Raymond Bruno
Payments from drug & device makers
Across 114 payments — averaging $22.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$468
- Novo Nordisk$324
- Amgen$307
- Regeneron Healthcare Solutions, Inc.$164
- Lilly USA, LLC$130
- AbbVie$108
- plus $1K from 23 others
What the payments were for
- Food & beverage$2,539100%
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 | 19 | $468 |
| Novo Nordisk | 17 | $324 |
| Amgen | 11 | $307 |
| Regeneron Healthcare Solutions, Inc. | 6 | $164 |
| Lilly USA, LLC | 4 | $130 |
| AbbVie | 6 | $108 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $79 |
| Otsuka America Pharmaceutical, Inc. | 4 | $74 |
| Novartis | 5 | $74 |
| Phathom Pharmaceuticals, Inc. | 1 | $72 |
| Lundbeck LLC | 3 | $70 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $67 |
| GSK | 4 | $66 |
| Sanofi | 3 | $61 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 3 | $59 |
| Verona Pharma, Inc. | 2 | $47 |
| Eisai Inc. | 3 | $44 |
| Insulet Corporation | 2 | $41 |
| Dexcom, Inc. | 2 | $39 |
| Exact Sciences | 2 | $36 |
| Merck | 2 | $33 |
| Boehringer Ingelheim | 2 | $32 |
| Actelion Pharmaceuticals US, Inc. | 1 | $30 |
| Bayer | 2 | $28 |
| Abbott | 1 | $24 |
| Grifols USA, LLC | 1 | $19 |
| Electromed, Inc. | 1 | $14 |
| Pfizer | 1 | $13 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $13 |
How this compares
$2,539 in reported general payments places this provider in the 80th percentile of 3,812 family providers in Missouri.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 12 | $7,616 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 37 | $779 |
| Cefdinir | 28 | $352 |
| Doxycycline Hyclate | 25 | $263 |
| Omeprazole | 23 | $248 |
| Fluticasone Propionate | 13 | $244 |
| Ciprofloxacin Hcl | 29 | $186 |
| Cyclobenzaprine Hcl | 19 | $161 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 26 | $146 |
| Azithromycin | 52 | $139 |
| Montelukast Sodium | 16 | $83 |
| Prednisone | 54 | $83 |
| Levofloxacin | 19 | $77 |
| Atorvastatin Calcium | 12 | $72 |
| Amoxicillin | 13 | $58 |
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 |
|---|---|---|
| AstraZenecaBreztri Aerosphere | $468 | $7,61612 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 80th percentile of 3,812 family providers in Missouri.
Other family in Rolla
- Connie SpencerSaint Joseph$320K
- Shayla SandersKansas City$306K
- Tamera WolfLees Summit$215K
- Tiffany ArnoldFestus$177K
- Tiffany NelsonSedalia$164K
- Chelsey BeckerSaint Peters$104K
- Carey PattonDes Peres$94K
- Marcy MarkesColumbia$92K
- Laura HedigerSpringfield$71K
- Rebecca SeabaughSaint Louis$68K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.