Melissa Shands
Family · Perryville, MONPI 1417308362
Payments from drug & device makers
Across 70 payments — averaging $18.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$291
- Lilly USA, LLC$225
- Boehringer Ingelheim$90
- Otsuka America Pharmaceutical, Inc.$74
- Johnson & Johnson$62
- Medtronic$58
- plus $464 from 19 others
What the payments were for
- Food & beverage$1,264100%
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 | 13 | $291 |
| Lilly USA, LLC | 13 | $225 |
| Boehringer Ingelheim | 5 | $90 |
| Otsuka America Pharmaceutical, Inc. | 3 | $74 |
| Johnson & Johnson | 4 | $62 |
| Medtronic | 3 | $58 |
| Bayer | 3 | $46 |
| Amarin Pharma, Inc. | 2 | $42 |
| Sunovion Pharmaceuticals Inc. | 3 | $41 |
| AstraZeneca | 3 | $41 |
| Paratek Pharmaceuticals, Inc. | 2 | $31 |
| Sumitomo Pharma America, Inc. | 2 | $31 |
| Ironwood Pharmaceuticals, Inc | 2 | $27 |
| Exact Sciences | 1 | $21 |
| Novo Nordisk | 1 | $21 |
| Nestle Healthcare Nutrition Inc. | 1 | $20 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $20 |
| Novartis | 1 | $19 |
| RGH Enterprises LLC | 1 | $18 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $18 |
| Pfizer | 1 | $16 |
| Stryker | 1 | $15 |
| Supernus Pharmaceuticals, Inc. | 1 | $14 |
| GSK | 1 | $14 |
| Phathom Pharmaceuticals, Inc. | 1 | $10 |
How this compares
$1,264 in reported general payments places this provider in the 70th percentile of 3,812 family providers in Missouri.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Cefdinir | 20 | $535 |
| Doxycycline Hyclate | 49 | $438 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 33 | $224 |
| Methylprednisolone | 18 | $87 |
| Cephalexin | 16 | $75 |
| Triamcinolone Acetonide | 15 | $50 |
| Ciprofloxacin Hcl | 18 | $45 |
| Prednisone | 19 | $27 |
| Azithromycin | 12 | $25 |
Paid to pharmacies, not to this prescriber.
Other family in Perryville
- Connie SpencerSaint Joseph$320K
- Shayla SandersKansas City$306K
- Tamera WolfLees Summit$215K
- Tiffany ArnoldFestus$177K
- Tiffany NelsonSedalia$164K
- Chelsey BeckerSaint Peters$104K
- Carey PattonDes Peres$94K
- Marcy MarkesColumbia$92K
- Laura HedigerSpringfield$71K
- Rebecca SeabaughSaint Louis$68K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.