Brett Hronek, MD
Allergy & Immunology · Springfield, MONPI 1275791568
Payments from drug & device makers
Across 900 payments — averaging $21.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$5K
- Sanofi$3K
- GSK$2K
- CSL Behring$2K
- Takeda Pharmaceuticals U.S.A., Inc.$1K
- Pfizer$866
- plus $6K from 28 others
What the payments were for
- Consulting fees$1,5958%
- Food & beverage$18,00092%
- Education$460%
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 |
|---|---|---|
| AstraZeneca | 192 | $4,701 |
| Sanofi | 61 | $2,926 |
| GSK | 123 | $2,017 |
| CSL Behring | 77 | $1,749 |
| Takeda Pharmaceuticals U.S.A., Inc. | 68 | $1,317 |
| Pfizer | 58 | $866 |
| Amgen(2 entities) | 44 | $858 |
| Genentech USA, Inc. | 40 | $789 |
| Grifols USA, LLC | 39 | $690 |
| Novartis | 35 | $600 |
| Regeneron Healthcare Solutions, Inc. | 26 | $556 |
| Blueprint Medicines Corporation | 11 | $415 |
| Biocryst US Sales Co., LLC | 16 | $345 |
| Boehringer Ingelheim | 18 | $244 |
| Pharming Healthcare, Inc. | 13 | $227 |
| Kaleo, Inc. | 16 | $213 |
| ARS Pharmaceuticals Operations, Inc. | 11 | $156 |
| AbbVie | 7 | $116 |
| Genentech, Inc. | 3 | $115 |
| Lilly USA, LLC | 6 | $104 |
| Alk-abello, Inc | 5 | $102 |
| Octapharma USA, Inc. | 4 | $80 |
| Hospira, Inc. | 4 | $73 |
| Teva Pharmaceuticals USA, Inc. | 5 | $68 |
| ADMA Biomanufacturing LLC | 3 | $59 |
| Incyte Corporation | 3 | $46 |
| Optinose US, Inc. | 3 | $40 |
| Tersera Therapeutics LLC | 1 | $39 |
| Merck | 2 | $32 |
| Shire North American Group Inc | 2 | $25 |
| Ionis Pharmaceuticals, Inc. | 1 | $22 |
| Hikma Pharmaceuticals USA | 1 | $19 |
| Biocryst Pharmaceuticals, Inc. | 1 | $17 |
| Circassia Inc. | 1 | $14 |
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
$19,640 in reported general payments places this provider in the 80th percentile of 61 allergy & immunology 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 |
|---|---|---|
| XolairOmalizumab | 45 | $191,778 |
| Dupixent SyringeDupilumab | 50 | $186,462 |
| Gamunex-CImmune Globul G/Gly/Iga Avg 46 | 13 | $114,818 |
| Dupixent PenDupilumab | 16 | $99,864 |
| NucalaMepolizumab | 27 | $93,751 |
| Spiriva RespimatTiotropium Bromide | 64 | $44,339 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 47 | $31,339 |
| SymbicortBudesonide/Formoterol Fumarate | 51 | $15,119 |
| Epinephrine | 70 | $13,473 |
| DuleraMometasone/Formoterol | 31 | $11,918 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 101 | $11,849 |
| Advair HfaFluticasone Propion/Salmeterol | 24 | $7,929 |
| Arnuity ElliptaFluticasone Furoate | 32 | $7,783 |
| Azelastine Hcl | 274 | $6,534 |
| BreynaBudesonide/Formoterol Fumarate | 24 | $3,601 |
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 |
|---|---|---|
| Genentech, Inc.Xolair | $115 | $191,77845 claims |
| GSKNucala, Trelegy Ellipta, Arnuity Ellipta | $2,017 | $132,873106 claims |
| Grifols USA, LLCGamunex-C | $690 | $114,81813 claims |
| Boehringer IngelheimSpiriva Respimat | $244 | $44,33964 claims |
| AstraZenecaSymbicort | $4,701 | $15,11951 claims |
| Hikma Pharmaceuticals USAEpinephrine | $19 | $13,47370 claims |
| MerckDulera | $32 | $11,91831 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 61 allergy & immunology providers in Missouri.
Other allergy & immunology in Springfield
- Minh Thu leSpringfield$19K
- William MickaSpringfield$15K
- Seth KnightSpringfield$5K
- Gregory LuxSpringfield$4K
- Jeffrey TillinghastSaint Louis$11M
- H James WednerSaint Louis$2.3M
- Peggy KendallSaint Louis$895K
- Barbara JostSaint Louis$470K
- Phillip KorenblatSaint Louis$453K
- Manoj WarrierSaint Louis$316K
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.