Kandice Fleming, MD
Family Medicine · Blue Springs, MONPI 1215957584
Payments from drug & device makers
Across 116 payments — averaging $15.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$600
- Novo Nordisk$170
- Merck$97
- Amgen$97
- AstraZeneca$76
- Sunovion Pharmaceuticals Inc.$72
- plus $653 from 21 others
What the payments were for
- Food & beverage$1,765100%
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(2 entities) | 43 | $600 |
| Novo Nordisk | 10 | $170 |
| Merck | 5 | $97 |
| Amgen | 6 | $97 |
| AstraZeneca | 6 | $76 |
| Sunovion Pharmaceuticals Inc. | 5 | $72 |
| Pfizer | 5 | $65 |
| Lilly USA, LLC | 4 | $65 |
| Amarin Pharma, Inc. | 3 | $61 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $61 |
| Boehringer Ingelheim | 3 | $51 |
| Kowa Pharmaceuticals America, Inc. | 3 | $40 |
| Novartis | 2 | $35 |
| Scilex Pharmaceuticals Inc. | 2 | $31 |
| Nestle Healthcare Nutrition Inc. | 1 | $29 |
| Johnson & Johnson | 2 | $28 |
| Bayer | 2 | $25 |
| Mannkind Corporation | 1 | $24 |
| Lundbeck LLC | 1 | $23 |
| Esperion Therapeutics, Inc. | 1 | $20 |
| Sanofi-aventis U.S. LLC | 1 | $16 |
| Ultragenyx Pharmaceutical Inc. | 1 | $15 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $14 |
| Otsuka America Pharmaceutical, Inc. | 1 | $14 |
| Teva Pharmaceuticals USA, Inc. | 1 | $13 |
| Daiichi Sankyo Inc. | 1 | $12 |
| Antares Pharma, Inc. | 1 | $12 |
How this compares
$1,765 in reported general payments places this provider in the 70th percentile of 2,203 family medicine providers in Missouri.
Medicare billing
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
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Tolterodine Tartrate | 11 | $812 |
| ValacyclovirValacyclovir Hcl | 15 | $492 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 34 | $399 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 14 | $241 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 19 | $232 |
| Atorvastatin Calcium | 20 | $193 |
| Cephalexin | 21 | $166 |
| Ciprofloxacin Hcl | 16 | $156 |
| Prednisone | 69 | $154 |
| Metoprolol Succinate | 11 | $154 |
| Fluticasone Propionate | 11 | $147 |
| Doxycycline Hyclate | 13 | $127 |
| Fluconazole | 13 | $98 |
| Amoxicillin | 24 | $93 |
| Alprazolam | 21 | $83 |
Paid to pharmacies, not to this prescriber.
Other family medicine in Blue Springs
- Timothy JenningsMaryland Heights$30.2M
- William HowittSpringfield$19.9M
- Rupal TrivediSaint Louis$10.6M
- Frederic PraterMaryland Heights$9.1M
- Leea ReedRogersville$7.9M
- Dennis MorrisonSpringfield$5.7M
- Luke van KirkSpringfield$5.6M
- Amy RobertsTown And Country$4M
- Scott KuennenKansas City$2.2M
- George CarrJefferson City$2.1M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.