Bharat Panuganti, MD
Otolaryngology · Saint Louis, MONPI 1710369772
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (41.8%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. 9 manufacturers reported payments, led by Intuitive Surgical at 52.5% of the total. 2025 is the largest year on record at $6,748, 5.6 times the $1,200 reported in 2021. Among otolaryngology 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 51 payments — averaging $375.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$10K
- Mauna Kea Technologies, Inc.$5K
- Stryker$2K
- Impactortho, Inc.$1K
- Axogen$393
- Angiodynamics, Inc.$349
- plus $470 from 3 others
What the payments were for
- Consulting fees$3,60019%
- Travel & lodging$5,48629%
- Food & beverage$2,06811%
- Education$8,00042%
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 | 24 | $10,050 |
| Mauna Kea Technologies, Inc. | 13 | $5,007 |
| Stryker | 4 | $1,685 |
| Impactortho, Inc. | 1 | $1,200 |
| Axogen | 3 | $393 |
| Angiodynamics, Inc. | 3 | $349 |
| Steris Corporation | 1 | $195 |
| Boston Scientific | 1 | $149 |
| Olympus America Inc. | 1 | $126 |
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$7,217
- DA VINCI SP$2,500
- 1788$742
- 1688$651
- Nanoknife$349
- AVANCE NERVE GRAFT$235
- TRUFREEZE$195
- 1588$154
- FiberLase CO2 Fiber$149
- SPY-PHI SYSTEM$138
- RHINO-LARYNGO VIDEOSCOPE$126
How this compares
$19,154 in reported general payments places this provider in the 95th percentile of 210 otolaryngology 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 otolaryngology in Saint Louis
- Ryan JacksonSaint Louis$284K
- Ravindra UppaluriSaint Louis$168K
- John SchneiderSaint Louis$74K
- Amit WaliaSaint Louis$21K
- Cristine Klatt-CromwellSaint Louis$13K
- Lauren RolandSaint Louis$11K
- James HartmanSaint Louis$7K
- Robert ObertSaint Louis$7K
- Barry RosenblumSaint Louis$4K
- Arya NaminSaint Louis$4K
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.