Adam Bales, DO
Anesthesiology · Saint Louis, MONPI 1043654429
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 40 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Boston Scientific accounts for 77.7% of it on its own, with 6 other manufacturers making up the rest. 2025 is the largest year on record at $491, more than ten times the $14 reported in 2020. Among anesthesiology clinicians in MO with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 40 payments — averaging $25.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$799
- Merck$68
- Novartis$64
- Medtronic$33
- Penumbra, Inc.$24
- Heron Therapeutics, Inc.$21
- plus $19 from 1 others
What the payments were for
- Food & beverage$1,028100%
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 |
|---|---|---|
| Boston Scientific | 29 | $799 |
| Merck | 4 | $68 |
| Novartis | 3 | $64 |
| Medtronic | 1 | $33 |
| Penumbra, Inc. | 1 | $24 |
| Heron Therapeutics, Inc. | 1 | $21 |
| Silk Road Medical, Inc. | 1 | $19 |
How this compares
$1,028 in reported general payments places this provider in the 90th percentile of 891 anesthesiology 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.
Other anesthesiology in Saint Louis
- Christopher BeuerSaint Louis$905K
- Mitchell FingermanSaint Louis$229K
- Evan KharaschSaint Louis$57K
- Terri MonkSaint Louis$42K
- Quoc DangSaint Louis$29K
- Peter NageleSaint Louis$25K
- Gary HaynesSaint Louis$13K
- Helga KomenSaint Louis$10K
- Ilesha ShahSaint Louis$10K
- Abigail YorkSaint Louis$9K
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.