RxDoctor Payments Data

George Carr, MD

Family Medicine · Jefferson City, MONPI 1528032661

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $16,168 of the $24,636 with a category attached, or 65.6%. 60 manufacturers reported payments, led by Sunovion Pharmaceuticals Inc. at 29.6% of the total. Reporting peaked in 2019 at $8,707 and has fallen 64.5% since, to $3,093 in 2025. Among family medicine 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.

$24,636in general payments, 2019–2025

Across 1,061 payments — averaging $23.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Sunovion Pharmaceuticals Inc.$7K
  • AbbVie$3K
  • Medtronic$2K
  • Pfizer$2K
  • AstraZeneca$1K
  • Novo Nordisk$1K
  • plus $8K from 54 others
$2,042,500in research payments, 2019–2025

Across 1,357 payments — averaging $1505.16 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Alnylam Pharmaceuticals Inc.$650K
  • Novartis$540K
  • Astrazeneca UK Limited$456K
  • Johnson & Johnson$183K
  • AstraZeneca$107K
  • GSK$39K
  • plus $67K from 6 others

What the payments were for

  • Speaking & faculty fees$5,36522%
  • Travel & lodging$2,70811%
  • Food & beverage$16,16866%
  • Education$2541%
  • Entertainment$1411%

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.

CompanyPaymentsTotal
Sunovion Pharmaceuticals Inc.50$7,293
AbbVie(2 entities)195$2,833
Medtronic30$2,074
Pfizer139$1,782
AstraZeneca56$1,275
Novo Nordisk89$1,216
Amgen48$667
Lilly USA, LLC44$646
Bayer41$617
Abbott21$591
GSK27$396
Merck26$368
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC30$366
Amarin Pharma, Inc.22$307
Otsuka America Pharmaceutical, Inc.12$224
Dexcom, Inc.9$219
Takeda Pharmaceuticals U.S.A., Inc.15$218
Lundbeck LLC8$196
Biohaven Pharmaceutical Holding Company Ltd.15$194
Jazz Pharmaceuticals Inc.10$170
Supernus Pharmaceuticals, Inc.12$167
Johnson & Johnson12$166
Boehringer Ingelheim10$164
Teva Pharmaceuticals USA, Inc.10$161
Astellas Pharma US Inc6$157
Phathom Pharmaceuticals, Inc.10$150
Biohaven Pharmaceuticals, Inc.10$145
Straumann USA LLC1$141
Averitas Pharma Inc.7$141
ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)7$112
Esperion Therapeutics, Inc.6$102
Mylan Specialty L.p.6$92
SK Life Science, Inc.4$84
Axsome Therapeutics, Inc.4$76
Edwards Lifesciences3$74
Kowa Pharmaceuticals America, Inc.5$72
Tolmar, Inc.3$68
Biogen4$59
Melinta Therapeutics, LLC4$59
E.r. Squibb & Sons, L.L.C.4$58
Verona Pharma, Inc.3$55
Novartis4$52
Exact Sciences3$47
Arbor Pharmaceuticals, Inc.3$46
Sumitomo Pharma America, Inc.3$46
Impel Pharmaceuticals Inc.3$45
Viatris Specialty LLC2$44
Alkermes, Inc.2$39
Ironwood Pharmaceuticals, Inc2$36
Neurocrine Biosciences, Inc.2$33
Radius Health, Inc.2$31
Ardelyx, Inc.2$30
Daiichi Sankyo Inc.2$27
Sanofi Pasteur Inc.2$26
Antares Pharma, Inc.1$20
Globus Medical1$20
Seqirus USA Inc1$19
Vertex1$18
Pharmacosmos Therapeutics Inc.1$17
Nestle Healthcare Nutrition Inc.1$17

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

$24,636 in reported general payments places this provider in the 95th percentile of 2,203 family medicine providers in Missouri.

See all family medicine providers in Missouri

Medicare billing

Part B allowed, 2024
$301,982
Medicare patients
363
Services billed
11,179

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
OzempicSemaglutide210$236,975
EliquisApixaban174$174,264
MounjaroTirzepatide149$160,872
TrulicityDulaglutide63$67,249
LinzessLinaclotide81$66,532
VraylarCariprazine Hcl35$51,527
RybelsusSemaglutide37$49,386
XareltoRivaroxaban47$49,104
Breztri AerosphereBudesonide/Glycopyr/Formoterol66$43,757
Trelegy ElliptaFluticasone/Umeclidin/Vilanter52$42,772
KerendiaFinerenone32$36,449
Tresiba Flextouch U-200Insulin Degludec22$36,107
JanuviaSitagliptin Phosphate42$36,071
JardianceEmpagliflozin38$35,080
RexultiBrexpiprazole23$34,822

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
Novo NordiskOzempic, Rybelsus$1,216$286,361247 claims
Lilly USA, LLCMounjaro, Trulicity$646$228,121212 claims
PfizerEliquis$1,782$174,264174 claims
AbbVieLinzess, Vraylar, Creon, Qulipta$2,833$151,203149 claims
AstraZenecaBreztri Aerosphere, Farxiga, Symbicort$1,275$80,530120 claims
GSKTrelegy Ellipta, Arexvy, Anoro Ellipta, Breo Ellipta$396$75,053134 claims
Johnson & JohnsonXarelto$166$49,10447 claims
BayerKerendia$617$36,44932 claims
MerckJanuvia$368$36,07142 claims
Boehringer IngelheimJardiance$164$35,08038 claims
Otsuka America Pharmaceutical, Inc.Rexulti$224$34,82223 claims
AmgenProlia$667$31,91520 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 95th percentile of 2,203 family medicine providers in Missouri.

Other family medicine in Jefferson City

See the full list for Missouri

Where these figures come from

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