Valerie Fleming
Family · Joplin, MONPI 1952629610
Payments from drug & device makers
Across 267 payments — averaging $13.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$407
- Boehringer Ingelheim$386
- AstraZeneca$358
- Takeda Pharmaceuticals U.S.A., Inc.$329
- Novo Nordisk$257
- Lilly USA, LLC$248
- plus $2K from 19 others
What the payments were for
- Food & beverage$3,669100%
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 |
|---|---|---|
| Abbott | 24 | $407 |
| Boehringer Ingelheim | 20 | $386 |
| AstraZeneca | 25 | $358 |
| Takeda Pharmaceuticals U.S.A., Inc. | 22 | $329 |
| Novo Nordisk | 21 | $257 |
| Lilly USA, LLC | 19 | $248 |
| Amgen | 18 | $245 |
| Merck | 15 | $207 |
| Kowa Pharmaceuticals America, Inc. | 27 | $198 |
| Pfizer | 14 | $171 |
| Bayer | 7 | $115 |
| Biohaven Pharmaceuticals, Inc. | 10 | $113 |
| GSK | 8 | $110 |
| Astellas Pharma US Inc | 5 | $93 |
| Teva Pharmaceuticals USA, Inc. | 6 | $70 |
| Dexcom, Inc. | 5 | $66 |
| Idorsia Pharmaceuticals US Inc | 4 | $60 |
| Sanofi-aventis U.S. LLC | 4 | $57 |
| AbbVie | 3 | $42 |
| Exact Sciences | 2 | $33 |
| Novartis | 2 | $28 |
| Amarin Pharma, Inc. | 2 | $27 |
| Currax Pharmaceuticals LLC | 2 | $23 |
| Medtronic | 1 | $13 |
| Eisai Inc. | 1 | $13 |
How this compares
$3,669 in reported general payments places this provider in the 85th percentile of 3,812 family providers in Missouri.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Pantoprazole Sodium | 26 | $723 |
| Losartan Potassium | 13 | $172 |
| Amlodipine Besylate | 17 | $158 |
| Rosuvastatin Calcium | 39 | $115 |
| Metoprolol Succinate | 14 | $89 |
| Lisinopril | 15 | $86 |
Paid to pharmacies, not to this prescriber.
Other family in Joplin
- Connie SpencerSaint Joseph$320K
- Shayla SandersKansas City$306K
- Tamera WolfLees Summit$215K
- Tiffany ArnoldFestus$177K
- Tiffany NelsonSedalia$164K
- Chelsey BeckerSaint Peters$104K
- Carey PattonDes Peres$94K
- Marcy MarkesColumbia$92K
- Laura HedigerSpringfield$71K
- Rebecca SeabaughSaint Louis$68K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.