Patricia Perschbacher, MD
Dermatology · Saint Louis, MONPI 1346285913
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $945 of the $1,087 with a category attached, or 87.0%. 12 manufacturers reported payments, led by Regeneron Healthcare Solutions, Inc. at 27.2% of the total. 2025 is the largest year on record at $637, more than ten times the $35 reported in 2019. That places this record below the midpoint for dermatology clinicians in MO, where the typical reported total is $3,173.
Across 35 payments — averaging $31.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron Healthcare Solutions, Inc.$296
- Dermavant Sciences, Inc.$158
- Johnson & Johnson$144
- Botanix SB Inc$143
- AbbVie$104
- E.r. Squibb & Sons, L.L.C.$102
- plus $140 from 6 others
What the payments were for
- Food & beverage$94587%
- Education$14213%
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 |
|---|---|---|
| Regeneron Healthcare Solutions, Inc. | 6 | $296 |
| Dermavant Sciences, Inc. | 6 | $158 |
| Johnson & Johnson | 4 | $144 |
| Botanix SB Inc | 2 | $143 |
| AbbVie | 5 | $104 |
| E.r. Squibb & Sons, L.L.C. | 5 | $102 |
| Pfizer | 1 | $35 |
| UCB, Inc. | 1 | $35 |
| Sanofi | 1 | $24 |
| Organon | 2 | $17 |
| Journey Medical Corporation | 1 | $15 |
| Incyte Corporation | 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
$1,087 in reported general payments places this provider in the 25th percentile of 263 dermatology 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 |
|---|---|---|
| Clobetasol Propionate | 46 | $1,568 |
| Doxycycline Monohydrate | 50 | $1,151 |
| Triamcinolone Acetonide | 157 | $1,091 |
| Ketoconazole | 72 | $901 |
| Mupirocin | 73 | $590 |
| Metronidazole | 11 | $551 |
| ValacyclovirValacyclovir Hcl | 13 | $290 |
| Clindamycin Phosphate | 13 | $209 |
| Hydrocortisone | 14 | $50 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Saint Louis
- Brian KimSaint Louis$861K
- Elaine SiegfriedSaint Louis$856K
- Craig LeonardiSaint Louis$569K
- Mary GeorgeSaint Louis$400K
- Duane DilworthSaint Louis$288K
- Jeffrey ReedSaint Louis$170K
- Emily ColeSaint Louis$163K
- Dee GlaserSaint Louis$131K
- Milan AnadkatSaint Louis$129K
- Jason AmatoSaint Louis$45K
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.