RxDoctor Payments Data

Kim McDonald, MD

Internal Medicine · Florissant, MONPI 1386636009

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 99.6% of the total across 215 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 27 manufacturers reported payments, led by AstraZeneca at 28.1% of the total. Reporting peaked in 2019 at $1,652 and has fallen 91.4% since, to $142 in 2025. Among internal medicine clinicians in MO with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$5,223in general payments, 2019–2025

Across 215 payments — averaging $24.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$1K
  • Novo Nordisk$883
  • Lilly USA, LLC$548
  • Pfizer$510
  • Astellas Pharma US Inc$342
  • Sanofi-aventis U.S. LLC$276
  • plus $1K from 21 others
$200,445in research payments, 2019–2025

Across 3 payments — averaging $66,815 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.

  • Sanofi Pasteur Inc.$200K

What the payments were for

  • Food & beverage$5,203100%
  • Education$200%

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

$5,223 in reported general payments places this provider in the 90th percentile of 2,097 internal medicine providers in Missouri.

See all internal medicine providers in Missouri

Medicare billing

Part B allowed, 2024
$12,342
Medicare patients
58
Services billed
138

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
OzempicSemaglutide37$80,074
TrulicityDulaglutide21$27,680
EliquisApixaban28$26,086
JanuviaSitagliptin Phosphate15$20,485
MyrbetriqMirabegron13$16,023
Soliqua 100-33Insulin Glargine/Lixisenatide12$11,124
Tresiba Flextouch U-100Insulin Degludec11$8,340
Lantus SolostarInsulin Glargine,hum.Rec.Anlog49$4,438
SymbicortBudesonide/Formoterol Fumarate11$2,629
Albuterol Sulfate HfaAlbuterol Sulfate60$1,666
Amlodipine Besylate272$1,362
Rosuvastatin Calcium170$1,154
Nano 2nd Gen Pen NeedlePen Needle, Diabetic13$1,152
Nifedipine ErNifedipine63$1,088
Celecoxib18$958

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
Novo NordiskOzempic$883$80,07437 claims
Lilly USA, LLCTrulicity$548$27,68021 claims
PfizerEliquis$510$26,08628 claims
MerckJanuvia$164$20,48515 claims
Astellas Pharma US IncMyrbetriq$342$16,02313 claims
Sanofi-aventis U.S. LLCSoliqua 100-33$276$11,12412 claims
AstraZenecaSymbicort$1,466$2,62911 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 90th percentile of 2,097 internal medicine providers in Missouri.

Other internal medicine in Florissant

See the full list for Missouri

Where these figures come from

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