RxDoctor Payments Data

Ahmet Guler, MD

Internal Medicine · Saint Louis, MONPI 1790738664

Payments from drug & device makers

$114in general payments, 2019–2025

Across 5 payments — averaging $22.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$88
  • Pfizer$14
  • Abbott$12

What the payments were for

  • Food & beverage$114100%

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

22
23

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.

CompanyPaymentsTotal
Medtronic3$88
Pfizer1$14
Abbott1$12

How this compares

$114 in reported general payments places this provider in the 40th percentile of 2,097 internal medicine providers in Missouri.

See all internal medicine providers in Missouri

Medicare billing

Part B allowed, 2024
$281,564
Medicare patients
329
Services billed
2,820

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
EliquisApixaban37$22,942
Midodrine Hcl25$1,959
Ondansetron OdtOndansetron32$591
Albuterol Sulfate HfaAlbuterol Sulfate28$512
Gabapentin38$427
Pantoprazole Sodium77$400
Diclofenac Sodium17$392
Atorvastatin Calcium92$272
Duloxetine Hcl21$209
Metoprolol Succinate32$168
Hydralazine Hcl44$164
Levothyroxine Sodium32$163
Oxycodone Hcl29$157
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen18$157
ClopidogrelClopidogrel Bisulfate27$146

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
PfizerEliquis$14$22,94237 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 40th percentile of 2,097 internal medicine providers in Missouri.

Other internal medicine in Saint Louis

See the full list for Missouri

Where these figures come from

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