Ashutosh Patel, MD
Internal Medicine · Festus, MONPI 1588735575
Payments from drug & device makers
Across 74 payments — averaging $60.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$1K
- AstraZeneca$844
- Boehringer Ingelheim$498
- GSK$392
- Amgen$235
- Actelion Pharmaceuticals US, Inc.$199
- plus $1K from 13 others
What the payments were for
- Speaking & faculty fees$1253%
- Food & beverage$4,33797%
- Education$120%
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
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.
| Company | Payments | Total |
|---|---|---|
| Novo Nordisk | 13 | $1,155 |
| AstraZeneca | 10 | $844 |
| Boehringer Ingelheim | 10 | $498 |
| GSK | 5 | $392 |
| Amgen | 8 | $235 |
| Actelion Pharmaceuticals US, Inc. | 2 | $199 |
| AbbVie(2 entities) | 3 | $153 |
| Organogenesis Inc. | 2 | $144 |
| Sumitomo Pharma America, Inc. | 1 | $125 |
| Otsuka America Pharmaceutical, Inc. | 1 | $123 |
| Novartis | 3 | $117 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $116 |
| E.r. Squibb & Sons, L.L.C. | 2 | $108 |
| Johnson & Johnson | 2 | $95 |
| Merck | 4 | $63 |
| Lilly USA, LLC | 4 | $55 |
| Optos, Inc. | 1 | $24 |
| Exact Sciences | 1 | $17 |
| Regeneron Healthcare Solutions, Inc. | 1 | $12 |
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
$4,474 in reported general payments places this provider in the 85th percentile of 2,097 internal medicine providers in Missouri.
Medicare billing
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
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| EliquisApixaban | 285 | $172,539 |
| OzempicSemaglutide | 143 | $154,109 |
| XareltoRivaroxaban | 159 | $95,996 |
| JardianceEmpagliflozin | 126 | $85,343 |
| EntrestoSacubitril/Valsartan | 88 | $59,571 |
| RybelsusSemaglutide | 37 | $42,854 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 44 | $40,586 |
| FarxigaDapagliflozin Propanediol | 45 | $40,341 |
| TrulicityDulaglutide | 21 | $31,641 |
| MounjaroTirzepatide | 24 | $26,961 |
| Tresiba Flextouch U-100Insulin Degludec | 44 | $24,978 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 33 | $24,103 |
| Atorvastatin Calcium | 1,421 | $21,121 |
| Fiasp FlextouchInsulin Aspart (Niacinamide) | 35 | $20,671 |
| Breo ElliptaFluticasone/Vilanterol | 19 | $20,455 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Novo NordiskOzempic, Rybelsus | $1,155 | $196,964180 claims |
| Boehringer IngelheimJardiance, Combivent Respimat, Synjardy Xr | $498 | $103,513157 claims |
| Johnson & JohnsonXarelto | $95 | $95,996159 claims |
| GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Arexvy | $392 | $87,127121 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Symbicort | $844 | $71,203101 claims |
| NovartisEntresto | $117 | $59,57188 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $55 | $58,60145 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 85th percentile of 2,097 internal medicine providers in Missouri.
Other internal medicine in Festus
- Briccio CadizFestus$21K
- Timothy SmithSaint Peters$21.4M
- Craig DietzKansas City$4M
- Michael ReschakSaint Louis$3.1M
- Dima DandachiColumbia$1.2M
- Santosh SharmaKansas City$782K
- Jianbo WangChesterfield$643K
- David PrelutskySaint Louis$575K
- Danish JabbarSaint Louis$510K
- Dubert GuerreroIndependence$369K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.