RxDoctor Payments Data

Christopher Lynch, MD

Internal Medicine · Saint Louis, MONPI 1568402683

Payments from drug & device makers

$14,475in general payments, 2019–2025

Across 960 payments — averaging $15.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$3K
  • Novo Nordisk$2K
  • Amgen$1K
  • GSK$1K
  • Pfizer$984
  • AstraZeneca$744
  • plus $6K from 54 others

What the payments were for

  • Food & beverage$14,426100%
  • Education$360%
  • Entertainment$140%

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
20
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
AbbVie(2 entities)180$2,568
Novo Nordisk120$1,654
Amgen74$1,220
GSK82$1,116
Pfizer78$984
AstraZeneca(2 entities)39$744
Boehringer Ingelheim45$732
Lilly USA, LLC42$633
Abbott47$625
Johnson & Johnson27$390
Sanofi-aventis U.S. LLC22$360
Novartis15$253
Bayer15$213
Supernus Pharmaceuticals, Inc.10$202
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC11$185
Biohaven Pharmaceuticals, Inc.12$152
Merck9$148
Kowa Pharmaceuticals America, Inc.10$133
Medtronic(2 entities)3$129
Takeda Pharmaceuticals U.S.A., Inc.9$109
Teva Pharmaceuticals USA, Inc.6$96
Edwards Lifesciences4$96
Astellas Pharma US Inc6$91
Corcept Therapeutics5$90
Xeris Pharmaceuticals, Inc.4$89
Cook Medical LLC1$88
Endo Pharmaceuticals Inc.5$87
Regeneron Healthcare Solutions, Inc.5$82
Scilex Pharmaceuticals Inc.5$81
Biohaven Pharmaceutical Holding Company Ltd.5$79
Currax Pharmaceuticals LLC5$71
Exact Sciences4$62
Eisai Inc.4$58
Aimmune Therapeutics, Inc.4$57
Arbor Pharmaceuticals, Inc.4$53
Axsome Therapeutics, Inc.2$53
Bristol Myers Squibb2$47
Amarin Pharma, Inc.3$46
Daiichi Sankyo Inc.3$43
Esperion Therapeutics, Inc.2$38
Noven Therapeutics, LLC2$38
Phathom Pharmaceuticals, Inc.2$33
Sumitomo Pharma America, Inc.2$33
Insulet Corporation2$33
Verity Pharmaceuticals Inc.1$33
Mayne Pharma Commercial LLC2$33
Idorsia Pharmaceuticals US Inc2$30
C. R. Bard, Inc. & Subsidiaries1$24
Genentech USA, Inc.1$21
Aytu Biopharma, Inc.1$20
Shire North American Group Inc1$19
Inspire Medical Systems, Inc.1$17
Amneal Pharmaceuticals LLC1$16
Dynavax Technologies Corporation1$16
Ironwood Pharmaceuticals, Inc1$16
Azurity Pharmaceuticals, Inc.1$16
Almatica Pharma LLC1$16
Hikma Pharmaceuticals USA1$15
Nestle Healthcare Nutrition Inc.1$14
Sunovion Pharmaceuticals Inc.1$14

How this compares

$14,475 in reported general payments places this provider in the 95th percentile of 2,097 internal medicine providers in Missouri.

See all internal medicine providers in Missouri

Medicare billing

Part B allowed, 2024
$116,527
Medicare patients
426
Services billed
1,649

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
EliquisApixaban276$259,234
JardianceEmpagliflozin143$160,763
OzempicSemaglutide122$149,390
TrulicityDulaglutide86$110,419
FarxigaDapagliflozin Propanediol97$109,552
MounjaroTirzepatide89$109,088
XareltoRivaroxaban51$42,496
Trelegy ElliptaFluticasone/Umeclidin/Vilanter49$40,224
JanuviaSitagliptin Phosphate36$39,351
Nurtec OdtRimegepant Sulfate23$38,293
Toujeo SolostarInsulin Glargine,hum.Rec.Anlog22$25,530
ArexvyRsvpref3 Antigen/As01e/Pf80$22,397
MyrbetriqMirabegron33$20,801
SecuadoAsenapine13$18,148
JanumetSitagliptin Phos/Metformin Hcl12$17,637

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, Nurtec Odt, Premarin$984$302,780320 claims
Lilly USA, LLCTrulicity, Mounjaro$633$219,507175 claims
Boehringer IngelheimJardiance, Spiriva Respimat$732$173,165163 claims
Novo NordiskOzempic$1,654$149,390122 claims
AstraZenecaFarxiga, Breztri Aerosphere, Symbicort$744$124,895119 claims
GSKTrelegy Ellipta, Arexvy, Breo Ellipta$1,116$69,983143 claims
MerckJanuvia, Janumet$148$56,98848 claims
Johnson & JohnsonXarelto$390$42,49651 claims
AbbVieLinzess, Synthroid, Creon$2,568$26,445101 claims
Astellas Pharma US IncMyrbetriq$91$20,80133 claims
Esperion Therapeutics, Inc.Nexletol$38$11,70213 claims
Amneal Pharmaceuticals LLCLevothyroxine Sodium$16$6,407576 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 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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