Christine Kuehnel
Gerontology · Saint Louis, MONPI 1053906487
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 98 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 18 manufacturers reported payments, led by Integra Lifesciences Corporation at 32.9% of the total. Reporting peaked in 2024 at $919 and has fallen 62.0% since, to $349 in 2025.
Across 98 payments — averaging $29.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Integra Lifesciences Corporation$943
- Organogenesis Inc.$521
- Kerecis Limited$509
- Imbed Biosciences Inc.$190
- Acera Surgical, Inc.$179
- Smith+Nephew$116
- plus $410 from 12 others
What the payments were for
- Food & beverage$2,868100%
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 |
|---|---|---|
| Integra Lifesciences Corporation | 44 | $943 |
| Organogenesis Inc. | 5 | $521 |
| Kerecis Limited | 12 | $509 |
| Imbed Biosciences Inc. | 11 | $190 |
| Acera Surgical, Inc. | 3 | $179 |
| Smith+Nephew | 5 | $116 |
| Hydrofera LLC | 4 | $108 |
| KCI USA, Inc. | 3 | $74 |
| Ossur Americas, Inc. | 1 | $43 |
| Mimedx Group, Inc. | 2 | $40 |
| Polynovo North America LLC | 1 | $24 |
| W. L. Gore & Associates, Inc. | 1 | $22 |
| Paratek Pharmaceuticals, Inc. | 1 | $21 |
| Lifenet Health | 1 | $19 |
| Braintree Laboratories, Inc. | 1 | $18 |
| Merck | 1 | $15 |
| Melinta Therapeutics, LLC | 1 | $15 |
| Hartmann USA, Inc. | 1 | $12 |
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.
- Kerecis Omega3 SurgiClose$750
- Kerecis Omega3 Marigen$740
- INTEGRA$466
- PRIMATRIX$267
- INTEGRA DERMAL REGENERATION TEMPLATE$267
- Kerecis Omega3 GraftGuide$206
- PuraPly AM$149
- Affinity$132
- Restrata Wound Matrix$129
- INTEGRA MESHED BILAYER WOUND MATRIX$111
- INTEGRA WOUND MATRIX (IWM)$111
- INTEGRA FLOWABLE WOUND MATRIX$111
How this compares
$2,868 in reported general payments places this provider in the 85th percentile of 175 gerontology 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 |
|---|---|---|
| Doxycycline Hyclate | 19 | $159 |
| Ciprofloxacin Hcl | 13 | $103 |
Paid to pharmacies, not to this prescriber.
Other gerontology in Saint Louis
- Marissa SaengsamranSaint Louis$6K
- Amy GuanSaint Louis$5K
- Kayla WeissSaint Louis$5K
- Michelle CusumanoSaint Louis$4K
- Pibi BoudaSaint Louis$4K
- Allyson ReevesSaint Louis$4K
- Beth YoungerSaint Louis$3K
- Eileen SteinigerSaint Louis$2K
- Jessica SheehanSaint Louis$2K
- Ellen CarlsonSaint Louis$2K
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.