Alexander Brescia, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Saint Louis, MONPI 1669853289
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (41.5%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Edwards Lifesciences accounts for 68.2% of it on its own, with 8 other manufacturers making up the rest. 2025 is the largest year on record at $22,698, more than ten times the $59 reported in 2021.
Across 179 payments — averaging $198.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Edwards Lifesciences$24K
- Artivion, Inc.$5K
- Medtronic$3K
- W. L. Gore & Associates, Inc.$1K
- Atricure, Inc.$772
- Bolton Medical Inc$252
- plus $229 from 3 others
What the payments were for
- Consulting fees$14,72542%
- Speaking & faculty fees$2,0006%
- Travel & lodging$11,44732%
- Food & beverage$7,26921%
- Education$10%
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 |
|---|---|---|
| Edwards Lifesciences | 100 | $24,164 |
| Artivion, Inc. | 12 | $5,119 |
| Medtronic | 41 | $3,407 |
| W. L. Gore & Associates, Inc. | 10 | $1,497 |
| Atricure, Inc. | 6 | $772 |
| Bolton Medical Inc | 4 | $252 |
| Abiomed | 3 | $139 |
| Baxter Healthcare | 2 | $59 |
| Corcym Inc | 1 | $31 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Cardiac non-SynerGraft$3,637
- INSPIRIS RESILIA aortic valve$3,177
- COREVALVE EVOLUT R$2,359
- CRYOVALVE SG PULMONARY HUMAN HEART VALVE$1,177
- ON-X AORTIC HEART VALVE WITH CONFORM-X SEWING RING AND EXTENDED HOLDER$1,009
- KONECT RESILIA$931
- GORE TAG Conformable Thoracic Endoprosthesis$687
- SYNERGY ABLATION SYSTEM$644
- Edwards SAPIEN 3 Transcatheter Heart Valve$576
- MITRIS RESILIA Mitral Valve$542
- SAPIEN 3 Ultra RESILIA$498
- Product in Development$375
- AMDS-Ascyrus Medical$243
- BIOGLUE SURGICAL ADHESIVE$243
- Edwards SAPIEN 3 Ultra Transcatheter Heart Valve$188
- ATRICLIP LAA EXCLUSION SYSTEM$187
- TREO ABDOMINAL STENT-GRAFT SYSTEM$102
How this compares
$35,441 in reported general payments places this provider in the 85th percentile of 113 thoracic surgery (cardiothoracic vascular surgery) providers in Missouri.
See all thoracic surgery (cardiothoracic vascular surgery) 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 thoracic surgery (cardiothoracic vascular surgery) in Saint Louis
- Tsuyoshi KanekoSaint Louis$353K
- Ralph DamianoSaint Louis$134K
- Puja KachrooSaint Louis$57K
- Umraan AhmadSaint Louis$51K
- Nabil MunfakhSaint Louis$44K
- Shuddhadeb RaySaint Louis$38K
- Joshua BakerSaint Louis$36K
- Kunal Deepak KotkarSaint Louis$33K
- George PattersonSaint Louis$23K
- Muhammad MasoodSaint Louis$23K
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.