Christopher Speidel, MD
Cardiovascular Disease · Saint Louis, MONPI 1427037936
Payments from drug & device makers
Across 177 payments — averaging $16.49 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$686
- Amgen$452
- AstraZeneca$224
- Johnson & Johnson$172
- E.r. Squibb & Sons, L.L.C.$152
- Novo Nordisk$117
- plus $1K from 25 others
What the payments were for
- Food & beverage$2,919100%
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 |
|---|---|---|
| Novartis | 44 | $686 |
| Amgen | 28 | $452 |
| AstraZeneca | 15 | $224 |
| Johnson & Johnson | 9 | $172 |
| E.r. Squibb & Sons, L.L.C. | 9 | $152 |
| Novo Nordisk | 7 | $117 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 8 | $103 |
| Pfizer | 7 | $96 |
| Boehringer Ingelheim | 5 | $91 |
| Siemens Medical Solutions USA, Inc. | 5 | $85 |
| Edwards Lifesciences | 3 | $73 |
| Regeneron Healthcare Solutions, Inc. | 4 | $66 |
| Sanofi-aventis U.S. LLC | 3 | $54 |
| Inari Medical, Inc. | 3 | $52 |
| Abiomed | 2 | $47 |
| Medtronic(2 entities) | 3 | $46 |
| Kiniksa Pharmaceuticals International, PLC | 2 | $46 |
| Heartflow, Inc. | 3 | $45 |
| Merck | 2 | $40 |
| Scpharmaceuticals Inc. | 2 | $40 |
| Abbott | 2 | $39 |
| Chiesi USA, Inc. | 2 | $34 |
| Kiniksa Pharmaceuticals, Ltd. | 1 | $28 |
| Actelion Pharmaceuticals US, Inc. | 1 | $20 |
| Boston Scientific | 1 | $18 |
| Lexicon Pharmaceuticals, Inc. | 1 | $18 |
| Esperion Therapeutics, Inc. | 1 | $17 |
| Cvrx, Inc. | 1 | $17 |
| Cardiva Medical, Inc. | 1 | $15 |
| Cook Medical LLC | 1 | $13 |
| Philips North America LLC | 1 | $12 |
How this compares
$2,919 in reported general payments places this provider in the 50th percentile of 391 cardiovascular disease 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 |
|---|---|---|
| EliquisApixaban | 601 | $621,406 |
| XareltoRivaroxaban | 326 | $327,867 |
| EntrestoSacubitril/Valsartan | 164 | $158,498 |
| Repatha SureclickEvolocumab | 84 | $76,623 |
| FarxigaDapagliflozin Propanediol | 51 | $47,452 |
| JardianceEmpagliflozin | 48 | $37,518 |
| BrilintaTicagrelor | 23 | $17,604 |
| Praluent PenAlirocumab | 21 | $11,745 |
| NexletolBempedoic Acid | 12 | $9,396 |
| Metoprolol Succinate | 789 | $8,077 |
| Atorvastatin Calcium | 718 | $7,741 |
| Dabigatran EtexilateDabigatran Etexilate Mesylate | 14 | $6,729 |
| Ezetimibe | 213 | $6,515 |
| Rosuvastatin Calcium | 579 | $5,214 |
| Pitavastatin Calcium | 19 | $4,618 |
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 |
|---|---|---|
| PfizerEliquis | $96 | $621,406601 claims |
| Johnson & JohnsonXarelto | $172 | $327,867326 claims |
| NovartisEntresto | $686 | $158,498164 claims |
| AstraZenecaFarxiga, Brilinta | $224 | $65,05674 claims |
| Boehringer IngelheimJardiance | $91 | $37,51848 claims |
| Esperion Therapeutics, Inc.Nexletol | $17 | $9,39612 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 50th percentile of 391 cardiovascular disease providers in Missouri.
Other cardiovascular disease in Saint Louis
- Mohammad TahirSaint Louis$2.7M
- Joshua MitchellSaint Louis$1.4M
- Nathan StitzielSaint Louis$1.2M
- Daniel KellySaint Louis$1.1M
- Georges ChahoudSaint Louis$967K
- Jiafu OuSaint Louis$853K
- William BowenSaint Louis$726K
- Mustafa HusainiSaint Louis$465K
- Denise JanosikSaint Louis$295K
- Farhan KatchiSaint Louis$245K
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.