Avinash Mesipam, MD
Diagnostic Radiology · Saint Louis, MONPI 1427495316
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $15,754 of the $22,748 with a category attached, or 69.3%. 25 manufacturers reported payments, led by Medtronic at 39.4% of the total. 2025 is the largest year on record at $5,910, 4.1 times the $1,429 reported in 2019. Among diagnostic radiology 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.
Across 267 payments — averaging $85.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$9K
- Penumbra, Inc.$4K
- Stryker$3K
- Balt USA, LLC$1K
- Johnson & Johnson$1K
- Microvention, Inc.$1K
- plus $3K from 19 others
What the payments were for
- Consulting fees$2,53811%
- Speaking & faculty fees$3502%
- Travel & lodging$4,10618%
- Food & beverage$15,75469%
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 |
|---|---|---|
| Medtronic(2 entities) | 111 | $8,962 |
| Penumbra, Inc. | 25 | $4,107 |
| Stryker | 36 | $2,747 |
| Balt USA, LLC | 6 | $1,420 |
| Johnson & Johnson | 20 | $1,198 |
| Microvention, Inc. | 10 | $1,009 |
| Inari Medical, Inc. | 6 | $643 |
| Terumo Medical Corporation | 6 | $514 |
| Scientia Vascular | 1 | $365 |
| Boston Scientific | 4 | $308 |
| Trisalus Life Sciences, Inc. | 6 | $296 |
| Bard Peripheral Vascular, Inc. | 4 | $207 |
| Cardiva Medical, Inc. | 7 | $158 |
| Imperative Care, Inc | 4 | $130 |
| Cardiovascular Systems Inc. | 5 | $125 |
| Biogen | 1 | $108 |
| Medical Device Business Services, Inc. | 1 | $107 |
| Mozarc Medical US LLC | 4 | $78 |
| Philips North America LLC | 2 | $57 |
| Biosense Webster, Inc. | 2 | $55 |
| Sirtex Medical Inc | 1 | $47 |
| W. L. Gore & Associates, Inc. | 2 | $38 |
| Baylis Medical Technologies Inc. | 1 | $36 |
| Microtransponder, Inc. | 1 | $17 |
| Merit Medical Systems Inc | 1 | $17 |
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.
- Penumbra System$2,879
- Pipeline$1,357
- Carrier Delivery Catheter$1,138
- TARGET$776
- Indigo System$668
- FLOWTRIEVER CATHETER, S$538
- CT THROMBECTOMY SYSTEM KIT$538
- Solitaire$506
- WEB$478
- LVIS$478
- HydroSoft 3D Coil$478
- Traxcess Guidewire and Docking Wire$478
- Sofia$478
- Optima Coil System$445
- TRUFILL$404
- SPINEJACK$404
- SOLITAIRE X$402
- AZUR$370
- Clossus$365
- Socrates 38$365
How this compares
$22,748 in reported general payments places this provider in the 95th percentile of 762 diagnostic radiology 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 |
|---|---|---|
| BrilintaTicagrelor | 15 | $6,219 |
| ClopidogrelClopidogrel Bisulfate | 14 | $73 |
Paid to pharmacies, not to this prescriber.
Other diagnostic radiology in Saint Louis
- Kyongtae BaeSaint Louis$232K
- Jack JenningsSaint Louis$189K
- Ambrose HuangSaint Louis$169K
- Laurie FajardoSaint Louis$87K
- Tammie BenzingerSaint Louis$80K
- Matthew CovingtonSaint Louis$68K
- Alexander UshinskySaint Louis$67K
- Christopher MaloneSaint Louis$65K
- Robert McKinstrySaint Louis$60K
- Arvind NehraSaint Louis$45K
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.