RxDoctor Payments Data

Stephen Cohen, MD

Internal Medicine · Saint Louis, MONPI 1710374111

Payments from drug & device makers

$6,115in general payments, 2019–2025

Across 322 payments — averaging $18.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$774
  • Pfizer$656
  • AstraZeneca$605
  • Lilly USA, LLC$528
  • AbbVie$302
  • Inspire Medical Systems, Inc.$302
  • plus $3K from 35 others

What the payments were for

  • Food & beverage$6,05299%
  • Education$631%

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
20
21
22
23
24
25

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.

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

$6,115 in reported general payments places this provider in the 90th percentile of 2,097 internal medicine providers in Missouri.

See all internal medicine providers in Missouri

Medicare billing

Part B allowed, 2024
$93,251
Medicare patients
339
Services billed
1,033

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
OzempicSemaglutide137$208,787
MounjaroTirzepatide136$193,215
FarxigaDapagliflozin Propanediol105$129,410
EliquisApixaban78$84,872
JardianceEmpagliflozin58$82,317
Trelegy ElliptaFluticasone/Umeclidin/Vilanter55$57,871
BelsomraSuvorexant53$37,477
DescovyEmtricitabine/Tenofov Alafenam11$28,077
TrintellixVortioxetine Hydrobromide32$22,645
XareltoRivaroxaban21$19,989
LinzessLinaclotide12$18,427
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr24$16,710
Breo ElliptaFluticasone/Vilanterol30$14,605
RybelsusSemaglutide14$13,305
ArexvyRsvpref3 Antigen/As01e/Pf37$9,686

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
Novo NordiskOzempic, Rybelsus$774$222,092151 claims
Lilly USA, LLCMounjaro$528$193,215136 claims
AstraZenecaFarxiga$605$129,410105 claims
GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta, Arexvy$236$98,873146 claims
PfizerEliquis$656$84,87278 claims
Boehringer IngelheimJardiance$190$82,31758 claims
MerckBelsomra$180$37,47753 claims
GileadDescovy$62$28,07711 claims
Takeda Pharmaceuticals U.S.A., Inc.Trintellix$248$22,64532 claims
AbbVieLinzess, Synthroid$302$20,60540 claims
Johnson & JohnsonXarelto$64$19,98921 claims
Astellas Pharma US IncMyrbetriq$67$9,65714 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 90th percentile of 2,097 internal medicine providers in Missouri.

Other internal medicine in Saint Louis

See the full list for Missouri

Where these figures come from

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