Amanda Sundling, DO
Obstetrics & Gynecology · Independence, MONPI 1760801666
Payments from drug & device makers
What this record shows
This record is dominated by education: $3,035 of the $4,874 with a category attached, or 62.3%. Intuitive Surgical accounts for 65.4% of it on its own, with 21 other manufacturers making up the rest. Reporting peaked in 2019 at $3,408 and has fallen 97.8% since, to $75 in 2025. Among obstetrics & gynecology 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 87 payments — averaging $56.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$3K
- AbbVie$562
- Amgen$168
- Davol Inc.$149
- Coopersurgical, Inc.$134
- Evofem Biosciences, Inc.$119
- plus $555 from 16 others
What the payments were for
- Food & beverage$1,83938%
- Education$3,03562%
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 |
|---|---|---|
| Intuitive Surgical | 3 | $3,186 |
| AbbVie(2 entities) | 33 | $562 |
| Amgen | 9 | $168 |
| Davol Inc. | 1 | $149 |
| Coopersurgical, Inc. | 2 | $134 |
| Evofem Biosciences, Inc. | 3 | $119 |
| Hologic Sales And Service, LLC | 6 | $90 |
| Novo Nordisk | 4 | $71 |
| Mayne Pharma Commercial LLC | 4 | $56 |
| Bayer | 3 | $54 |
| Organon | 4 | $48 |
| Pfizer | 2 | $35 |
| Astellas Pharma US Inc | 2 | $31 |
| Exeltis, USA Inc. | 2 | $28 |
| Therapeuticsmd, Inc. | 2 | $27 |
| Sumitomo Pharma America, Inc. | 1 | $21 |
| Agile Therapeutics, Inc. | 1 | $19 |
| Vertex | 1 | $18 |
| Lupin Inc. | 1 | $17 |
| Johnson & Johnson | 1 | $17 |
| Avion Pharmaceuticals | 1 | $12 |
| Merck | 1 | $12 |
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.
- Da Vinci Surgical System$3,109
- ARISTA AH FLEXITIP$149
- Paragard$118
How this compares
$4,874 in reported general payments places this provider in the 90th percentile of 750 obstetrics & gynecology 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Estradiol | 39 | $2,129 |
| Clobetasol Propionate | 27 | $758 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Independence
- Timothy HallIndependence$172K
- Richard GutknechtIndependence$65K
- Thomas ShultzSpringfield$1.1M
- Becky LynnSaint Louis$231K
- Craig McCoyMoberly$101K
- Amanda CarrollFestus$55K
- Amy CarterKansas City$49K
- Megan SneedLees Summit$44K
- Kimberly LemoineSaint Louis$30K
- Carrie CardaPoplar Bluff$22K
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.