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

Randy Bowles

Internal Medicine Joplin, MO Medical Doctor

NPI 1851332860 CMS profile 219746

1002 Mc Intosh Cir, Suite 1, Joplin, MO 64804

Open in the dashboard

General payments

$6,142

424 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, Randy Bowles of Joplin, MO is reported in the CMS Open Payments database as having received $6,142 across 424 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 91st percentile of Internal Medicine 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 $516 32
2024 General $993 65
2023 General $901 49
2022 General $795 68
2021 General $797 54
2020 General $1,373 95
2019 General $768 61

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Randy Bowles
  • Internal Medicine median
  • Middle half of Internal Medicine
  • National median

In program year 2025, general payments to Randy Bowles were reported at $516. Among 52,115 Internal Medicine profiles paid that year, the median was $156 and the middle half received between $47 and $551.

Show as a table
Year Randy Bowles Internal Medicine median Middle half National median
2019 $768 $159 $48–$570 $163
2020 $1,373 $119 $33–$402 $114
2021 $797 $135 $37–$521 $132
2022 $795 $141 $42–$496 $149
2023 $901 $149 $45–$519 $160
2024 $993 $154 $47–$537 $164
2025 $516 $156 $47–$551 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. AstraZeneca Pharmaceuticals LP $971 38 payments
  2. Novo Nordisk Inc $745 65 payments
  3. Amgen Inc. $504 35 payments
  4. Lilly USA, LLC $475 34 payments
  5. AbbVie, Inc. $404 29 payments
  6. Dexcom, Inc. $398 45 payments
  7. Pfizer Inc. $361 27 payments
  8. Boehringer Ingelheim Pharmaceuticals, Inc. $303 23 payments
  9. Sanofi-Aventis U.S. LLC $175 11 payments
  10. Merck Sharp & Dohme Corporation $167 11 payments
  11. Other $1,638 106 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $6,099 419 payments
  2. Education $43 5 payments
Products named General payments · program years 2019–2025
  1. Ozempic $616 51 payments
  2. FARXIGA $580 15 payments
  3. RYBELSUS $465 36 payments
  4. Dexcom G6 Transmitter $352 42 payments
  5. BREZTRI $313 14 payments
  6. SYMBICORT $289 8 payments
  7. EVENITY $284 19 payments
  8. Prolia $270 18 payments
  9. JARDIANCE $251 19 payments
  10. AIMOVIG $235 17 payments
  11. Other $5,866 398 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 · 137 drugs

Part D claims

8,668

Median for Internal Medicine: 777

Drug cost

$519,709

Median for Internal Medicine: $73,373

Branded share of claims

16.1%

Median for Internal Medicine: 19.3%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Eliquis Apixaban Brand 67 $58,871
Ozempic Semaglutide Brand 48 $56,559
Trelegy Ellipta Fluticasone/Umeclidin/Vilanter Brand 54 $55,397
Mounjaro Tirzepatide Brand 45 $50,864
Xarelto Rivaroxaban Brand 46 $47,472
Jardiance Empagliflozin Brand 24 $34,829
Trulicity Dulaglutide Brand 23 $21,770
Januvia Sitagliptin Phosphate Brand 21 $17,563
Myrbetriq Mirabegron Brand 18 $15,166
Janumet Sitagliptin Phos/Metformin Hcl Brand 16 $14,125

The 10 drugs with the highest cost, of 137 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 104,182 Part D prescribers listed as Internal Medicine; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 42 billing codes

Paid by Medicare

$151,769

Of which drugs: $7,977

Medicare patients

438

Average age 75

Services billed

3,492

239 women, 199 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 75%
Arthritis 41%
Ischemic heart disease 28%
Diabetes 25%
Atrial fibrillation 20%
Depression 20%
COPD 18%
Heart failure 16%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Vaccine for influenza for injection into muscle 90662 Office 96 96 $7,855
Injection, dexamethasone sodium phosphate, 1 mg J1100 Office 13 420 $32

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 21 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
BREZTRI
  • AstraZeneca Pharmaceuticals LP $166
$166 — —
FARXIGA
  • AstraZeneca Pharmaceuticals LP $132
$132 13 —
RYBELSUS
  • Novo Nordisk Inc $76
$76 — —
Ozempic
  • Novo Nordisk Inc $76
$76 48 —
BEVESPI AEROSPHERE
  • AstraZeneca Pharmaceuticals LP $44
$44 — —

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 all 21 in the dashboard with a free account

Records

424 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 Internal Medicine 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.

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