Care Atlas

Industry payments to physicians · Missouri · 2024

Missouri

In Missouri, drug and device makers reported $53M in general payments to 20,146 covered recipients (physicians and other clinicians) for 2024 — a mean of $2,653 each — plus $179M tied to research and $24M in ownership interests.

A payment is a disclosed financial tie, not proof of wrongdoing — many are research grants, consulting fees, or royalties a physician earns on a device they invented. Transparency, not a verdict.
$53M
general payments
20,146
covered recipients paid
$2,653
mean per physician

Top specialties in Missouri

General payments by specialty; the figure on the right is the average per physician.

Orthopaedic Surgery of the Spine $11M
Orthopaedic Surgery $3M
Adult Reconstructive Orthopaedic Surgery $3M
Psychiatry $2M
Neurology $2M
Gastroenterology $1M
Family $1M
Interventional Cardiology $1M
Pulmonary Disease $1M
Surgery $1M
Dermatology $1M
Family Medicine $989,083

Highest-paid physicians in Missouri

By total general payments, 2024 — largely device royalties to inventor-physicians.

Roger Jackson Orthopaedic Surgery of the Spine · North Kansas City · top payer: Alphatec Spine, Inc $11M
Robert Barrack Adult Reconstructive Orthopaedic Surgery · Saint Louis · top payer: Stryker Corporation $2M
Gregory Mattingley Psychiatry · Saint Charles · top payer: Axsome Therapeutics, Inc. $827,012
Ryan Nunley Adult Reconstructive Orthopaedic Surgery · Saint Louis · top payer: Smith+Nephew, Inc. $736,703
Mazyar Moshiri Orthodontics and Dentofacial Orthopedics · Saint Louis · top payer: Align Technology, Inc. $692,117
Jay Keener Orthopaedic Surgery · Saint Louis · top payer: Stryker Corporation $488,820
John Watson Orthopaedic Surgery · Saint Louis · top payer: Smith+Nephew, Inc. $448,513
Matthew Smith Orthopaedic Surgery · Columbia · top payer: DePuy Synthes Products, Inc. $400,904
Scott Luhmann Pediatric Orthopaedic Surgery · Saint Louis · top payer: Stryker Corporation $323,339
Leonid Shunyakov Medical Oncology · Bolivar · top payer: AstraZeneca Pharmaceuticals LP $317,040
Gregory Sayuk Gastroenterology · Saint Louis · top payer: Genzyme Corporation $314,534
Howard Welgus Unspecified · Fenton · top payer: Arcutis Biotherapeutics, Inc. $312,272
Steven Gradney Sleep Medicine · Springfield · top payer: Avadel CNS Pharmaceuticals, LLC $297,141
William Rosenfeld Neurology · Chesterfield · top payer: SK Life Science, Inc. $280,490
Jeremy Mccormick Foot and Ankle Surgery · Saint Louis · top payer: Stryker Corporation $268,258
Jody Mcaleer Foot Surgery · Jefferson City · top payer: Treace Medical Concepts, Inc. $262,000
Jeffrey Tillinghast Allergy & Immunology · Saint Louis · top payer: Cipla USA Inc. $255,569
Barry Singer Neurology · Saint Louis · top payer: TG THERAPEUTICS, INC. $233,230
Ahmed Abdelmoity Neurology with Special Qualifications in Child Neurology · Kansas City · top payer: LivaNova USA, Inc. $232,009
Adam Sky Psychiatry · Saint Louis · top payer: Teva Pharmaceuticals USA, Inc. $218,592
Adam Kilian Rheumatology · Saint Louis · top payer: Amgen Inc. $212,465
Anne Winkler Rheumatology · Carthage · top payer: AbbVie Inc. $207,556
Georges Chahoud Cardiovascular Disease · Saint Louis · top payer: ABIOMED $206,097
Elaine Siegfried Dermatology · Saint Louis · top payer: Genzyme Corporation $202,286
Vadim Baram Psychiatry · Saint Louis · top payer: Alkermes, Inc. $199,722

RECORDED — CMS Open Payments figures for program year 2024. DERIVED — state totals, per-physician means, and rankings are sums over those records.

Machine-readable: JSON-LD · Markdown · national overview

What this is — and is not

A disclosure record of industry–physician financial ties in Missouri — not evidence that any payment influenced care, not a measure of a physician's quality, and not advice about your own doctor. To verify a specific physician, search CMS Open Payments directly.