Rebecca Rugen
Internal Medicine · Florissant, MONPI 1023129954
Payments from drug & device makers
Across 178 payments — averaging $16.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boehringer Ingelheim$289
- Amgen$280
- Lilly USA, LLC$224
- Pfizer$208
- Novo Nordisk$187
- Novartis$174
- plus $2K from 25 others
What the payments were for
- Food & beverage$2,939100%
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 |
|---|---|---|
| Boehringer Ingelheim | 18 | $289 |
| Amgen | 16 | $280 |
| Lilly USA, LLC | 14 | $224 |
| Pfizer | 16 | $208 |
| Novo Nordisk | 12 | $187 |
| Novartis | 10 | $174 |
| AstraZeneca | 10 | $174 |
| Astellas Pharma US Inc | 9 | $172 |
| GSK | 11 | $169 |
| Johnson & Johnson | 8 | $132 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 8 | $120 |
| Exact Sciences | 7 | $111 |
| Neurocrine Biosciences, Inc. | 4 | $81 |
| Medtronic | 3 | $80 |
| Ironwood Pharmaceuticals, Inc | 4 | $76 |
| Merck | 3 | $58 |
| Lifescan, Inc. | 2 | $51 |
| Amarin Pharma, Inc. | 3 | $46 |
| E.r. Squibb & Sons, L.L.C. | 3 | $42 |
| Dexcom, Inc. | 3 | $39 |
| Otsuka America Pharmaceutical, Inc. | 2 | $38 |
| Boston Scientific | 2 | $38 |
| Aimmune Therapeutics, Inc. | 2 | $30 |
| AbbVie | 1 | $21 |
| Grifols USA, LLC | 1 | $16 |
| Idorsia Pharmaceuticals US Inc | 1 | $15 |
| Sanofi-aventis U.S. LLC | 1 | $15 |
| Bayer | 1 | $14 |
| Nestle Healthcare Nutrition Inc. | 1 | $14 |
| Ardelyx, Inc. | 1 | $13 |
| Arbor Pharmaceuticals, Inc. | 1 | $13 |
How this compares
$2,939 in reported general payments places this provider in the 80th percentile of 2,097 internal medicine 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 |
|---|---|---|
| JardianceEmpagliflozin | 101 | $82,853 |
| EliquisApixaban | 78 | $72,810 |
| OzempicSemaglutide | 24 | $32,578 |
| FarxigaDapagliflozin Propanediol | 23 | $22,303 |
| XareltoRivaroxaban | 23 | $17,507 |
| LinzessLinaclotide | 15 | $15,273 |
| Spiriva RespimatTiotropium Bromide | 12 | $14,828 |
| Combivent RespimatIpratropium/Albuterol Sulfate | 15 | $10,866 |
| ArexvyRsvpref3 Antigen/As01e/Pf | 37 | $9,000 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 13 | $8,303 |
| Atorvastatin Calcium | 756 | $7,307 |
| Advair HfaFluticasone Propion/Salmeterol | 16 | $5,837 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 208 | $5,507 |
| Potassium Chloride | 267 | $5,497 |
| Wixela InhubFluticasone Propion/Salmeterol | 36 | $4,342 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance, Spiriva Respimat, Combivent Respimat | $289 | $108,548128 claims |
| PfizerEliquis | $208 | $72,81078 claims |
| Novo NordiskOzempic | $187 | $32,57824 claims |
| AstraZenecaFarxiga, Symbicort | $174 | $25,63038 claims |
| Johnson & JohnsonXarelto | $132 | $17,50723 claims |
| GSKArexvy, Trelegy Ellipta | $169 | $17,30250 claims |
| AbbVieLinzess | $21 | $15,27315 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 2,097 internal medicine providers in Missouri.
Other internal medicine in Florissant
- Kim McDonaldFlorissant$206K
- Timothy SmithSaint Peters$21.4M
- Craig DietzKansas City$4M
- Michael ReschakSaint Louis$3.1M
- Dima DandachiColumbia$1.2M
- Santosh SharmaKansas City$782K
- Jianbo WangChesterfield$643K
- David PrelutskySaint Louis$575K
- Danish JabbarSaint Louis$510K
- Dubert GuerreroIndependence$369K
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.