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David Prelutsky, MD

Internal Medicine · Saint Louis, MONPI 1457354276

Payments from drug & device makers

$574,875in general payments, 2019–2025

Across 1,600 payments — averaging $359.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Gilead$423K
  • Viiv Healthcare Company$73K
  • Merck$35K
  • Janssen Research & Development, LLC$22K
  • Napo Pharmaceuticals Inc$9K
  • AbbVie$2K
  • plus $11K from 54 others
$1,274in research payments, 2019–2025

Across 11 payments — averaging $115.81 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Gilead$1K

What the payments were for

  • Consulting fees$16,3009%
  • Speaking & faculty fees$120,84666%
  • Travel & lodging$18,92310%
  • Food & beverage$25,85014%
  • Education$670%

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
Gilead432$423,008
Viiv Healthcare Company237$72,778
Merck102$35,033
Janssen Research & Development, LLC8$21,635
Napo Pharmaceuticals Inc54$8,809
AbbVie(2 entities)128$2,369
Theratechnologies Inc.24$2,014
Pfizer105$1,189
Johnson & Johnson(2 entities)97$1,036
Novo Nordisk66$969
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC33$484
EMD Serono, Inc.23$469
Amgen32$456
Lilly USA, LLC26$440
Antares Pharma, Inc.23$412
GSK22$346
AstraZeneca19$334
Abbott13$300
Takeda Pharmaceuticals U.S.A., Inc.17$300
Boehringer Ingelheim8$138
Exact Sciences6$129
Halozyme Inc7$129
Sanofi-aventis U.S. LLC7$127
Teva Pharmaceuticals USA, Inc.8$123
Paratek Pharmaceuticals, Inc.6$117
Acerus Pharmaceuticals Corporation5$111
Sumitomo Pharma America, Inc.5$102
Novartis6$101
Amarin Pharma, Inc.7$100
Hologic Sales And Service, LLC5$98
ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)5$90
Kowa Pharmaceuticals America, Inc.4$84
Daiichi Sankyo Inc.4$80
Tris Pharma Inc4$77
VBI Vaccine (delaware) Inc.4$66
Otsuka America Pharmaceutical, Inc.3$64
Almatica Pharma LLC4$62
Neos Therapeutics, LP4$62
Sunovion Pharmaceuticals Inc.4$62
Collegium Pharmaceutical, Inc.4$53
Biohaven Pharmaceuticals, Inc.3$51
Lundbeck LLC2$45
Biohaven Pharmaceutical Holding Company Ltd.2$36
Dynavax Technologies Corporation2$34
Astellas Pharma US Inc2$33
Shire North American Group Inc2$32
Janssen Products, LP1$31
Romark Laboratories, LC1$25
Supernus Pharmaceuticals, Inc.1$22
Optinose US, Inc.1$22
Mylan Institutional Inc.1$21
Bausch Health US, LLC1$20
Ardelyx, Inc.1$19
Jazz Pharmaceuticals Inc.1$18
Aytu Biopharma, Inc.1$18
Axsome Therapeutics, Inc.1$17
Corium, LLC2$16
Ironshore Pharmaceuticals Inc.1$16
Aimmune Therapeutics, Inc.1$15
Currax Pharmaceuticals LLC1$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

$574,875 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
$271,054
Medicare patients
323
Services billed
8,188

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
BiktarvyBictegrav/Emtricit/Tenofov Ala589$2,614,947
DescovyEmtricitabine/Tenofov Alafenam245$593,751
TivicayDolutegravir Sodium197$515,242
PifeltroDoravirine224$432,981
OdefseyEmtricitab/Rilpiviri/Tenof Ala83$325,291
DovatoDolutegravir Sodium/Lamivudine98$318,642
GenvoyaElviteg/Cob/Emtri/Tenof Alafen73$312,711
RukobiaFostemsavir Tromethamine29$262,948
MytesiCrofelemer73$189,359
IsentressRaltegravir Potassium57$119,347
PrezcobixDarunavir/Cobicistat42$118,662
MounjaroTirzepatide96$112,056
JardianceEmpagliflozin108$96,579
PercocetOxycodone Hcl/Acetaminophen24$91,246
JulucaDolutegravir/Rilpivirine23$86,192

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
GileadBiktarvy, Descovy, Genvoya, Vemlidy$423,008$3,541,458919 claims
Viiv Healthcare CompanyTivicay, Dovato, Rukobia, Juluca$72,778$1,183,023347 claims
MerckPifeltro, Isentress, Isentress Hd$35,033$608,959306 claims
Napo Pharmaceuticals IncMytesi$8,809$189,35973 claims
Johnson & JohnsonPrezcobix, Xarelto$1,036$155,14491 claims
Lilly USA, LLCMounjaro, Trulicity$440$154,420123 claims
Boehringer IngelheimJardiance, Tradjenta, Glyxambi$138$139,762165 claims
Novo NordiskOzempic, Rybelsus$969$126,270125 claims
PfizerEliquis, Nurtec Odt$1,189$99,35197 claims
AstraZenecaFarxiga$334$75,505108 claims
AbbVieVraylar, Linzess$2,369$63,58748 claims
Salix Pharmaceuticals, A Division Of Bausch Health US, LLCXifaxan$484$52,37317 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

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Where these figures come from

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