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Mark Fesler, MD

Hematology & Oncology · Saint Louis, MONPI 1235204066

Payments from drug & device makers

$2,003,641in general payments, 2019–2025

Across 709 payments — averaging $2826.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$937K
  • Incyte Corporation$202K
  • Genentech, Inc.$196K
  • Sanofi$137K
  • Seagen Inc.$84K
  • ADC Therapeutics America, Inc.$69K
  • plus $378K from 38 others
$2,341in research payments, 2019–2025

Across 7 payments — averaging $334.37 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Regeneron$1K
  • F. Hoffmann-la Roche AG$1K

What the payments were for

  • Consulting fees$136,96116%
  • Speaking & faculty fees$658,98976%
  • Travel & lodging$61,5927%
  • Food & beverage$12,6831%
  • Education$2150%

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

$2,003,641 in reported general payments places this provider in the 95th percentile of 211 hematology & oncology providers in Missouri.

See all hematology & oncology providers in Missouri

Medicare billing

Part B allowed, 2024
$253,335
Medicare patients
258
Services billed
2,082

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
RevlimidLenalidomide169$3,154,378
Lenalidomide125$2,144,265
VenclextaVenetoclax159$1,221,063
CopiktraDuvelisib16$775,628
BrukinsaZanubrutinib53$737,531
JakafiRuxolitinib Phosphate29$529,169
PomalystPomalidomide20$499,370
ImbruvicaIbrutinib26$446,433
ScemblixAsciminib Hydrochloride20$428,364
SprycelDasatinib26$389,817
CalquenceAcalabrutinib Maleate27$363,792
JaypircaPirtobrutinib14$281,134
CresembaIsavuconazonium Sulfate18$110,059
Posaconazole46$92,282
EliquisApixaban87$67,250

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.

CompanyPaid to this providerPart D cost of their drugs
Bristol Myers SquibbRevlimid$132$3,154,378169 claims
AbbVieVenclexta$936,922$1,221,063159 claims
E.r. Squibb & Sons, L.L.C.Pomalyst, Sprycel$10,941$889,18646 claims
Beigene USA, Inc.Brukinsa$42,344$737,53153 claims
Incyte CorporationJakafi$202,222$529,16929 claims
Pharmacyclics LLC, An Abbvie CompanyImbruvica$89$446,43326 claims
NovartisScemblix$138$428,36420 claims
AstraZenecaCalquence$15,888$363,79227 claims
Lilly USA, LLCJaypirca$44,214$281,13414 claims
PfizerEliquis$19$67,25087 claims
Johnson & JohnsonXarelto$82$9,33312 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 211 hematology & oncology providers in Missouri.

Other hematology & oncology in Saint Louis

See the full list for Missouri

Where these figures come from

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