RxDoctor Payments Data

Gregory Smith, DO

Pain Medicine · Saint Louis, MONPI 1386640316

Payments from drug & device makers

$634in general payments, 2019–2025

Across 33 payments — averaging $19.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$340
  • Boston Scientific$108
  • Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$97
  • Abbott$60
  • Globus Medical$15
  • Pfizer$13

What the payments were for

  • Food & beverage$634100%

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

19
20
21
22
25

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.

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

$634 in reported general payments places this provider in the 25th percentile of 124 pain medicine providers in Missouri.

See all pain medicine providers in Missouri

Medicare billing

Part B allowed, 2024
$181,012
Medicare patients
269
Services billed
3,103

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

DrugClaimsCost to plans & patients
Xtampza ErOxycodone Myristate31$33,922
Nucynta ErTapentadol Hcl11$21,961
NucyntaTapentadol Hcl12$16,632
Morphine Sulfate ErMorphine Sulfate141$4,880
Pregabalin173$4,430
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen121$3,902
Fentanyl24$3,074
Gabapentin180$2,992
Methadone Hcl139$2,881
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen87$1,687
Tramadol Hcl213$1,586
Tramadol Hcl-AcetaminophenTramadol Hcl/Acetaminophen12$341
Nortriptyline Hcl11$275
Tizanidine Hcl29$271
Baclofen15$237

Paid to pharmacies, not to this prescriber.

Other pain medicine in Saint Louis

See the full list for Missouri

Where these figures come from

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