Bria Giacomino, DO
Critical Care Medicine · Saint Louis, MONPI 1235491812
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,785 of the $4,425 with a category attached, or 62.9%. Abiomed accounts for 66.0% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2024 at $1,685 and has fallen 67.3% since, to $550 in 2025.
Across 44 payments — averaging $100.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abiomed$3K
- Philips North America LLC$1K
- Actelion Pharmaceuticals US, Inc.$143
- Carestream Health, Inc.$77
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$56
- Boston Scientific$17
- plus $29 from 2 others
Across 1 payment — averaging $122.17 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.
- Abiomed$122
What the payments were for
- Consulting fees$93321%
- Travel & lodging$70716%
- Food & beverage$2,78563%
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 |
|---|---|---|
| Abiomed | 31 | $2,920 |
| Philips North America LLC | 5 | $1,183 |
| Actelion Pharmaceuticals US, Inc. | 1 | $143 |
| Carestream Health, Inc. | 1 | $77 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 3 | $56 |
| Boston Scientific | 1 | $17 |
| Pfizer | 1 | $15 |
| Abbott | 1 | $14 |
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.
- Impella$2,035
- (1439) HPM Undiv$428
- MDI$428
- OPSUMIT$143
- UPTRAVI$143
- (6574) Coronary Other$123
- (1439) HPM Undivided$116
How this compares
$4,425 in reported general payments places this provider in the 85th percentile of 208 critical care medicine 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 critical care medicine in Saint Louis
- Jacob KeepermanSaint Louis$51K
- Farid SadakaSaint Louis$41K
- Rajat DharSaint Louis$31K
- Pratik SinhaSaint Louis$25K
- Bryan KraftSaint Louis$24K
- Adam MaySaint Louis$9K
- David StoeckelSaint Louis$9K
- Richard HotchkissSaint Louis$8K
- Justin KnittelSaint Louis$5K
- Salah KeyrouzSaint 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.