Federico Rivas Gotz, MD
Internal Medicine · Saint Joseph, MONPI 1053354092
Payments from drug & device makers
Across 151 payments — averaging $14.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$314
- Pfizer$245
- Amgen$219
- Boehringer Ingelheim$208
- Johnson & Johnson$147
- Astellas Pharma US Inc$124
- plus $954 from 19 others
What the payments were for
- Food & beverage$2,205100%
- Education$60%
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 |
|---|---|---|
| AstraZeneca | 19 | $314 |
| Pfizer | 22 | $245 |
| Amgen | 12 | $219 |
| Boehringer Ingelheim | 16 | $208 |
| Johnson & Johnson | 8 | $147 |
| Astellas Pharma US Inc | 7 | $124 |
| GSK | 10 | $121 |
| Novartis | 9 | $118 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 6 | $99 |
| Amarin Pharma, Inc. | 4 | $76 |
| Takeda Pharmaceuticals U.S.A., Inc. | 6 | $74 |
| AbbVie | 4 | $72 |
| Novo Nordisk | 4 | $62 |
| Kowa Pharmaceuticals America, Inc. | 4 | $61 |
| Merck | 4 | $59 |
| Sanofi-aventis U.S. LLC | 4 | $53 |
| Lilly USA, LLC | 3 | $38 |
| Sunovion Pharmaceuticals Inc. | 2 | $25 |
| Pulmonx Corporation | 1 | $19 |
| Bayer | 1 | $15 |
| Scilex Pharmaceuticals Inc. | 1 | $14 |
| Eisai Inc. | 1 | $13 |
| Nabriva Therapeutics, PLC | 1 | $13 |
| Mylan Specialty L.p. | 1 | $12 |
| Ironwood Pharmaceuticals, Inc | 1 | $11 |
How this compares
$2,211 in reported general payments places this provider in the 80th 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 |
|---|---|---|
| OzempicSemaglutide | 126 | $126,653 |
| EliquisApixaban | 94 | $77,164 |
| JardianceEmpagliflozin | 53 | $40,826 |
| Spiriva HandihalerTiotropium Bromide | 23 | $23,554 |
| LatudaLurasidone Hcl | 12 | $16,748 |
| FarxigaDapagliflozin Propanediol | 23 | $16,589 |
| JanuviaSitagliptin Phosphate | 12 | $13,552 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 446 | $9,547 |
| Advair HfaFluticasone Propion/Salmeterol | 26 | $8,944 |
| LinzessLinaclotide | 16 | $8,533 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 41 | $7,473 |
| Incruse ElliptaUmeclidinium Bromide | 16 | $7,048 |
| MyrbetriqMirabegron | 13 | $6,357 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 19 | $6,285 |
| SymbicortBudesonide/Formoterol Fumarate | 25 | $5,819 |
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 | $62 | $126,653126 claims |
| PfizerEliquis | $245 | $77,16494 claims |
| Boehringer IngelheimJardiance, Pradaxa | $208 | $43,77166 claims |
| AstraZenecaFarxiga, Symbicort | $314 | $22,40848 claims |
| Sunovion Pharmaceuticals Inc.Latuda | $25 | $16,74812 claims |
| MerckJanuvia | $59 | $13,55212 claims |
| AbbVieLinzess, Synthroid | $72 | $10,65634 claims |
| GSKIncruse Ellipta, Arexvy | $121 | $10,33328 claims |
| Astellas Pharma US IncMyrbetriq | $124 | $6,35713 claims |
| Johnson & JohnsonXarelto | $147 | $4,96311 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 2,097 internal medicine providers in Missouri.
Other internal medicine in Saint Joseph
- 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.