RxDoctor Payments Data

Justin Starke, MD

Internal Medicine · Saint Louis, MONPI 1124432406

Payments from drug & device makers

$700in general payments, 2019–2025

Across 37 payments — averaging $18.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$167
  • Amgen$106
  • Pfizer$101
  • GSK$96
  • Novartis$56
  • Lilly USA, LLC$42
  • plus $133 from 7 others

What the payments were for

  • Food & beverage$700100%

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
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.

How this compares

$700 in reported general payments places this provider in the 65th percentile of 2,097 internal medicine providers in Missouri.

See all internal medicine providers in Missouri

Medicare billing

Part B allowed, 2024
$161,295
Medicare patients
447
Services billed
1,455

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
EliquisApixaban176$209,981
OzempicSemaglutide62$97,956
TrulicityDulaglutide30$53,351
JardianceEmpagliflozin36$51,238
Trelegy ElliptaFluticasone/Umeclidin/Vilanter34$39,403
RybelsusSemaglutide27$36,305
MounjaroTirzepatide22$25,183
Repatha SureclickEvolocumab18$20,384
XareltoRivaroxaban13$20,046
MyrbetriqMirabegron31$18,921
Tresiba Flextouch U-100Insulin Degludec24$14,198
AbrysvoRsv Vacc, Pref A And Pref B/Pf52$13,860
Spiriva RespimatTiotropium Bromide15$10,161
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr21$9,443
MotegrityPrucalopride Succinate13$7,680

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, Abrysvo$101$223,840228 claims
Novo NordiskOzempic, Rybelsus$167$134,26189 claims
Lilly USA, LLCTrulicity, Mounjaro$42$78,53352 claims
GSKTrelegy Ellipta, Anoro Ellipta, Arexvy$96$55,58581 claims
AbbVieSynthroid$20$3,78455 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 65th percentile of 2,097 internal medicine providers in Missouri.

Other internal medicine in Saint Louis

See the full list for Missouri

Where these figures come from

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