Lacy Loeb
Payments from drug & device makers
Across 66 payments — averaging $20.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$263
- Lilly USA, LLC$185
- Novo Nordisk$172
- Amgen$123
- Otsuka America Pharmaceutical, Inc.$119
- Boehringer Ingelheim$57
- plus $431 from 14 others
What the payments were for
- Food & beverage$1,349100%
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 | 11 | $263 |
| Lilly USA, LLC | 9 | $185 |
| Novo Nordisk | 9 | $172 |
| Amgen | 7 | $123 |
| Otsuka America Pharmaceutical, Inc. | 5 | $119 |
| Boehringer Ingelheim | 3 | $57 |
| Lundbeck LLC | 3 | $55 |
| AstraZeneca | 3 | $49 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 2 | $44 |
| Dexcom, Inc. | 2 | $42 |
| Exact Sciences | 2 | $40 |
| Sumitomo Pharma America, Inc. | 2 | $38 |
| Axsome Therapeutics, Inc. | 1 | $26 |
| Pfizer | 1 | $23 |
| Supernus Pharmaceuticals, Inc. | 1 | $21 |
| Novartis | 1 | $21 |
| Cranial Technologies, Inc | 1 | $20 |
| GSK | 1 | $19 |
| Vanda Pharmaceuticals Inc. | 1 | $19 |
| Genentech USA, Inc. | 1 | $14 |
How this compares
$1,349 in reported general payments places this provider in the 70th percentile of 3,812 family providers in Missouri.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| OzempicSemaglutide | 22 | $28,654 |
| MounjaroTirzepatide | 18 | $19,404 |
| Gabapentin | 37 | $634 |
| Atorvastatin Calcium | 48 | $581 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 29 | $482 |
| Dicyclomine Hcl | 12 | $476 |
| Buspirone Hcl | 27 | $341 |
| Omeprazole | 26 | $300 |
| Cefdinir | 18 | $274 |
| Amlodipine Besylate | 61 | $236 |
| Levothyroxine Sodium | 35 | $234 |
| Pantoprazole Sodium | 33 | $210 |
| Tizanidine Hcl | 23 | $199 |
| Montelukast Sodium | 16 | $184 |
| Lisinopril | 31 | $174 |
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 |
|---|---|---|
| Novo NordiskOzempic | $172 | $28,65422 claims |
| Lilly USA, LLCMounjaro | $185 | $19,40418 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 70th percentile of 3,812 family providers in Missouri.
Other family in Troy
- Connie SpencerSaint Joseph$320K
- Shayla SandersKansas City$306K
- Tamera WolfLees Summit$215K
- Tiffany ArnoldFestus$177K
- Tiffany NelsonSedalia$164K
- Chelsey BeckerSaint Peters$104K
- Carey PattonDes Peres$94K
- Marcy MarkesColumbia$92K
- Laura HedigerSpringfield$71K
- Rebecca SeabaughSaint Louis$68K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.