Dion Miranda, DO
Internal Medicine · Saint Peters, MONPI 1972751097
Payments from drug & device makers
Across 283 payments — averaging $16.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$799
- AstraZeneca$797
- Lilly USA, LLC$559
- Boehringer Ingelheim$454
- GSK$394
- Pfizer$323
- plus $1K from 28 others
What the payments were for
- Food & beverage$4,732100%
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 |
|---|---|---|
| Novo Nordisk | 53 | $799 |
| AstraZeneca | 31 | $797 |
| Lilly USA, LLC | 33 | $559 |
| Boehringer Ingelheim | 31 | $454 |
| GSK | 27 | $394 |
| Pfizer | 23 | $323 |
| Amgen | 14 | $244 |
| AbbVie(2 entities) | 11 | $192 |
| Sanofi-aventis U.S. LLC | 11 | $171 |
| Novartis | 7 | $101 |
| Astellas Pharma US Inc | 4 | $70 |
| Exact Sciences | 4 | $70 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $67 |
| Aytu Biopharma, Inc. | 2 | $51 |
| Johnson & Johnson | 3 | $41 |
| E.r. Squibb & Sons, L.L.C. | 3 | $39 |
| Abbott | 2 | $37 |
| Kowa Pharmaceuticals America, Inc. | 2 | $34 |
| Merck | 2 | $27 |
| Amarin Pharma, Inc. | 2 | $27 |
| Genentech USA, Inc. | 1 | $24 |
| Ironshore Pharmaceuticals Inc. | 1 | $21 |
| Tris Pharma Inc | 1 | $21 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $21 |
| Hologic Sales And Service, LLC | 1 | $18 |
| Sumitomo Pharma America, Inc. | 1 | $17 |
| Phathom Pharmaceuticals, Inc. | 1 | $17 |
| Sunovion Pharmaceuticals Inc. | 1 | $17 |
| Hikma Pharmaceuticals USA | 1 | $16 |
| Currax Pharmaceuticals LLC | 1 | $14 |
| Shire North American Group Inc | 1 | $13 |
| Adlon Therapeutics L.p. | 1 | $12 |
| Biohaven Pharmaceuticals, Inc. | 1 | $12 |
| Dexcom, Inc. | 1 | $12 |
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
$4,732 in reported general payments places this provider in the 85th percentile of 2,097 internal medicine 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| EliquisApixaban | 138 | $156,567 |
| OzempicSemaglutide | 91 | $111,358 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 92 | $72,869 |
| JardianceEmpagliflozin | 74 | $68,783 |
| XareltoRivaroxaban | 72 | $67,169 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 62 | $43,985 |
| FarxigaDapagliflozin Propanediol | 33 | $41,569 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 26 | $17,493 |
| Synjardy XrEmpagliflozin/Metformin Hcl | 12 | $17,463 |
| Breo ElliptaFluticasone/Vilanterol | 22 | $16,596 |
| OxycontinOxycodone Hcl | 25 | $12,441 |
| Trijardy XrEmpaglifloz/Linaglip/Metformin | 13 | $11,476 |
| ArexvyRsvpref3 Antigen/As01e/Pf | 42 | $11,448 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 16 | $10,343 |
| Levothyroxine Sodium | 567 | $9,996 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerEliquis | $323 | $156,567138 claims |
| Novo NordiskOzempic | $799 | $111,35891 claims |
| GSKTrelegy Ellipta, Breo Ellipta, Arexvy, Anoro Ellipta | $394 | $111,256172 claims |
| Boehringer IngelheimJardiance, Synjardy Xr, Trijardy Xr | $454 | $97,72299 claims |
| Johnson & JohnsonXarelto | $41 | $67,16972 claims |
| AstraZenecaFarxiga, Breztri Aerosphere | $797 | $59,06259 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 85th percentile of 2,097 internal medicine providers in Missouri.
Other internal medicine in Saint Peters
- Timothy SmithSaint Peters$21.4M
- Craig DietzKansas City$4M
- Michael ReschakSaint Louis$3.1M
- Dima DandachiColumbia$1.2M
- Santosh SharmaKansas City$782K
- Jianbo WangChesterfield$643K
- David PrelutskySaint Louis$575K
- Danish JabbarSaint Louis$510K
- Dubert GuerreroIndependence$369K
- Hany SalamaSaint Louis$279K
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.