RxDoctor Payments Data

Alexander Chamessian, MD

Physical Medicine & Rehabilitation · Creve Coeur, MONPI 1275194839

Payments from drug & device makers

What this record shows

The money is spread across several categories — grants (29.3%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Boston Scientific at 26.0% of the total. 2025 is the largest year on record at $34,348, more than ten times the $154 reported in 2021. Among physical medicine & rehabilitation clinicians in MO with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$54,620in general payments, 2019–2025

Across 84 payments — averaging $650.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Boston Scientific$14K
  • Promega Corporation$12K
  • Pacira Pharmaceuticals Incorporated$10K
  • SPR Therapeutics, Inc$9K
  • Medtronic$6K
  • Abbott$3K
  • plus $511 from 5 others
$56,642in research payments, 2019–2025

Across 3 payments — averaging $18,881 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Vertex$57K

What the payments were for

  • Consulting fees$9,50017%
  • Grants$16,00029%
  • Travel & lodging$5,79011%
  • Food & beverage$14,83027%
  • Charitable contribution$8,50016%

General payments by program year

21
23
24
25

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.

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.

How this compares

$54,620 in reported general payments places this provider in the 95th percentile of 182 physical medicine & rehabilitation providers in Missouri.

See all physical medicine & rehabilitation providers in Missouri

Medicare billing

Part B allowed, 2024
$4,598
Medicare patients
17
Services billed
48

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.

Most prescribed under Part D

DrugClaimsCost to plans & patients
Gabapentin143$2,535
Baclofen55$1,461
Duloxetine Hcl51$1,158
Topiramate17$1,152
Tizanidine Hcl51$944
Celecoxib35$611
Methocarbamol35$438
Nortriptyline Hcl19$305
Ibuprofen11$297
Lamotrigine12$208
Cyclobenzaprine Hcl15$172
Meloxicam16$9

Paid to pharmacies, not to this prescriber.

Other physical medicine & rehabilitation in Creve Coeur

See the full list for Missouri

Where these figures come from

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