RxDoctor Payments Data

Carisa Barnhill, DO

Internal Medicine · Cape Girardeau, MONPI 1396026654

Payments from drug & device makers

$1,609in general payments, 2019–2025

Across 82 payments — averaging $19.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$569
  • Lilly USA, LLC$264
  • Exact Sciences$237
  • AbbVie$110
  • Astellas Pharma US Inc$99
  • Pfizer$89
  • plus $242 from 6 others

What the payments were for

  • Food & beverage$1,609100%

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
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

$1,609 in reported general payments places this provider in the 75th percentile of 2,097 internal medicine providers in Missouri.

See all internal medicine providers in Missouri

Medicare billing

Part B allowed, 2024
$54,120
Medicare patients
147
Services billed
525

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
OzempicSemaglutide39$56,192
MounjaroTirzepatide18$18,297
PremarinEstrogens, Conjugated11$2,244
Atorvastatin Calcium179$1,683
SynthroidLevothyroxine Sodium24$1,190
Levothyroxine Sodium140$1,160
Amlodipine Besylate115$1,014
Olmesartan Medoxomil23$915
Omeprazole32$796
Rosuvastatin Calcium81$723
Potassium Chloride24$684
Metformin Hcl72$598
Bupropion XlBupropion Hcl18$594
Metoprolol Succinate39$515
Losartan Potassium57$502

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
Novo NordiskOzempic$569$56,19239 claims
Lilly USA, LLCMounjaro$264$18,29718 claims
PfizerPremarin$89$2,24411 claims
AbbVieSynthroid$110$1,19024 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 75th percentile of 2,097 internal medicine providers in Missouri.

Other internal medicine in Cape Girardeau

See the full list for Missouri

Where these figures come from

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