Rahul Thampi, MD
Endocrinology, Diabetes & Metabolism · Cape Girardeau, MONPI 1194109041
Payments from drug & device makers
Across 250 payments — averaging $19.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$951
- Amgen$754
- Boehringer Ingelheim$361
- Insulet Corporation$252
- Medtronic$239
- Novartis$234
- plus $2K from 22 others
What the payments were for
- Food & beverage$4,87899%
- Education$301%
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 |
|---|---|---|
| Novo Nordisk | 54 | $951 |
| Amgen(2 entities) | 35 | $754 |
| Boehringer Ingelheim | 20 | $361 |
| Insulet Corporation | 15 | $252 |
| Medtronic | 9 | $239 |
| Novartis | 13 | $234 |
| Corcept Therapeutics | 12 | $226 |
| Xeris Pharmaceuticals, Inc. | 9 | $185 |
| BETA Bionics, Inc. | 9 | $178 |
| Radius Health, Inc. | 7 | $177 |
| Sanofi-aventis U.S. LLC | 6 | $152 |
| Abbott | 7 | $152 |
| AstraZeneca(2 entities) | 5 | $142 |
| Lilly USA, LLC | 10 | $138 |
| Bayer | 9 | $137 |
| AbbVie | 5 | $87 |
| Ascendis Pharma Endocrinology Inc | 4 | $82 |
| Tandem Diabetes Care, Inc. | 3 | $69 |
| Dexcom, Inc. | 3 | $68 |
| Averitas Pharma Inc. | 2 | $50 |
| Recordati_rare_diseases_inc. | 2 | $47 |
| Ascensia Diabetes Care US Inc. | 2 | $46 |
| Esperion Therapeutics, Inc. | 2 | $45 |
| Sequel Med Tech, LLC | 2 | $38 |
| Rhythm Pharmaceuticals, Inc. | 2 | $32 |
| Madrigal Pharmaceuticals | 1 | $24 |
| Neurocrine Biosciences, Inc. | 1 | $23 |
| Amneal Pharmaceuticals LLC | 1 | $18 |
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
$4,908 in reported general payments places this provider in the 65th percentile of 182 endocrinology, diabetes & metabolism providers in Missouri.
See all endocrinology, diabetes & metabolism 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 |
|---|---|---|
| OzempicSemaglutide | 525 | $541,586 |
| MounjaroTirzepatide | 437 | $518,172 |
| JardianceEmpagliflozin | 447 | $343,364 |
| TrulicityDulaglutide | 294 | $321,061 |
| Humulin R U-500 KwikpenInsulin Regular, Human | 76 | $114,208 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 140 | $89,933 |
| FarxigaDapagliflozin Propanediol | 160 | $86,775 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 61 | $65,847 |
| Teriparatide | 16 | $53,961 |
| KerendiaFinerenone | 71 | $47,960 |
| Tresiba Flextouch U-200Insulin Degludec | 57 | $47,869 |
| VascepaIcosapent Ethyl | 90 | $42,116 |
| Fiasp FlextouchInsulin Aspart (Niacinamide) | 50 | $39,458 |
| Humalog Kwikpen U-100Insulin Lispro | 121 | $39,085 |
| Repatha SureclickEvolocumab | 43 | $38,001 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity, Humalog | $138 | $842,705748 claims |
| Novo NordiskOzempic, Rybelsus, Novolog | $951 | $570,196557 claims |
| Boehringer IngelheimJardiance, Tradjenta, Synjardy Xr | $361 | $359,257477 claims |
| AstraZenecaFarxiga | $142 | $86,775160 claims |
| BayerKerendia | $137 | $47,96071 claims |
| AbbVieSynthroid | $87 | $7,688139 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $18 | $4,398628 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 65th percentile of 182 endocrinology, diabetes & metabolism providers in Missouri.
Other endocrinology, diabetes & metabolism in Cape Girardeau
- Ahmad SheikhCape Girardeau$7K
- Ralph DudaSpringfield$3M
- Thomas NickolasSaint Louis$945K
- Anne GoldbergSaint Louis$830K
- Janet McGillSaint Louis$828K
- Christopher CaseJefferson City$692K
- Gregory LedgerSpringfield$690K
- Karen Chang-ChenChesterfield$640K
- Alan RaubaJefferson City$594K
- Julie SilversteinSaint Louis$536K
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.