Tonia Nerini, NP
Gerontology · Bevier, MONPI 1790220606
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (59.5%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Amgen accounts for 77.2% of it on its own, with 22 other manufacturers making up the rest. 2025 is the largest year on record at $16,707, 9.3 times the $1,805 reported in 2021. Among gerontology clinicians in MO with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 515 payments — averaging $56.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$22K
- AbbVie$2K
- Novartis$956
- Mallinckrodt Hospital Products Inc.$853
- ANI Pharmaceuticals, Inc.$547
- GSK$311
- plus $2K from 17 others
What the payments were for
- Speaking & faculty fees$17,20060%
- Travel & lodging$2,84810%
- Food & beverage$8,70530%
- Education$1360%
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 |
|---|---|---|
| Amgen(2 entities) | 169 | $22,307 |
| AbbVie | 111 | $2,198 |
| Novartis | 66 | $956 |
| Mallinckrodt Hospital Products Inc. | 38 | $853 |
| ANI Pharmaceuticals, Inc. | 21 | $547 |
| GSK | 18 | $311 |
| UCB, Inc. | 16 | $273 |
| Johnson & Johnson | 12 | $270 |
| Lilly USA, LLC | 14 | $262 |
| Genentech USA, Inc. | 11 | $152 |
| AstraZeneca | 9 | $148 |
| Vertex | 6 | $137 |
| Aurinia Pharma U.S., Inc. | 6 | $117 |
| Sanofi | 4 | $71 |
| Pfizer | 3 | $52 |
| Radius Health, Inc. | 2 | $50 |
| Janssen Scientific Affairs, LLC | 1 | $45 |
| Genentech, Inc. | 1 | $38 |
| Fresenius Kabi USA, LLC | 2 | $32 |
| Sanofi-aventis U.S. LLC | 2 | $31 |
| Tandem Diabetes Care, Inc. | 1 | $19 |
| Novo Nordisk | 1 | $14 |
| Organon | 1 | $6 |
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.
- KRYSTEXXA$19,782
- PURIFIED CORTROPHIN GEL$139
How this compares
$28,889 in reported general payments places this provider in the 95th percentile of 175 gerontology 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 |
|---|---|---|
| ActharCorticotropin | 24 | $1,599,379 |
| Enbrel SureclickEtanercept | 34 | $274,930 |
| Humira(Cf) PenAdalimumab | 27 | $199,480 |
| RinvoqUpadacitinib | 26 | $169,910 |
| Taltz AutoinjectorIxekizumab | 21 | $147,370 |
| Actemra ActpenTocilizumab | 24 | $95,447 |
| Cosentyx Sensoready (2 Pens)Secukinumab | 11 | $89,360 |
| Humira(Cf)Adalimumab | 12 | $81,739 |
| Orencia ClickjectAbatacept | 14 | $78,997 |
| Hydroxychloroquine Sulfate | 372 | $10,964 |
| Leflunomide | 92 | $4,224 |
| Mycophenolate Mofetil | 48 | $2,429 |
| MethotrexateMethotrexate Sodium | 201 | $2,223 |
| Colchicine | 48 | $1,946 |
| Tramadol Hcl | 63 | $752 |
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 |
|---|---|---|
| Mallinckrodt Hospital Products Inc.Acthar | $853 | $1,599,37924 claims |
| AbbVieRinvoq, Humira(Cf) | $2,198 | $251,64938 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 95th percentile of 175 gerontology providers in Missouri.
Other gerontology in Bevier
- Melissa DusenberryKansas City$8K
- Kelly DaltonSpringfield$8K
- Laura TullisKansas City$7K
- Marissa SaengsamranSaint Louis$6K
- Matthew RobertsBridgeton$6K
- Amy GuanSaint Louis$5K
- Kayla WeissSaint Louis$5K
- Robin BobinmyerHumansville$5K
- Rutendo KamudzanduIndependence$5K
- Ami KoellikerNorth Kansas City$4K
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.