RxDoctor Payments Data

Jessica Birchem, DO

Interventional Cardiology · Springfield, MONPI 1285803353

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (52.4%), travel and lodging and education — rather than concentrated in one kind of arrangement. 25 manufacturers reported payments, led by Medtronic at 35.7% of the total. 2025 is the largest year on record at $3,267, 6.8 times the $483 reported in 2019.

$12,506in general payments, 2019–2025

Across 229 payments — averaging $54.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$4K
  • Abiomed$3K
  • Edwards Lifesciences$1K
  • Amgen$814
  • Philips North America LLC$534
  • Boston Scientific$481
  • plus $2K from 19 others
$312,156in research payments, 2019–2025

Across 105 payments — averaging $2972.92 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.

  • Novartis$165K
  • CSL Behring$103K
  • Janssen Research & Development, LLC$32K
  • Medtronic$12K

What the payments were for

  • Travel & lodging$5,93747%
  • Food & beverage$6,55752%
  • Education$120%

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

$12,506 in reported general payments places this provider in the 55th percentile of 182 interventional cardiology providers in Missouri.

See all interventional cardiology providers in Missouri

Medicare billing

Part B allowed, 2024
$157,014
Medicare patients
1,549
Services billed
2,406

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
EliquisApixaban455$419,931
EntrestoSacubitril/Valsartan219$230,178
XareltoRivaroxaban165$150,550
Repatha SureclickEvolocumab150$118,259
JardianceEmpagliflozin38$35,506
BrilintaTicagrelor24$17,703
Praluent PenAlirocumab20$16,632
FarxigaDapagliflozin Propanediol21$12,479
Ranolazine ErRanolazine89$6,145
Prasugrel Hcl43$4,619
Metoprolol Succinate568$4,150
Atorvastatin Calcium672$4,005
Flecainide Acetate118$3,715
ClopidogrelClopidogrel Bisulfate461$3,315
Isosorbide Mononitrate ErIsosorbide Mononitrate544$3,301

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
PfizerEliquis$138$419,931455 claims
NovartisEntresto$67$230,178219 claims
Boehringer IngelheimJardiance$14$35,50638 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 55th percentile of 182 interventional cardiology providers in Missouri.

Other interventional cardiology in Springfield

See the full list for Missouri

Where these figures come from

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