RxDoctor Payments Data

Rajamanikkam Anandarajah, MD

Internal Medicine · Springfield, MONPI 1962560953

Payments from drug & device makers

$196in general payments, 2019–2025

Across 21 payments — averaging $9.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Supernus Pharmaceuticals, Inc.$169
  • Dexcom, Inc.$14
  • Lilly USA, LLC$12
  • Sumitomo Pharma America, Inc.$1

What the payments were for

  • Food & beverage$18494%
  • Education$136%

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

19
21
22
23

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.

How this compares

$196 in reported general payments places this provider in the 50th percentile of 2,097 internal medicine providers in Missouri.

See all internal medicine providers in Missouri

Medicare billing

Part B allowed, 2024
$165,259
Medicare patients
554
Services billed
2,329

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
EliquisApixaban439$372,887
JardianceEmpagliflozin265$338,051
MounjaroTirzepatide265$290,524
FarxigaDapagliflozin Propanediol238$224,600
RybelsusSemaglutide134$195,000
OzempicSemaglutide122$184,582
EntrestoSacubitril/Valsartan73$73,454
XareltoRivaroxaban77$65,939
Trelegy ElliptaFluticasone/Umeclidin/Vilanter70$54,560
TrulicityDulaglutide41$51,308
AbrysvoRsv Vacc, Pref A And Pref B/Pf169$48,008
LinzessLinaclotide56$38,676
Spiriva RespimatTiotropium Bromide48$35,729
Tresiba Flextouch U-200Insulin Degludec46$33,405
Lantus SolostarInsulin Glargine,hum.Rec.Anlog194$33,009

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
Lilly USA, LLCMounjaro, Trulicity$12$341,832306 claims
Supernus Pharmaceuticals, Inc.Trokendi Xr$169$10,06812 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 50th percentile of 2,097 internal medicine providers in Missouri.

Other internal medicine in Springfield

See the full list for Missouri

Where these figures come from

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