Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Laura Esswein

Allergy Saint Louis, MO Medical Doctor

NPI 1174596860 CMS profile 144330

10024 Watson Rd, Saint Louis, MO 63126

Open in the dashboard

General payments

$6,159

282 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Laura Esswein of Saint Louis, MO is reported in the CMS Open Payments database as having received $6,159 across 282 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 65th percentile of Allergy profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $1,665 58
2024 General $1,923 83
2023 General $1,065 56
2022 General $446 23
2021 General $40 2
2020 General $254 16
2019 General $766 44

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Laura Esswein
  • Allergy median
  • Middle half of Allergy
  • National median

In program year 2025, general payments to Laura Esswein were reported at $1,665. Among 526 Allergy profiles paid that year, the median was $1,143 and the middle half received between $226 and $2,504.

Show as a table
Year Laura Esswein Allergy median Middle half National median
2019 $766 $506 $151–$1,337 $163
2020 $254 $409 $108–$1,162 $114
2021 $40 $549 $125–$1,485 $132
2022 $446 $666 $161–$1,594 $149
2023 $1,065 $780 $186–$1,916 $160
2024 $1,923 $1,031 $271–$2,196 $164
2025 $1,665 $1,143 $226–$2,504 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. AstraZeneca Pharmaceuticals LP $1,286 59 payments
  2. Genzyme Corporation $770 34 payments
  3. Regeneron Healthcare Solutions, Inc. $547 18 payments
  4. GlaxoSmithKline, LLC. $535 28 payments
  5. CSL Behring $510 21 payments
  6. Takeda Pharmaceuticals U.S.A., Inc. $308 23 payments
  7. Grifols USA, LLC $265 14 payments
  8. Pfizer Inc. $239 16 payments
  9. Amgen Inc. $229 11 payments
  10. Novartis Pharmaceuticals Corporation $219 6 payments
  11. Other $1,252 52 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $5,954 278 payments
  2. Education $205 4 payments
Products named General payments · program years 2019–2025
  1. DUPIXENT Immunology $1,093 51 payments
  2. FASENRA Respiratory $483 20 payments
  3. DUPIXENT Inflammation And Immunology $432 14 payments
  4. NUCALA $301 18 payments
  5. AIRSUPRA $299 11 payments
  6. CUVITRU $261 22 payments
  7. Haegarda $245 11 payments
  8. Xembify $244 13 payments
  9. PANZYGA $237 14 payments
  10. FASENRA Respiratory $222 13 payments
  11. Other $3,110 154 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 15 drugs

Part D claims

456

Median for Allergy/ Immunology: 449

Drug cost

$79,510

Median for Allergy/ Immunology: $169,700

Branded share of claims

41.4%

Median for Allergy/ Immunology: 37.3%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Trelegy Ellipta Fluticasone/Umeclidin/Vilanter Brand 37 $27,565
Dulera Mometasone/Formoterol Brand 24 $16,076
Breo Ellipta Fluticasone/Vilanterol Brand 19 $14,665
Azelastine-Fluticasone Azelastine/Fluticasone Brand 15 $4,310
Arnuity Ellipta Fluticasone Furoate Brand 12 $3,650
Symbicort Budesonide/Formoterol Fumarate Brand 11 $2,925
Azelastine Hcl Generic 79 $2,674
Budesonide-Formoterol Fumarate Budesonide/Formoterol Fumarate Brand 19 $2,442
Epinephrine Generic 12 $1,704
Montelukast Sodium Generic 104 $1,027

The 10 drugs with the highest cost, of 15 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 3,579 Part D prescribers listed as Allergy/ Immunology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 19 billing codes

Paid by Medicare

$20,049

Medicare's payments for the services billed

Medicare patients

89

Average age 72

Services billed

1,558

61 women, 28 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 67%
Arthritis 54%
Chronic kidney disease 27%
Depression 24%
Diabetes 21%
Osteoporosis 21%
Ischemic heart disease 18%
Atrial fibrillation 16%

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 27 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
DUPIXENT
  • Regeneron Healthcare Solutions, Inc. $246
  • GENZYME CORPORATION $181
  • SANOFI-AVENTIS U.S. LLC $68
$495 — —
FASENRA
  • AstraZeneca Pharmaceuticals LP $287
$287 — —
AIRSUPRA
  • AstraZeneca Pharmaceuticals LP $222
$222 — —
RINVOQ
  • AbbVie, Inc. $121
$121 — —
Xembify
  • Grifols USA, LLC $104
$104 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

See more in the dashboard: 25 with a free account, all 27 with Patron

Records

282 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Allergy in Missouri

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

How to dispute or correct a record