Robert Fleming, PA
Physician Assistant · Hazelwood, MONPI 1477214864
Payments from drug & device makers
Across 39 payments — averaging $18.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$103
- AbbVie$78
- Lilly USA, LLC$76
- Xeris Pharmaceuticals, Inc.$63
- Pfizer$47
- Amgen$37
- plus $324 from 15 others
What the payments were for
- Food & beverage$728100%
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 | 6 | $103 |
| AbbVie | 4 | $78 |
| Lilly USA, LLC | 4 | $76 |
| Xeris Pharmaceuticals, Inc. | 3 | $63 |
| Pfizer | 3 | $47 |
| Amgen | 2 | $37 |
| Boston Scientific | 1 | $34 |
| Dexcom, Inc. | 2 | $33 |
| Medtronic | 1 | $32 |
| Exact Sciences | 2 | $30 |
| BETA Bionics, Inc. | 1 | $24 |
| Averitas Pharma Inc. | 1 | $20 |
| GSK | 1 | $18 |
| Valinor Pharma, LLC | 1 | $18 |
| E.r. Squibb & Sons, L.L.C. | 1 | $18 |
| Tris Pharma Inc | 1 | $17 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $17 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $16 |
| Novartis | 1 | $15 |
| Boehringer Ingelheim | 1 | $15 |
| AstraZeneca | 1 | $15 |
How this compares
$728 in reported general payments places this provider in the 65th percentile of 1,380 physician assistant 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 |
|---|---|---|
| Ipratropium Bromide | 25 | $542 |
| Azelastine Hcl | 18 | $355 |
| Mupirocin | 29 | $297 |
| Montelukast Sodium | 19 | $246 |
| Doxycycline Hyclate | 22 | $167 |
| Gabapentin | 18 | $166 |
| Triamcinolone Acetonide | 28 | $130 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 12 | $107 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 40 | $97 |
| Prednisone | 38 | $86 |
| CefuroximeCefuroxime Axetil | 12 | $76 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 20 | $72 |
| Methylprednisolone | 19 | $68 |
| Azithromycin | 21 | $64 |
| Cyclobenzaprine Hcl | 11 | $57 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Hazelwood
- Jennifer DavissonKansas City$343K
- Andrew BergLees Summit$245K
- Sileen DowisKansas City$117K
- Daniel BeckSikeston$114K
- Amee RozancO Fallon$101K
- Autumn WillsCape Girardeau$37K
- Kimberly BrownSaint Louis$28K
- Marc ReitznerSpringfield$24K
- Justin AllphinOzark$23K
- Jacqueline CastagnoWentzville$19K
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.