RxDoctor Payments Data

Nicholas Epstein

Pulmonary Disease · Cape Girardeau, MONPI 1992290852

Payments from drug & device makers

$4,735in general payments, 2019–2025

Across 58 payments — averaging $81.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Intuitive Surgical$3K
  • Philips North America LLC$296
  • GSK$237
  • Pulmonx Corporation$143
  • Sanofi-aventis U.S. LLC$100
  • Boehringer Ingelheim$89
  • plus $469 from 10 others

What the payments were for

  • Travel & lodging$88519%
  • Food & beverage$1,25026%
  • Education$2,60055%

General payments by program year

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

$4,735 in reported general payments places this provider in the 60th percentile of 295 pulmonary disease providers in Missouri.

See all pulmonary disease providers in Missouri

Medicare billing

Part B allowed, 2024
$36,367
Medicare patients
103
Services billed
337

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
NucalaMepolizumab21$76,141
Breztri AerosphereBudesonide/Glycopyr/Formoterol81$58,398
Trelegy ElliptaFluticasone/Umeclidin/Vilanter29$24,526
Spiriva RespimatTiotropium Bromide17$8,924
SymbicortBudesonide/Formoterol Fumarate24$6,595
Incruse ElliptaUmeclidinium Bromide15$4,900
Fluticasone-SalmeterolFluticasone Propion/Salmeterol15$3,817
Albuterol Sulfate HfaAlbuterol Sulfate97$2,828
Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate27$1,758
BreynaBudesonide/Formoterol Fumarate12$1,525
Fluticasone Propionate61$696
Montelukast Sodium119$681
Roflumilast15$411
Prednisone25$117

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
GSKNucala, Trelegy Ellipta, Incruse Ellipta$237$105,56765 claims
AstraZenecaBreztri Aerosphere, Symbicort$75$64,993105 claims
Boehringer IngelheimSpiriva Respimat$89$8,92417 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 60th percentile of 295 pulmonary disease providers in Missouri.

Other pulmonary disease in Cape Girardeau

See the full list for Missouri

Where these figures come from

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