Leah Silver
Family Medicine · Festus, MONPI 1063662443
Payments from drug & device makers
Across 820 payments — averaging $39.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$14K
- AbbVie$4K
- Amgen$1K
- Novo Nordisk$1K
- GSK$1K
- Lilly USA, LLC$880
- plus $9K from 48 others
What the payments were for
- Speaking & faculty fees$10,40032%
- Travel & lodging$7012%
- Food & beverage$20,97965%
- Education$180%
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.
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
$32,098 in reported general payments places this provider in the 95th percentile of 2,203 family medicine providers in Missouri.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| FarxigaDapagliflozin Propanediol | 197 | $163,759 |
| OzempicSemaglutide | 102 | $124,749 |
| TrulicityDulaglutide | 34 | $40,610 |
| JardianceEmpagliflozin | 34 | $36,166 |
| MounjaroTirzepatide | 21 | $31,003 |
| EliquisApixaban | 27 | $23,082 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 26 | $21,290 |
| CaplytaLumateperone Tosylate | 11 | $21,159 |
| Nurtec OdtRimegepant Sulfate | 17 | $18,861 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 17 | $12,362 |
| LinzessLinaclotide | 19 | $10,615 |
| Repatha SureclickEvolocumab | 18 | $10,151 |
| Bydureon BciseExenatide Microspheres | 11 | $9,337 |
| Atorvastatin Calcium | 324 | $3,213 |
| Fesoterodine Fumarate ErFesoterodine Fumarate | 12 | $3,018 |
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 |
|---|---|---|
| AstraZenecaFarxiga, Breztri Aerosphere | $13,770 | $185,049223 claims |
| Novo NordiskOzempic | $1,276 | $124,749102 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $880 | $71,61255 claims |
| PfizerEliquis, Nurtec Odt | $294 | $41,94344 claims |
| Boehringer IngelheimJardiance | $16 | $36,16634 claims |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)Caplyta | $390 | $21,15911 claims |
| GSKTrelegy Ellipta | $1,006 | $12,36217 claims |
| AbbVieLinzess | $4,385 | $10,61519 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 95th percentile of 2,203 family medicine providers in Missouri.
Other family medicine in Festus
- Anthony AndersonFestus$19K
- Timothy JenningsMaryland Heights$30.2M
- William HowittSpringfield$19.9M
- Rupal TrivediSaint Louis$10.6M
- Frederic PraterMaryland Heights$9.1M
- Leea ReedRogersville$7.9M
- Dennis MorrisonSpringfield$5.7M
- Luke van KirkSpringfield$5.6M
- Amy RobertsTown And Country$4M
- Scott KuennenKansas City$2.2M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.