RxDoctor Payments Data

Andrew James, APRN

Medical-Surgical · Columbia, MONPI 1871586321

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (56.9%), travel and lodging and education — rather than concentrated in one kind of arrangement. Amgen accounts for 87.7% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2022 at $7,682 and has fallen 75.4% since, to $1,893 in 2025. Among medical-surgical clinicians in MO with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$25,716in general payments, 2019–2025

Across 115 payments — averaging $223.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Amgen$23K
  • Radius Health, Inc.$3K
  • Alvogen Inc$73
  • Novo Nordisk$52
  • Kyowa Kirin, Inc.$36
  • Impulse Dynamics (USA) Inc.$21
  • plus $51 from 3 others
$181in research payments, 2019–2025

Across 2 payments — averaging $90.36 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Radius Health, Inc.$181

What the payments were for

  • Speaking & faculty fees$14,64457%
  • Travel & lodging$6,49825%
  • Food & beverage$2,1568%
  • Education$2,4189%

General payments by program year

21
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.

CompanyPaymentsTotal
Amgen77$22,565
Radius Health, Inc.26$2,919
Alvogen Inc3$73
Novo Nordisk3$52
Kyowa Kirin, Inc.2$36
Impulse Dynamics (USA) Inc.1$21
Ascend Therapeutics US, LLC1$20
Integra Lifesciences Corporation1$16
Lilly USA, LLC1$15

What the payments were tied to

Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.

How this compares

$25,716 in reported general payments places this provider in the 95th percentile of 21 medical-surgical providers in Missouri.

See all medical-surgical providers in Missouri

Medicare billing

Part B allowed, 2024
$2,265,349
Medicare patients
957
Services billed
121,854

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
TymlosAbaloparatide191$467,466
Teriparatide53$194,094
ProliaDenosumab81$141,315
ForteoTeriparatide32$133,545
Evenity (2 Syringes)Romosozumab-Aqqg33$74,625
Ultra-Fine Short Pen NeedlePen Needle, Diabetic26$1,507
Alendronate Sodium170$938
Unifine Pentips PlusPen Needle, Diabetic13$345
Baclofen17$102

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
Radius Health, Inc.Tymlos$2,919$467,466191 claims
AmgenProlia, Evenity (2 Syringes)$22,565$215,940114 claims
Alvogen IncTeriparatide$73$194,09453 claims
Lilly USA, LLCForteo$15$133,54532 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 95th percentile of 21 medical-surgical providers in Missouri.

Other medical-surgical in Columbia

See the full list for Missouri

Where these figures come from

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