Christopher Lawrance, MD
Surgery · Saint Louis, MONPI 1851602684
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (51.8%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. Abiomed accounts for 67.9% of it on its own, with 12 other manufacturers making up the rest. 2025 is the largest year on record at $16,118, more than ten times the $827 reported in 2019. Among surgery 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 215 payments — averaging $169.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abiomed$25K
- Angiodynamics, Inc.$4K
- Abbott$2K
- Edwards Lifesciences$2K
- Atricure, Inc.$2K
- Bolton Medical Inc$572
- plus $1K from 7 others
What the payments were for
- Consulting fees$7,00019%
- Speaking & faculty fees$4501%
- Travel & lodging$10,15328%
- Food & beverage$18,89052%
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 | 125 | $24,777 |
| Angiodynamics, Inc. | 13 | $3,528 |
| Abbott | 18 | $2,318 |
| Edwards Lifesciences | 22 | $2,071 |
| Atricure, Inc. | 20 | $1,947 |
| Bolton Medical Inc | 4 | $572 |
| Medtronic(2 entities) | 4 | $410 |
| Zimmer Biomet | 2 | $209 |
| Haemonetics Corporation | 2 | $200 |
| Artivion, Inc. | 2 | $194 |
| BD | 1 | $160 |
| Livanova USA, Inc. | 1 | $90 |
| Novartis | 1 | $15 |
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$9,821
- AngioVac$3,448
- MitraClip$1,437
- ATRICLIP LAA EXCLUSION SYSTEM$761
- INSPIRIS RESILIA aortic valve$630
- SYNERGY ABLATION SYSTEM$577
- MITRIS RESILIA Mitral Valve$500
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$476
- THORAFLEX HYBRID$442
- 2ND GEN CENTRIMAG PRIMARY CONSOLE$398
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$250
- BioGlue$160
- On-X$160
- COREVALVE EVOLUT R$151
- STERNALOCK BLU SYSTEM$150
- ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2)$143
- TEG6s HEMOSTASIS SYSTEM$139
- TREO ABDOMINAL STENT-GRAFT SYSTEM$130
- SAPIEN 3 Ultra RESILIA$125
- AMPLATZER AMULET$123
How this compares
$36,492 in reported general payments places this provider in the 95th percentile of 612 surgery 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 surgery in Saint Louis
- James ScottSaint Louis$307K
- Omar GuerraSaint Louis$249K
- Mark DrakeSaint Louis$212K
- Adeel KhanSaint Louis$204K
- Michael AwadSaint Louis$176K
- Laurie PunchSaint Louis$141K
- Jeffrey BlatnikSaint Louis$134K
- Sekhar DharmarajanSaint Louis$110K
- Shaina EckhouseSaint Louis$67K
- Jason RheeSaint Louis$63K
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.