RxDoctor Payments Data

Tejaswini Nayak, MD

Internal Medicine · Saint Charles, MONPI 1609841303

Payments from drug & device makers

$512in general payments, 2019–2025

Across 28 payments — averaging $18.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$148
  • Lilly USA, LLC$65
  • Pfizer$50
  • GSK$44
  • AstraZeneca$31
  • Hologic Sales And Service, LLC$23
  • plus $152 from 8 others

What the payments were for

  • Food & beverage$512100%

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

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.

How this compares

$512 in reported general payments places this provider in the 60th percentile of 2,097 internal medicine providers in Missouri.

See all internal medicine providers in Missouri

Medicare billing

Part B allowed, 2024
$68,724
Medicare patients
124
Services billed
677

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
JanuviaSitagliptin Phosphate88$91,595
JardianceEmpagliflozin49$43,641
OzempicSemaglutide20$36,561
EliquisApixaban34$34,954
RybelsusSemaglutide15$25,596
ArexvyRsvpref3 Antigen/As01e/Pf95$25,077
Trelegy ElliptaFluticasone/Umeclidin/Vilanter22$19,861
MounjaroTirzepatide13$18,106
InvokanaCanagliflozin11$16,944
Breo ElliptaFluticasone/Vilanterol28$10,331
SynthroidLevothyroxine Sodium51$5,604
Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog15$5,140
Wixela InhubFluticasone Propion/Salmeterol30$4,022
Fluticasone Propionate175$3,390
Lantus SolostarInsulin Glargine,hum.Rec.Anlog24$3,269

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$148$62,15735 claims
GSKArexvy, Trelegy Ellipta, Breo Ellipta$44$55,270145 claims
PfizerEliquis$50$34,95434 claims
Lilly USA, LLCMounjaro$65$18,10613 claims
AbbVieSynthroid$22$5,60451 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 60th percentile of 2,097 internal medicine providers in Missouri.

Other internal medicine in Saint Charles

See the full list for Missouri

Where these figures come from

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