Michelle Welker, APRN
Adult Health · Cape Girardeau, MONPI 1093104655
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.0% of the total across 340 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 38 manufacturers, the largest accounting for just 12.2% — the pattern of someone who eats at a lot of different presentations. Among adult health 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.
Across 340 payments — averaging $20.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Dendreon Pharmaceuticals LLC$872
- AbbVie$705
- Astellas Pharma US Inc$538
- Johnson & Johnson$505
- Merck$412
- Pfizer$383
- plus $4K from 32 others
What the payments were for
- Food & beverage$6,98098%
- Education$1402%
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 |
|---|---|---|
| Dendreon Pharmaceuticals LLC | 30 | $872 |
| AbbVie(2 entities) | 50 | $705 |
| Astellas Pharma US Inc | 34 | $538 |
| Johnson & Johnson | 32 | $505 |
| Merck | 24 | $412 |
| Pfizer | 19 | $383 |
| Procept Biorobotics Corporation | 5 | $374 |
| Teleflex LLC | 6 | $362 |
| Urogen Pharma, Inc. | 16 | $314 |
| Sumitomo Pharma America, Inc. | 16 | $293 |
| Amgen | 13 | $261 |
| Ferring Pharmaceuticals Inc. | 9 | $213 |
| Bayer | 11 | $211 |
| Boston Scientific | 11 | $183 |
| Urovant Sciences Inc | 3 | $151 |
| Myriad Genetic Laboratories, Inc. | 8 | $142 |
| Novartis | 5 | $132 |
| 180 Medical, Inc. | 7 | $119 |
| Axonics, Inc. | 2 | $106 |
| Sanofi-aventis U.S. LLC | 1 | $100 |
| Sun Pharmaceutical Industries Inc. | 5 | $93 |
| Blue Earth Diagnostics | 4 | $93 |
| Myovant Sciences Inc. | 5 | $86 |
| Vertex | 3 | $51 |
| Telix Pharmaceuticals | 3 | $51 |
| Hollister Incorporated | 2 | $48 |
| Pacira Pharmaceuticals Incorporated | 2 | $47 |
| Convatec Inc. | 2 | $45 |
| Laborie Medical Technologies Corp. | 2 | $35 |
| Accord Healthcare, Inc. | 2 | $33 |
| Intuitive Surgical | 1 | $28 |
| Sanofi | 1 | $28 |
| AstraZeneca | 1 | $24 |
| Progenics Pharmaceuticals, Inc. | 1 | $23 |
| Olympus America Inc. | 1 | $17 |
| Cumberland Pharmaceuticals, Inc. | 1 | $16 |
| E.r. Squibb & Sons, L.L.C. | 1 | $15 |
| ABC Home Medical Supply, 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.
- AquaBeam Robotic System$303
- UroLift System$238
- PROVENGE$125
- GEMTESA$117
How this compares
$7,120 in reported general payments places this provider in the 90th 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 |
|---|---|---|
| MyrbetriqMirabegron | 77 | $39,551 |
| GemtesaVibegron | 35 | $19,567 |
| Methenamine Hippurate | 81 | $6,484 |
| Tamsulosin Hcl | 443 | $4,721 |
| Estradiol | 43 | $2,290 |
| Finasteride | 203 | $1,818 |
| Trospium Chloride | 41 | $1,592 |
| Oxybutynin Chloride ErOxybutynin Chloride | 42 | $1,458 |
| Fesoterodine Fumarate ErFesoterodine Fumarate | 25 | $1,030 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 44 | $734 |
| Solifenacin Succinate | 26 | $559 |
| Trimethoprim | 11 | $468 |
| Cefdinir | 27 | $298 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 32 | $290 |
| NitrofurantoinNitrofurantoin Macrocrystal | 16 | $262 |
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 |
|---|---|---|
| Astellas Pharma US IncMyrbetriq | $538 | $39,55177 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $293 | $19,56735 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 90th percentile of 555 adult health providers in Missouri.
Other adult health in Cape Girardeau
- Tabitha StithChesterfield$300K
- Stephanie VogelSaint Louis$115K
- Racquel FrisellaChesterfield$110K
- Shannon TuckerSaint Louis$93K
- Laurencia KlipfelSaint Louis$79K
- Maria WallsSaint Louis$69K
- Patrick BehnkeChesterfield$54K
- Elaine ZobristFenton$38K
- Yolanda Thompson MartinKansas City$32K
- Jennifer SpeiserSaint Louis$27K
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.