Karen Chang-Chen, MD
Endocrinology, Diabetes & Metabolism · Chesterfield, MONPI 1508916495
Payments from drug & device makers
Across 1,555 payments — averaging $411.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$508K
- Novo Nordisk$114K
- Abbott$12K
- Sanofi-aventis U.S. LLC$467
- Sequel Med Tech, LLC$440
- Medtronic$440
- plus $4K from 37 others
What the payments were for
- Consulting fees$5,3501%
- Speaking & faculty fees$584,26191%
- Travel & lodging$31,9385%
- Food & beverage$18,2403%
- Education$80%
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.
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.
- MOUNJARO$277,455
- TRULICITY$202,669
- RYBELSUS$51,662
- Ozempic$50,957
- FreeStyle Libre Pro$5,775
- FREESTYLE LIBRE 3$3,411
- FreeStyle Libre 2$1,875
- FreeStyle Libre$300
- TWIIST$149
- MINIMED 780G$129
How this compares
$639,797 in reported general payments places this provider in the 95th percentile of 182 endocrinology, diabetes & metabolism providers in Missouri.
See all endocrinology, diabetes & metabolism 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 |
|---|---|---|
| OzempicSemaglutide | 281 | $380,548 |
| MounjaroTirzepatide | 209 | $250,178 |
| TrulicityDulaglutide | 101 | $135,105 |
| JardianceEmpagliflozin | 95 | $111,891 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 63 | $71,399 |
| Tresiba Flextouch U-200Insulin Degludec | 40 | $69,500 |
| Tresiba Flextouch U-100Insulin Degludec | 68 | $46,632 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 31 | $44,488 |
| FarxigaDapagliflozin Propanediol | 34 | $39,433 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 53 | $38,929 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 24 | $38,268 |
| Humalog Kwikpen U-100Insulin Lispro | 72 | $29,794 |
| Humalog Kwikpen U-200Insulin Lispro | 16 | $28,991 |
| VascepaIcosapent Ethyl | 41 | $25,136 |
| Teriparatide | 12 | $21,837 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity, Humalog | $507,866 | $394,688353 claims |
| Novo NordiskOzempic, Novolog | $114,110 | $385,195300 claims |
| Boehringer IngelheimJardiance, Synjardy Xr | $174 | $123,727107 claims |
| AstraZenecaFarxiga | $375 | $39,43334 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33 | $467 | $38,26824 claims |
| AbbVieSynthroid | $268 | $8,43490 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $90 | $2,323298 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 182 endocrinology, diabetes & metabolism providers in Missouri.
Other endocrinology, diabetes & metabolism in Chesterfield
- Ralph OiknineChesterfield$414K
- Norman FishmanChesterfield$352K
- Soumya NadellaChesterfield$8K
- Ralph DudaSpringfield$3M
- Thomas NickolasSaint Louis$945K
- Anne GoldbergSaint Louis$830K
- Janet McGillSaint Louis$828K
- Christopher CaseJefferson City$692K
- Gregory LedgerSpringfield$690K
- Alan RaubaJefferson City$594K
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.