Denise Janosik, MD
Cardiovascular Disease · Saint Louis, MONPI 1245257211
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 27 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 12 manufacturers, the largest accounting for just 20.4% — the pattern of someone who eats at a lot of different presentations. That places this record below the midpoint for cardiovascular disease clinicians in MO, where the typical reported total is $1,720.
Across 27 payments — averaging $20.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$116
- Pfizer$100
- Amgen$85
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$76
- Medtronic$52
- Kestra Medical Technology Services, Inc.$42
- plus $95 from 6 others
Across 34 payments — averaging $8659.34 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Novartis$154K
- Amgen$109K
- CSL Behring$26K
- Sanofi US Services Inc.$6K
What the payments were for
- Food & beverage$567100%
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 | 6 | $116 |
| Pfizer | 2 | $100 |
| Amgen | 5 | $85 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 4 | $76 |
| Medtronic | 2 | $52 |
| Kestra Medical Technology Services, Inc. | 2 | $42 |
| Kiniksa Pharmaceuticals, Ltd. | 1 | $23 |
| Lantheus Medical Imaging, Inc. | 1 | $16 |
| E.r. Squibb & Sons, L.L.C. | 1 | $16 |
| Esperion Therapeutics, Inc. | 1 | $15 |
| AstraZeneca | 1 | $14 |
| Regeneron Healthcare Solutions, Inc. | 1 | $11 |
How this compares
$567 in reported general payments places this provider in the 30th 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 |
|---|---|---|
| Repatha SureclickEvolocumab | 615 | $509,268 |
| EliquisApixaban | 302 | $333,886 |
| Praluent PenAlirocumab | 361 | $266,206 |
| XareltoRivaroxaban | 42 | $49,513 |
| VascepaIcosapent Ethyl | 51 | $28,309 |
| NexlizetBempedoic Acid/Ezetimibe | 26 | $19,017 |
| BrilintaTicagrelor | 14 | $14,029 |
| Repatha SyringeEvolocumab | 17 | $9,033 |
| Ezetimibe | 359 | $7,074 |
| Rosuvastatin Calcium | 376 | $3,333 |
| Metoprolol Succinate | 268 | $3,034 |
| Nebivolol Hcl | 38 | $2,772 |
| Atorvastatin Calcium | 365 | $2,655 |
| Potassium Chloride | 29 | $1,482 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 60 | $1,408 |
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 | $100 | $333,886302 claims |
| Esperion Therapeutics, Inc.Nexlizet | $15 | $19,01726 claims |
| AstraZenecaBrilinta | $14 | $14,02914 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 30th percentile of 391 cardiovascular disease providers in Missouri.
Other cardiovascular disease in Saint Louis
- Georges ChahoudSaint Louis$937K
- William BowenSaint Louis$726K
- Daniel KellySaint Louis$582K
- Osler Jay GuzonSaint Louis$211K
- Mohammad TahirSaint Louis$173K
- Robert RifkinSaint Louis$145K
- Martin SchwarzeSaint Louis$113K
- Joshua MitchellSaint Louis$103K
- Zainab MahmoudSaint Louis$100K
- Nizar AssiSaint Louis$81K
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.