Laura Wagner, MD
Dermatology · Chesterfield, MONPI 1669445060
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.4% of the total across 1,067 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 28 manufacturers, the largest accounting for just 20.5% — the pattern of someone who eats at a lot of different presentations.
Across 1,067 payments — averaging $15.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$3K
- Amgen$2K
- Pfizer$1K
- Lilly USA, LLC$1K
- UCB, Inc.$1K
- Johnson & Johnson$1K
- plus $6K from 22 others
What the payments were for
- Food & beverage$15,94299%
- Education$1021%
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 | 214 | $3,281 |
| Amgen | 92 | $1,662 |
| Pfizer | 82 | $1,349 |
| Lilly USA, LLC | 62 | $1,155 |
| UCB, Inc. | 80 | $1,088 |
| Johnson & Johnson | 70 | $1,062 |
| E.r. Squibb & Sons, L.L.C. | 71 | $900 |
| Sun Pharmaceutical Industries Inc. | 40 | $782 |
| Dermavant Sciences, Inc. | 58 | $553 |
| LEO Pharma Inc. | 29 | $513 |
| Galderma Laboratories, L.p. | 27 | $454 |
| Regeneron Healthcare Solutions, Inc. | 23 | $385 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 49 | $374 |
| Almirall LLC | 18 | $351 |
| Incyte Corporation | 24 | $306 |
| Mayne Pharma Commercial LLC | 18 | $286 |
| Sanofi | 16 | $285 |
| Novartis | 20 | $281 |
| Bristol Myers Squibb | 21 | $264 |
| Organon | 13 | $159 |
| Prugen, Inc. Pharmaceuticals | 18 | $124 |
| Dermira, Inc. | 6 | $112 |
| Arcutis Biotherapeutics, Inc. | 5 | $98 |
| Botanix SB Inc | 4 | $80 |
| EPI Health, LLC | 3 | $69 |
| Mission Pharmacal Company | 2 | $43 |
| Sanofi-aventis U.S. LLC | 1 | $16 |
| Sandoz | 1 | $15 |
How this compares
$16,044 in reported general payments places this provider in the 85th percentile of 263 dermatology 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 |
|---|---|---|
| Taltz AutoinjectorIxekizumab | 15 | $131,611 |
| OtezlaApremilast | 16 | $57,331 |
| AdbryTralokinumab-Ldrm | 13 | $49,105 |
| Dupixent PenDupilumab | 12 | $44,889 |
| Fluorouracil | 58 | $3,386 |
| Clobetasol Propionate | 64 | $3,330 |
| Tretinoin | 32 | $2,102 |
| Triamcinolone Acetonide | 138 | $1,489 |
| ValacyclovirValacyclovir Hcl | 54 | $1,460 |
| Metronidazole | 25 | $1,115 |
| Azelaic Acid | 18 | $991 |
| Ketoconazole | 87 | $943 |
| Clindamycin Phosphate | 30 | $835 |
| Desonide | 12 | $691 |
| Imiquimod | 14 | $429 |
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 |
|---|---|---|
| AmgenOtezla | $1,662 | $57,33116 claims |
| LEO Pharma Inc.Adbry | $513 | $49,10513 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 85th percentile of 263 dermatology providers in Missouri.
Other dermatology in Chesterfield
- Lawrence SamuelsChesterfield$19K
- Daniel RingChesterfield$19K
- Wayne BreerChesterfield$13K
- Pooja DorwardChesterfield$10K
- Brian KimSaint Louis$861K
- Elaine SiegfriedSaint Louis$856K
- Craig LeonardiSaint Louis$569K
- Jonathan CleaverKirksville$483K
- Mary GeorgeSaint Louis$400K
- David CleaverKirksville$371K
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.