Catherine Howe, MD
Gastroenterology · Saint Louis, MONPI 1033573845
Payments from drug & device makers
Across 19 payments — averaging $32.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$135
- E.r. Squibb & Sons, L.L.C.$123
- Takeda Pharmaceuticals U.S.A., Inc.$106
- Sanofi$102
- AbbVie$70
- Ardelyx, Inc.$63
- plus $20 from 1 others
What the payments were for
- Food & beverage$620100%
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 | 1 | $135 |
| E.r. Squibb & Sons, L.L.C. | 1 | $123 |
| Takeda Pharmaceuticals U.S.A., Inc. | 5 | $106 |
| Sanofi | 4 | $102 |
| AbbVie | 3 | $70 |
| Ardelyx, Inc. | 4 | $63 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $20 |
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.
How this compares
$620 in reported general payments places this provider in the 35th 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 |
|---|---|---|
| Mesalamine | 14 | $4,190 |
| Gavilyte-CPeg3350/Sod Sulf,bicarb,cl/Kcl | 263 | $4,149 |
| Balsalazide Disodium | 16 | $3,496 |
| Omeprazole | 237 | $2,968 |
| Dicyclomine Hcl | 121 | $2,363 |
| Colestipol Hcl | 26 | $1,646 |
| Pantoprazole Sodium | 104 | $944 |
| Nortriptyline Hcl | 70 | $942 |
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 15 | $877 |
| Peg 3350-ElectrolyteSodium Chloride/Nahco3/Kcl/Peg | 48 | $844 |
| Budesonide DrBudesonide | 13 | $695 |
| Famotidine | 32 | $517 |
| Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl | 38 | $397 |
| Esomeprazole Magnesium | 11 | $223 |
| Amitriptyline Hcl | 21 | $188 |
Paid to pharmacies, not to this prescriber.
Other gastroenterology in Saint Louis
- Parakkal DeepakSaint Louis$2M
- Gregory SayukSaint Louis$1.1M
- Katie SchroederSaint Louis$920K
- Kevin KorenblatSaint Louis$857K
- Brent Neuschwander-TetriSaint Louis$729K
- David AlpersSaint Louis$616K
- Chandra GyawaliSaint Louis$593K
- Richard RoodSaint Louis$567K
- Matthew CiorbaSaint Louis$551K
- Bruce BaconSaint Louis$307K
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.