Diana Douleh, MD
Orthopaedic Surgery of the Spine · Saint Louis, MONPI 1467983148
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (48.7%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Stryker at 40.3% of the total. Reporting peaked in 2024 at $12,954 and has fallen 88.8% since, to $1,456 in 2025.
Across 75 payments — averaging $235.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$7K
- Medtronic$5K
- Gemini Mountain Medical, LLC$2K
- Globus Medical$2K
- Arthrex$781
- Medical Device Business Services, Inc.$428
- plus $702 from 6 others
What the payments were for
- Grants$1,5008%
- Travel & lodging$3,94022%
- Food & beverage$3,60620%
- Education$8,60349%
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 |
|---|---|---|
| Stryker | 10 | $7,115 |
| Medtronic | 37 | $4,555 |
| Gemini Mountain Medical, LLC | 2 | $2,400 |
| Globus Medical(2 entities) | 9 | $1,667 |
| Arthrex | 8 | $781 |
| Medical Device Business Services, Inc. | 2 | $428 |
| Cerapedics Inc. | 2 | $332 |
| Davol Inc. | 1 | $164 |
| Kairos Surgical Inc | 1 | $77 |
| Centinel Spine, LLC | 1 | $76 |
| Coastal Technology Solutions LLC | 1 | $38 |
| KCI USA, Inc. | 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.
How this compares
$17,648 in reported general payments places this provider in the 55th percentile of 53 orthopaedic surgery of the spine providers in Missouri.
See all orthopaedic surgery of the spine 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 |
|---|---|---|
| Oxycodone Hcl | 34 | $242 |
| Gabapentin | 23 | $218 |
| Methylprednisolone | 12 | $102 |
| Meloxicam | 13 | $83 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Saint Louis
- Munish GuptaSaint Louis$1M
- Jacob BuchowskiSaint Louis$658K
- Brian NeumanSaint Louis$106K
- R Adams CowleySaint Louis$53K
- Michael ReiterSaint Louis$37K
- Mark LambrechtsSaint Louis$37K
- Nicholas PallottaSaint Louis$21K
- Matthew GoodwinSaint Louis$20K
- John ClohisySaint Louis$19K
- Bryan RynearsonSaint Louis$17K
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.