Margaret Costello
Adult Health · Kansas City, MONPI 1245566629
Payments from drug & device makers
Across 551 payments — averaging $19.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Novartis$1K
- Pfizer$844
- Sun Pharmaceutical Industries Inc.$822
- E.r. Squibb & Sons, L.L.C.$708
- Johnson & Johnson$701
- plus $5K from 26 others
What the payments were for
- Food & beverage$10,60798%
- Education$1642%
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 | 96 | $1,541 |
| Novartis | 42 | $1,131 |
| Pfizer | 52 | $844 |
| Sun Pharmaceutical Industries Inc. | 35 | $822 |
| E.r. Squibb & Sons, L.L.C. | 41 | $708 |
| Johnson & Johnson(2 entities) | 32 | $701 |
| UCB, Inc. | 29 | $666 |
| Incyte Corporation | 25 | $568 |
| Amgen | 25 | $520 |
| LEO Pharma Inc. | 28 | $508 |
| Almirall LLC | 24 | $488 |
| Regeneron Healthcare Solutions, Inc. | 15 | $380 |
| Galderma Laboratories, L.p. | 19 | $370 |
| Lilly USA, LLC | 15 | $280 |
| Dermavant Sciences, Inc. | 14 | $224 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 11 | $188 |
| Sanofi | 7 | $158 |
| Mayne Pharma Commercial LLC | 7 | $120 |
| Biofrontera Inc. | 7 | $86 |
| Arcutis Biotherapeutics, Inc. | 5 | $79 |
| VYNE Pharmaceuticals Inc. | 2 | $67 |
| Boehringer Ingelheim | 4 | $65 |
| Journey Medical Corporation | 3 | $53 |
| Organon | 2 | $42 |
| Genentech USA, Inc. | 2 | $33 |
| Strata Skin Sciences, Inc. | 3 | $29 |
| Convatec Inc. | 1 | $21 |
| Sandoz | 1 | $19 |
| Kyowa Kirin, Inc. | 1 | $17 |
| Helsinn Therapeutics (U.S.), Inc. | 1 | $15 |
| Nabriva Therapeutics, PLC | 1 | $15 |
| Paratek Pharmaceuticals, Inc. | 1 | $14 |
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
$10,771 in reported general payments places this provider in the 95th percentile of 555 adult health 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 |
|---|---|---|
| Fluorouracil | 34 | $2,108 |
| Clobetasol Propionate | 43 | $2,096 |
| Ketoconazole | 59 | $990 |
| ValacyclovirValacyclovir Hcl | 19 | $817 |
| Fluticasone Propionate | 41 | $767 |
| Clindamycin Phosphate | 13 | $495 |
| Ciclopirox | 14 | $434 |
| Ampicillin Trihydrate | 11 | $431 |
| Betamethasone Dipropionate | 11 | $418 |
| Triamcinolone Acetonide | 79 | $406 |
| Doxycycline Hyclate | 33 | $347 |
| Spironolactone | 12 | $138 |
| Mupirocin | 20 | $128 |
| Cephalexin | 20 | $98 |
| Minoxidil | 12 | $74 |
Paid to pharmacies, not to this prescriber.
Other adult health in Kansas City
- Yolanda Thompson MartinKansas City$32K
- Nancy StepanekKansas City$8K
- Christine LightfootKansas City$6K
- Tabitha StithChesterfield$300K
- Stephanie VogelSaint Louis$115K
- Racquel FrisellaChesterfield$110K
- Shannon TuckerSaint Louis$93K
- Laurencia KlipfelSaint Louis$79K
- Maria WallsSaint Louis$69K
- Katie MurrayIndependence$59K
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.