RxDoctor Payments Data

Erick Calmet del Castillo, MD

Family Medicine · Hannibal, MONPI 1447401716

Payments from drug & device makers

$3,713in general payments, 2019–2025

Across 237 payments — averaging $15.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$796
  • Novo Nordisk$474
  • Pfizer$361
  • Amgen$257
  • GSK$251
  • AstraZeneca$223
  • plus $1K from 30 others

What the payments were for

  • Food & beverage$3,713100%

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.

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

$3,713 in reported general payments places this provider in the 80th percentile of 2,203 family medicine providers in Missouri.

See all family medicine providers in Missouri

Medicare billing

Part B allowed, 2024
$102,629
Medicare patients
204
Services billed
1,275

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
OzempicSemaglutide56$82,886
Trelegy ElliptaFluticasone/Umeclidin/Vilanter90$68,124
TrulicityDulaglutide60$57,852
EliquisApixaban64$47,090
Tresiba Flextouch U-100Insulin Degludec56$30,304
JardianceEmpagliflozin18$24,038
JanuviaSitagliptin Phosphate30$21,001
MounjaroTirzepatide15$19,901
Combivent RespimatIpratropium/Albuterol Sulfate32$17,794
Breo ElliptaFluticasone/Vilanterol41$17,152
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr28$16,108
Xultophy 100-3.6Insulin Degludec/Liraglutide11$15,088
Breztri AerosphereBudesonide/Glycopyr/Formoterol22$13,793
FarxigaDapagliflozin Propanediol13$9,112
MyrbetriqMirabegron12$7,912

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
GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta$251$101,384159 claims
Novo NordiskOzempic, Xultophy 100-3.6$474$97,97467 claims
Lilly USA, LLCTrulicity, Mounjaro$167$77,75375 claims
PfizerEliquis$361$47,09064 claims
Boehringer IngelheimJardiance, Combivent Respimat$60$41,83250 claims
AstraZenecaBreztri Aerosphere, Farxiga$223$22,90535 claims
MerckJanuvia$28$21,00130 claims
Astellas Pharma US IncMyrbetriq$45$7,91212 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 80th percentile of 2,203 family medicine providers in Missouri.

Other family medicine in Hannibal

See the full list for Missouri

Where these figures come from

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