Denise Apprill
Adult Health · Saint Louis, MONPI 1700036993
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.1% of the total across 494 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 25 manufacturers, the largest accounting for just 19.8% — the pattern of someone who eats at a lot of different presentations. Among adult health clinicians in MO with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 494 payments — averaging $18.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Johnson & Johnson$1K
- Amgen$848
- Novartis$506
- Lilly USA, LLC$486
- UCB, Inc.$459
- plus $4K from 19 others
What the payments were for
- Food & beverage$8,81095%
- Education$4495%
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 |
|---|---|---|
| AbbVie(2 entities) | 121 | $1,830 |
| Johnson & Johnson | 68 | $1,411 |
| Amgen | 40 | $848 |
| Novartis | 29 | $506 |
| Lilly USA, LLC | 21 | $486 |
| UCB, Inc. | 13 | $459 |
| E.r. Squibb & Sons, L.L.C. | 25 | $454 |
| Dermavant Sciences, Inc. | 56 | $451 |
| Pfizer | 21 | $440 |
| Galderma Laboratories, L.p. | 15 | $369 |
| Sun Pharmaceutical Industries Inc. | 10 | $339 |
| Incyte Corporation | 12 | $269 |
| Sanofi | 8 | $223 |
| LEO Pharma Inc. | 5 | $191 |
| Organon | 14 | $183 |
| Regeneron Healthcare Solutions, Inc. | 6 | $139 |
| Almirall LLC | 6 | $132 |
| Botanix SB Inc | 6 | $109 |
| Journey Medical Corporation | 6 | $107 |
| Revance Therapeutics, Inc. | 2 | $107 |
| Arcutis Biotherapeutics, Inc. | 3 | $56 |
| Boehringer Ingelheim | 3 | $55 |
| Sensus Healthcare, Inc. | 1 | $43 |
| VYNE Pharmaceuticals Inc. | 2 | $34 |
| Janssen Scientific Affairs, LLC | 1 | $19 |
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
$9,259 in reported general payments places this provider in the 95th percentile of 555 adult health providers in Missouri.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Clobetasol Propionate | 42 | $1,908 |
| Triamcinolone Acetonide | 119 | $903 |
| Doxycycline Hyclate | 21 | $625 |
| Tretinoin | 13 | $585 |
| Betamethasone Dipropionate | 14 | $446 |
| Hydrocortisone | 39 | $377 |
| Ketoconazole | 13 | $342 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 14 | $269 |
| Cephalexin | 14 | $92 |
| Prednisone | 25 | $34 |
Paid to pharmacies, not to this prescriber.
Other adult health in Saint Louis
- Stephanie VogelSaint Louis$115K
- Shannon TuckerSaint Louis$93K
- Laurencia KlipfelSaint Louis$79K
- Maria WallsSaint Louis$69K
- Jennifer SpeiserSaint Louis$27K
- Michele NobsSaint Louis$15K
- Lisa Koester WiedemannSaint Louis$14K
- Erin DoserSaint Louis$13K
- Marcee StegemeierSaint Louis$12K
- Heather PophamSaint Louis$10K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.