Jessica Howell
Payments from drug & device makers
Across 128 payments — averaging $19.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$746
- Novo Nordisk$262
- Pfizer$134
- Dexcom, Inc.$134
- Lilly USA, LLC$131
- Vanda Pharmaceuticals Inc.$102
- plus $935 from 24 others
What the payments were for
- Food & beverage$2,443100%
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 |
|---|---|---|
| AbbVie | 43 | $746 |
| Novo Nordisk | 15 | $262 |
| Pfizer | 8 | $134 |
| Dexcom, Inc. | 5 | $134 |
| Lilly USA, LLC | 7 | $131 |
| Vanda Pharmaceuticals Inc. | 4 | $102 |
| Abiomed | 1 | $95 |
| Exact Sciences | 5 | $89 |
| Cranial Technologies, Inc | 3 | $70 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 3 | $70 |
| Astellas Pharma US Inc | 3 | $61 |
| AstraZeneca | 4 | $61 |
| Amgen | 3 | $51 |
| Novartis | 2 | $49 |
| Otsuka America Pharmaceutical, Inc. | 2 | $41 |
| Bayer | 2 | $41 |
| GSK | 3 | $41 |
| Stryker | 1 | $32 |
| Mylan Specialty L.p. | 2 | $32 |
| Kowa Pharmaceuticals America, Inc. | 2 | $28 |
| Lundbeck LLC | 1 | $22 |
| Boehringer Ingelheim | 1 | $21 |
| Nevro Corp. | 1 | $20 |
| Axsome Therapeutics, Inc. | 1 | $17 |
| Sumitomo Pharma America, Inc. | 1 | $17 |
| Neurocrine Biosciences, Inc. | 1 | $16 |
| Merck | 1 | $16 |
| Nestle Healthcare Nutrition Inc. | 1 | $16 |
| Azurity Pharmaceuticals, Inc. | 1 | $15 |
| Sanofi-aventis U.S. LLC | 1 | $15 |
How this compares
$2,443 in reported general payments places this provider in the 80th percentile of 3,812 family providers in Missouri.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| OzempicSemaglutide | 75 | $87,850 |
| RexultiBrexpiprazole | 18 | $26,245 |
| EliquisApixaban | 32 | $25,793 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 25 | $17,914 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 12 | $10,317 |
| Incruse ElliptaUmeclidinium Bromide | 15 | $8,358 |
| Atorvastatin Calcium | 264 | $2,443 |
| Mometasone Furoate | 12 | $2,303 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 114 | $1,797 |
| Gabapentin | 67 | $1,581 |
| Omeprazole | 124 | $1,534 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 13 | $1,377 |
| SynthroidLevothyroxine Sodium | 20 | $1,372 |
| Oxybutynin Chloride ErOxybutynin Chloride | 33 | $788 |
| Metformin Hcl ErMetformin Hcl | 57 | $770 |
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 | $262 | $87,85075 claims |
| GSKTrelegy Ellipta, Anoro Ellipta, Incruse Ellipta | $41 | $36,58952 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $41 | $26,24518 claims |
| PfizerEliquis | $134 | $25,79332 claims |
| AbbVieSynthroid | $746 | $1,37220 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 3,812 family providers in Missouri.
Other family in Troy
- Connie SpencerSaint Joseph$320K
- Shayla SandersKansas City$306K
- Tamera WolfLees Summit$215K
- Tiffany ArnoldFestus$177K
- Tiffany NelsonSedalia$164K
- Chelsey BeckerSaint Peters$104K
- Carey PattonDes Peres$94K
- Marcy MarkesColumbia$92K
- Laura HedigerSpringfield$71K
- Rebecca SeabaughSaint Louis$68K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.