Tiffany Dy, MD
Allergy & Immunology · Saint Louis, MONPI 1528292174
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 13 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 5 manufacturers reported payments, led by Acumed LLC at 35.2% of the total. That places this record below the midpoint for allergy & immunology clinicians in MO, where the typical reported total is $1,710.
Across 13 payments — averaging $24.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acumed LLC$113
- Pfizer$103
- GSK$46
- AstraZeneca$37
- CSL Behring$23
What the payments were for
- Food & beverage$321100%
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 |
|---|---|---|
| Acumed LLC | 1 | $113 |
| Pfizer | 6 | $103 |
| GSK | 3 | $46 |
| AstraZeneca | 2 | $37 |
| CSL Behring | 1 | $23 |
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.
- ACUMED$226
- INnate Implant$113
How this compares
$321 in reported general payments places this provider in the 15th percentile of 61 allergy & immunology 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 |
|---|---|---|
| TakhzyroLanadelumab-Flyo | 22 | $1,133,780 |
| Dupixent SyringeDupilumab | 98 | $361,831 |
| CuvitruImmun Glob G(Igg)/Gly/Iga Ov50 | 24 | $262,705 |
| XolairOmalizumab | 32 | $166,411 |
| HyqviaIgg/Hyaluronidase,recombinant | 12 | $149,026 |
| Gammagard S-DImmun Glob G/Gly/Gluc/Iga 0-50 | 11 | $103,289 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 83 | $72,569 |
| GammakedImmune Globul G/Gly/Iga Avg 46 | 12 | $61,638 |
| Dupixent PenDupilumab | 15 | $59,260 |
| DuleraMometasone/Formoterol | 34 | $17,292 |
| Breo ElliptaFluticasone/Vilanterol | 31 | $13,809 |
| SymbicortBudesonide/Formoterol Fumarate | 47 | $12,703 |
| Spiriva RespimatTiotropium Bromide | 22 | $12,509 |
| Spiriva HandihalerTiotropium Bromide | 17 | $10,502 |
| Qvar RedihalerBeclomethasone Dipropionate | 34 | $9,594 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta, Arnuity Ellipta, Incruse Ellipta | $46 | $101,355170 claims |
| AstraZenecaSymbicort | $37 | $12,70347 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 15th percentile of 61 allergy & immunology providers in Missouri.
Other allergy & immunology in Saint Louis
- H James WednerSaint Louis$420K
- Manoj WarrierSaint Louis$316K
- Jeffrey TillinghastSaint Louis$278K
- Aaron Ver HeulSaint Louis$28K
- Peggy KendallSaint Louis$20K
- Michael BortsSaint Louis$17K
- Jeremy KatcherSaint Louis$16K
- Elyra FigueroaSaint Louis$11K
- Barbara JostSaint Louis$9K
- Maya JerathSaint Louis$9K
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.