Farid Roman, MD
Endocrinology, Diabetes & Metabolism · Saint Louis, MONPI 1851366355
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $37,289 of the $61,658 with a category attached, or 60.5%. 60 manufacturers reported payments, led by Novo Nordisk at 35.1% of the total. Reporting peaked in 2019 at $32,582 and has fallen 98.2% since, to $585 in 2025. Among endocrinology, diabetes & metabolism clinicians in MO with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 1,035 payments — averaging $59.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$22K
- AstraZeneca$19K
- Boehringer Ingelheim$5K
- Lilly USA, LLC$4K
- Abbott$3K
- Medtronic$2K
- plus $7K from 54 others
What the payments were for
- Consulting fees$3,3755%
- Speaking & faculty fees$37,28960%
- Travel & lodging$2,9955%
- Food & beverage$17,95329%
- Education$460%
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.
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.
- FARXIGA$16,693
- Tresiba$9,662
- Ozempic$7,990
- JARDIANCE$7,668
- Minimed 670G System$1,130
- RYBELSUS$412
- Eversense$400
- FREESTYLE LIBRE 3$122
How this compares
$61,658 in reported general payments places this provider in the 90th percentile of 182 endocrinology, diabetes & metabolism providers in Missouri.
See all endocrinology, diabetes & metabolism 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 |
|---|---|---|
| OzempicSemaglutide | 594 | $867,106 |
| JardianceEmpagliflozin | 372 | $450,986 |
| FarxigaDapagliflozin Propanediol | 411 | $400,105 |
| TrulicityDulaglutide | 171 | $261,293 |
| MounjaroTirzepatide | 203 | $250,533 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 104 | $133,209 |
| JanuviaSitagliptin Phosphate | 95 | $113,100 |
| Omnipod Dash Pods (Gen 4)Insulin Pump Cart,cont Inf,bt | 54 | $106,140 |
| Tresiba Flextouch U-200Insulin Degludec | 62 | $71,308 |
| Tresiba Flextouch U-100Insulin Degludec | 116 | $70,003 |
| Humulin R U-500 KwikpenInsulin Regular, Human | 39 | $69,956 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 74 | $56,156 |
| Humalog Kwikpen U-100Insulin Lispro | 172 | $51,974 |
| Fiasp FlextouchInsulin Aspart (Niacinamide) | 65 | $47,275 |
| Humulin R U-500Insulin Regular, Human | 13 | $45,887 |
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 |
|---|---|---|
| Novo NordiskOzempic, Rybelsus, Novolog, Xultophy 100-3.6 | $21,655 | $945,150703 claims |
| Lilly USA, LLCTrulicity, Mounjaro, Humalog | $4,369 | $542,223439 claims |
| Boehringer IngelheimJardiance, Tradjenta, Synjardy Xr | $5,261 | $509,502427 claims |
| AstraZenecaFarxiga | $18,936 | $400,105411 claims |
| MerckJanuvia, Janumet | $288 | $144,292113 claims |
| Radius Health, Inc.Tymlos | $119 | $32,19612 claims |
| AmgenProlia | $219 | $29,77717 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 90th percentile of 182 endocrinology, diabetes & metabolism providers in Missouri.
Other endocrinology, diabetes & metabolism in Saint Louis
- Janet McGillSaint Louis$212K
- Kathryn DiemerSaint Louis$57K
- Julie SilversteinSaint Louis$49K
- Michael WhyteSaint Louis$40K
- Alexis McKeeSaint Louis$37K
- Sandeep DhindsaSaint Louis$36K
- Thomas NickolasSaint Louis$35K
- K ThampySaint Louis$35K
- Garry TobinSaint Louis$30K
- Bharathi RajuSaint Louis$24K
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.