RxDoctor Payments Data

James van Riessen, MD

Family Medicine · Springfield, MONPI 1184721219

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (56.2%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 43 manufacturers reported payments, led by Pfizer at 51.0% of the total. Reporting peaked in 2019 at $8,130 and has fallen 77.2% since, to $1,851 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.

$24,959in general payments, 2019–2025

Across 939 payments — averaging $26.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Pfizer$13K
  • AbbVie$2K
  • AstraZeneca$1K
  • Lilly USA, LLC$1K
  • GSK$957
  • Abbott$845
  • plus $6K from 37 others

What the payments were for

  • Speaking & faculty fees$10,60042%
  • Travel & lodging$2171%
  • Food & beverage$14,02756%
  • Education$1140%

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

$24,959 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
$62,369
Medicare patients
191
Services billed
750

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
Humira(Cf) PenAdalimumab13$104,753
JardianceEmpagliflozin109$100,698
OzempicSemaglutide67$62,474
MounjaroTirzepatide43$49,957
RybelsusSemaglutide46$48,791
Trelegy ElliptaFluticasone/Umeclidin/Vilanter64$46,932
EliquisApixaban54$44,704
FarxigaDapagliflozin Propanediol42$39,512
XareltoRivaroxaban38$32,453
TrulicityDulaglutide21$30,160
JanuviaSitagliptin Phosphate15$18,781
Toujeo SolostarInsulin Glargine,hum.Rec.Anlog12$15,654
BelsomraSuvorexant25$10,625
Breztri AerosphereBudesonide/Glycopyr/Formoterol15$9,656
Repatha SureclickEvolocumab14$8,661

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$786$111,265113 claims
Boehringer IngelheimJardiance, Synjardy Xr$795$107,380120 claims
Lilly USA, LLCMounjaro, Trulicity$1,291$80,11764 claims
GSKTrelegy Ellipta, Arexvy$957$49,62775 claims
AstraZenecaFarxiga, Breztri Aerosphere$1,469$49,16957 claims
PfizerEliquis, Abrysvo$12,733$47,60065 claims
MerckJanuvia, Belsomra, Janumet Xr$177$36,87753 claims
Johnson & JohnsonXarelto$328$32,45338 claims
AbbVieLinzess$1,515$7,86815 claims
Salix Pharmaceuticals, A Division Of Bausch Health US, LLCTrulance$427$7,30113 claims
Sanofi-aventis U.S. LLCLantus$106$3,18313 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 Springfield

See the full list for Missouri

Where these figures come from

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