Danielle Toal, APRN
Primary Care · Cape Girardeau, MONPI 1346781069
Payments from drug & device makers
Across 618 payments — averaging $23.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$3K
- Johnson & Johnson$2K
- Regeneron Healthcare Solutions, Inc.$1K
- UCB, Inc.$1K
- Novartis$1K
- LEO Pharma Inc.$924
- plus $6K from 24 others
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 |
|---|---|---|
| AbbVie | 134 | $2,989 |
| Johnson & Johnson | 66 | $1,554 |
| Regeneron Healthcare Solutions, Inc. | 42 | $1,479 |
| UCB, Inc. | 35 | $1,203 |
| Novartis | 53 | $1,114 |
| LEO Pharma Inc. | 40 | $924 |
| Amgen | 26 | $782 |
| Lilly USA, LLC | 40 | $753 |
| E.r. Squibb & Sons, L.L.C. | 37 | $670 |
| Sun Pharmaceutical Industries Inc. | 19 | $510 |
| Dermavant Sciences, Inc. | 27 | $399 |
| Sanofi | 17 | $379 |
| AstraZeneca | 4 | $347 |
| Pfizer | 16 | $287 |
| Galderma Laboratories, L.p. | 14 | $247 |
| Incyte Corporation | 9 | $211 |
| Strata Skin Sciences, Inc. | 1 | $153 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $127 |
| Arcutis Biotherapeutics, Inc. | 6 | $97 |
| Botanix SB Inc | 5 | $90 |
| Almirall LLC | 5 | $87 |
| Convatec Inc. | 3 | $79 |
| Genentech USA, Inc. | 4 | $74 |
| Organon | 5 | $58 |
| Merck | 2 | $39 |
| Fresenius Kabi USA, LLC | 2 | $33 |
| Boehringer Ingelheim | 1 | $30 |
| Biofrontera Inc. | 2 | $23 |
| Kyowa Kirin, Inc. | 1 | $18 |
| Smith+Nephew | 1 | $16 |
How this compares
$14,772 in reported general payments places this provider in the 95th percentile of 106 primary care 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.
Other primary care in Cape Girardeau
- Cassidy HensonCape Girardeau$851
- Violet de la CruzCape Girardeau$557
- Joy MurphySaint Louis$7K
- Katrina SelsorSparta$6K
- Kelly EspositoSaint Louis$6K
- Elizabeth YoungSaint Louis$5K
- Carol HarringtonIndependence$4K
- Melanie HenryHayti$4K
- Heather BealSaint Louis$4K
- Taylor HeathSparta$3K
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.