14,105
JanuviaSitagliptin Phosphate13$13,818
ElmironPentosan Polysulfate Sodium11$11,214
Repatha SureclickEvolocumab11$8,332
BrilintaTicagrelor15$8,000
AbrysvoRsv Vacc, Pref A And Pref B/Pf25$6,511

Paid to pharmacies, not to this prescriber.

Companies that both paid and supply prescribed drugs

These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.

CompanyPaid to this providerPart D cost of their drugs
Lilly USA, LLCMounjaro, Trulicity$248$96,69570 claims
Novo NordiskRybelsus, Ozempic$275$80,13462 claims
PfizerEliquis, Abrysvo$470$38,59750 claims
GSKTrelegy Ellipta, Breo Ellipta, Arexvy$293$35,21868 claims
Boehringer IngelheimJardiance$60$34,58623 claims
AstraZenecaFarxiga, Brilinta$210$31,81738 claims
AbbVieSynthroid$798$1,30828 claims

Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 80th percentile of 2,097 internal medicine providers in Missouri.

Other internal medicine in Kirkwood

See the full list for Missouri

Where these figures come from

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