RxDoctor Payments Data

Lawrence Wang, PhD

Dermatology · St. Louis, MONPI 1376568980

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $20,228 of the $23,366 with a category attached, or 86.6%. It is spread thinly across 39 manufacturers, the largest accounting for just 17.0% — the pattern of someone who eats at a lot of different presentations. Among dermatology 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.

$23,366in general payments, 2019–2025

Across 1,249 payments — averaging $18.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$4K
  • E.r. Squibb & Sons, L.L.C.$3K
  • Amgen$2K
  • Johnson & Johnson$2K
  • Lilly USA, LLC$2K
  • Novartis$1K
  • plus $10K from 33 others

What the payments were for

  • Consulting fees$2,25810%
  • Food & beverage$20,22887%
  • Education$8804%

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

$23,366 in reported general payments places this provider in the 90th percentile of 263 dermatology providers in Missouri.

See all dermatology providers in Missouri

Medicare billing

Part B allowed, 2024
$505,791
Medicare patients
1,775
Services billed
11,430

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
Humira(Cf) PenAdalimumab12$192,626
Clobetasol Propionate286$10,378
Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc126$8,122
Metronidazole104$5,736
Tetracycline Hcl18$3,058
Halobetasol Propionate48$2,537
Doxycycline Hyclate131$2,530
Pimecrolimus12$1,419
Triamcinolone Acetonide146$1,209
Fluocinonide37$1,202
Desonide29$1,148
Betamethasone Dipropionate23$920
Clindamycin Phosphate39$811
Fluorouracil12$685
Nystatin-TriamcinoloneNystatin/Triamcinolone Acet14$583

Paid to pharmacies, not to this prescriber.

Other dermatology in St. Louis

See the full list for Missouri

Where these figures come from

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