Brian Meek, MD
Anesthesiology · O Fallon, MONPI 1730342023
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $8,669 of the $13,952 with a category attached, or 62.1%. It is spread thinly across 24 manufacturers, the largest accounting for just 23.3%. Among anesthesiology 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 216 payments — averaging $64.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Saluda Medical Americas, Inc.$3K
- Spinal Simplicity, LLC$3K
- Relievant Medsystems, Inc.$2K
- Abbott$1K
- Nevro Corp.$967
- Foundation Fusion Solutions, LLC$913
- plus $3K from 18 others
What the payments were for
- Travel & lodging$5,18637%
- Food & beverage$8,66962%
- Education$260%
- Entertainment$711%
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 |
|---|---|---|
| Saluda Medical Americas, Inc. | 18 | $3,257 |
| Spinal Simplicity, LLC | 29 | $2,975 |
| Relievant Medsystems, Inc. | 12 | $1,620 |
| Abbott | 43 | $1,447 |
| Nevro Corp. | 7 | $967 |
| Foundation Fusion Solutions, LLC | 20 | $913 |
| Boston Scientific | 10 | $644 |
| Medtronic | 12 | $418 |
| Globus Medical | 5 | $340 |
| Biotronik NRO, Inc. | 9 | $317 |
| Collegium Pharmaceutical, Inc. | 18 | $316 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 14 | $206 |
| Stimwave Technologies Incorporated | 2 | $150 |
| SPR Therapeutics, Inc | 3 | $112 |
| Vertex | 3 | $72 |
| Azurity Pharmaceuticals, Inc. | 2 | $32 |
| Valinor Pharma, LLC | 2 | $32 |
| MML US, Inc. | 1 | $28 |
| Painteq LLC | 1 | $26 |
| Merck | 1 | $21 |
| Nalu Medical, Inc. | 1 | $18 |
| Protega Pharmaceutials Inc | 1 | $15 |
| Curonix LLC | 1 | $14 |
| Johnson & Johnson | 1 | $13 |
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.
- Intracept$5,627
- Evoke SCS$2,577
- HA MINUTEMAN G3-R$2,474
- Senza$466
- Senza Spinal Cord Stimulation System$454
- Evoke$338
- ETERNA$217
- INTELLIS ADAPTIVESTIM$147
- Proclaim Family of SCS IPGs$136
- WaveWriter Alpha Prime 16$133
- INCEPTIV$133
- Omnia$131
- PROCLAIM$112
How this compares
$13,952 in reported general payments places this provider in the 95th percentile of 891 anesthesiology 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 751 | $12,926 |
| OxycontinOxycodone Hcl | 22 | $12,615 |
| BelbucaBuprenorphine Hcl | 14 | $8,187 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 437 | $8,115 |
| Buprenorphine | 40 | $7,751 |
| Gabapentin | 250 | $3,863 |
| Pregabalin | 143 | $3,856 |
| Tramadol Hcl | 361 | $2,497 |
| Oxycodone Hcl | 116 | $1,426 |
| Duloxetine Hcl | 53 | $1,234 |
| Methadone Hcl | 39 | $1,041 |
| Morphine Sulfate ErMorphine Sulfate | 43 | $1,019 |
| Fentanyl | 12 | $683 |
| Hydromorphone Hcl | 31 | $649 |
| Morphine Sulfate | 19 | $578 |
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 |
|---|---|---|
| Collegium Pharmaceutical, Inc.Belbuca | $316 | $8,18714 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 95th percentile of 891 anesthesiology providers in Missouri.
Other anesthesiology in O Fallon
- Peter SzatkowskiO Fallon$1K
- Christopher BeuerSaint Louis$905K
- Bradford CardonellColumbia$440K
- Mitchell FingermanSaint Louis$229K
- Evan KharaschSaint Louis$57K
- Terri MonkSaint Louis$42K
- Quoc DangSaint Louis$29K
- Peter NageleSaint Louis$25K
- Gary HaynesSaint Louis$13K
- Helga KomenSaint Louis$10K
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.