Anas Gremida, MD
Gastroenterology · Saint Louis, MONPI 1295098457
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $789 of the $1,038 with a category attached, or 76.0%. 7 manufacturers reported payments, led by AbbVie at 55.4% of the total. That places this record below the midpoint for gastroenterology clinicians in MO, where the typical reported total is $1,415.
Across 46 payments — averaging $22.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$576
- Takeda Pharmaceuticals U.S.A., Inc.$198
- Gilead$85
- Johnson & Johnson$84
- Sandoz$67
- Ironwood Pharmaceuticals, Inc$15
- plus $14 from 1 others
Across 73 payments — averaging $2701.56 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.
- AbbVie$165K
- Hoffmann-la Roche Limited$20K
- F. Hoffmann-la Roche AG$12K
What the payments were for
- Speaking & faculty fees$989%
- Food & beverage$78976%
- Education$15115%
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 |
|---|---|---|
| AbbVie | 27 | $576 |
| Takeda Pharmaceuticals U.S.A., Inc. | 10 | $198 |
| Gilead | 5 | $85 |
| Johnson & Johnson | 1 | $84 |
| Sandoz | 1 | $67 |
| Ironwood Pharmaceuticals, Inc | 1 | $15 |
| Intercept Pharmaceuticals, Inc. | 1 | $14 |
How this compares
$1,038 in reported general payments places this provider in the 45th percentile of 374 gastroenterology 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 |
|---|---|---|
| StelaraUstekinumab | 40 | $1,093,651 |
| Humira(Cf) PenAdalimumab | 13 | $88,984 |
| Mesalamine | 67 | $34,592 |
| Mesalamine ErMesalamine | 17 | $5,016 |
| Azathioprine | 45 | $3,229 |
| Mercaptopurine | 24 | $2,234 |
| Budesonide DrBudesonide | 22 | $1,903 |
| LoperamideLoperamide Hcl | 23 | $1,688 |
| Colestipol Hcl | 13 | $1,437 |
| Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl | 105 | $1,296 |
| Sulfasalazine | 20 | $800 |
| Diphenoxylate-AtropineDiphenoxylate Hcl/Atropine | 32 | $780 |
| Gavilyte-CPeg3350/Sod Sulf,bicarb,cl/Kcl | 22 | $354 |
| Peg-3350 And ElectrolytesPeg3350/Sod Sulf,bicarb,cl/Kcl | 21 | $349 |
| Omeprazole | 23 | $235 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Johnson & JohnsonStelara | $84 | $1,093,65140 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 45th percentile of 374 gastroenterology providers in Missouri.
Other gastroenterology in Saint Louis
- Gregory SayukSaint Louis$1.1M
- Katie SchroederSaint Louis$730K
- David AlpersSaint Louis$616K
- Parakkal DeepakSaint Louis$205K
- Mauricio Lisker MelmanSaint Louis$179K
- Matthew CiorbaSaint Louis$156K
- Bruce BaconSaint Louis$138K
- Jeffrey CrippinSaint Louis$120K
- Vladimir KushnirSaint Louis$118K
- Kayci Huff-HardySaint Louis$116K
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.