RxDoctor Payments Data

Kyle Moylan, MD

Hospice and Palliative Medicine · Saint Louis, MONPI 1124052808

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 94.2% of the total across 34 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 15 manufacturers, the largest accounting for just 13.6% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $389 and has fallen 96.0% since, to $15 in 2023. Among hospice and palliative 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.

$514in general payments, 2019–2025

Across 34 payments — averaging $15.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Astellas Pharma US Inc$70
  • Pfizer$65
  • Novo Nordisk$51
  • GSK$48
  • AbbVie$45
  • Lilly USA, LLC$43
  • plus $190 from 9 others

What the payments were for

  • Food & beverage$48494%
  • Education$306%

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
23

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

$514 in reported general payments places this provider in the 90th percentile of 39 hospice and palliative medicine providers in Missouri.

See all hospice and palliative medicine providers in Missouri

Medicare billing

Part B allowed, 2024
$69,016
Medicare patients
192
Services billed
1,579

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
EliquisApixaban206$192,792
RybelsusSemaglutide63$67,817
OzempicSemaglutide41$52,494
JardianceEmpagliflozin52$51,465
Dabigatran EtexilateDabigatran Etexilate Mesylate90$41,703
MounjaroTirzepatide19$36,851
XareltoRivaroxaban26$34,899
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr44$32,438
Semglee (Yfgn) PenInsulin Glargine-Yfgn47$23,104
TrulicityDulaglutide13$22,456
Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog11$19,312
Trelegy ElliptaFluticasone/Umeclidin/Vilanter16$16,589
ArexvyRsvpref3 Antigen/As01e/Pf55$14,016
Atorvastatin Calcium835$11,226
MyrbetriqMirabegron14$10,147

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$65$202,677240 claims
Novo NordiskRybelsus, Ozempic$51$120,311104 claims
GSKAnoro Ellipta, Trelegy Ellipta, Arexvy, Breo Ellipta$48$71,373128 claims
Lilly USA, LLCMounjaro, Trulicity$43$59,30632 claims
Boehringer IngelheimJardiance$18$51,46552 claims
Johnson & JohnsonXarelto$33$34,89926 claims
Astellas Pharma US IncMyrbetriq$70$10,14714 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 39 hospice and palliative medicine providers in Missouri.

Other hospice and palliative medicine in Saint Louis

See the full list for Missouri

Where these figures come from

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