Misty Lopez, PA
Physician Assistant · Ozark, MONPI 1164513883
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 351 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 34 manufacturers, the largest accounting for just 16.7% — the pattern of someone who eats at a lot of different presentations. Among physician assistant clinicians in MO with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 351 payments — averaging $20.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$1K
- Lilly USA, LLC$784
- Axsome Therapeutics, Inc.$663
- Novo Nordisk$636
- Pfizer$522
- AbbVie$521
- plus $3K from 28 others
What the payments were for
- Food & beverage$7,070100%
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 |
|---|---|---|
| AstraZeneca | 39 | $1,177 |
| Lilly USA, LLC | 53 | $784 |
| Axsome Therapeutics, Inc. | 16 | $663 |
| Novo Nordisk | 31 | $636 |
| Pfizer | 45 | $522 |
| AbbVie | 23 | $521 |
| Takeda Pharmaceuticals U.S.A., Inc. | 23 | $350 |
| Daiichi Sankyo Inc. | 8 | $307 |
| GSK | 13 | $289 |
| Amgen | 10 | $237 |
| Boehringer Ingelheim | 16 | $236 |
| Otsuka America Pharmaceutical, Inc. | 10 | $217 |
| Biohaven Pharmaceutical Holding Company Ltd. | 8 | $190 |
| Abbott | 7 | $156 |
| Dexcom, Inc. | 7 | $146 |
| Eisai Inc. | 5 | $91 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 4 | $61 |
| Lundbeck LLC | 4 | $60 |
| Astellas Pharma US Inc | 3 | $57 |
| Exact Sciences | 4 | $56 |
| Kowa Pharmaceuticals America, Inc. | 3 | $40 |
| Biohaven Pharmaceuticals, Inc. | 3 | $37 |
| Phathom Pharmaceuticals, Inc. | 2 | $37 |
| Merck | 2 | $29 |
| Supernus Pharmaceuticals, Inc. | 2 | $28 |
| Teva Pharmaceuticals USA, Inc. | 2 | $23 |
| Viatris Specialty LLC | 1 | $20 |
| Medtronic | 1 | $16 |
| Johnson & Johnson | 1 | $15 |
| Organon | 1 | $15 |
| Sanofi-aventis U.S. LLC | 1 | $15 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $15 |
| Bayer | 1 | $13 |
| Arbor Pharmaceuticals, Inc. | 1 | $13 |
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
$7,070 in reported general payments places this provider in the 95th percentile of 1,380 physician assistant 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 |
|---|---|---|
| JardianceEmpagliflozin | 91 | $87,181 |
| MounjaroTirzepatide | 47 | $47,179 |
| OzempicSemaglutide | 44 | $37,070 |
| EliquisApixaban | 31 | $29,545 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 18 | $16,047 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 13 | $11,022 |
| MyrbetriqMirabegron | 15 | $10,604 |
| FarxigaDapagliflozin Propanediol | 12 | $6,948 |
| TrintellixVortioxetine Hydrobromide | 11 | $6,145 |
| ArexvyRsvpref3 Antigen/As01e/Pf | 15 | $4,010 |
| Cholestyramine LightCholestyramine | 27 | $1,623 |
| BreynaBudesonide/Formoterol Fumarate | 11 | $1,395 |
| Bupropion XlBupropion Hcl | 30 | $1,271 |
| Rosuvastatin Calcium | 143 | $1,043 |
| Gabapentin | 50 | $976 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance | $236 | $87,18191 claims |
| Lilly USA, LLCMounjaro | $784 | $47,17947 claims |
| Novo NordiskOzempic | $636 | $37,07044 claims |
| PfizerEliquis | $522 | $29,54531 claims |
| GSKTrelegy Ellipta, Arexvy | $289 | $20,05833 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33 | $15 | $11,02213 claims |
| Astellas Pharma US IncMyrbetriq | $57 | $10,60415 claims |
| AstraZenecaFarxiga | $1,177 | $6,94812 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Trintellix | $350 | $6,14511 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 1,380 physician assistant providers in Missouri.
Other physician assistant in Ozark
- Justin AllphinOzark$23K
- Jennifer DavissonKansas City$343K
- Andrew BergLees Summit$245K
- Sileen DowisKansas City$117K
- Daniel BeckSikeston$114K
- Amee RozancO Fallon$101K
- Autumn WillsCape Girardeau$37K
- Kimberly BrownSaint Louis$28K
- Marc ReitznerSpringfield$24K
- Jacqueline CastagnoWentzville$19K
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.