Heather Cugini, MD
Obstetrics & Gynecology · Cape Girardeau, MONPI 1669707113
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (44.0%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Gen-probe, Inc. accounts for 60.5% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2022 at $4,634 and has fallen 96.8% since, to $150 in 2024. Among obstetrics & gynecology clinicians in MO with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 68 payments — averaging $83.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Gen-probe, Inc.$3K
- Gen-probe Sales & Service, Inc.$979
- AbbVie$503
- Merck$282
- Astellas Pharma US Inc$125
- Roche Diagnostics Corporation$97
- plus $263 from 10 others
What the payments were for
- Consulting fees$2,50044%
- Travel & lodging$1,46626%
- Food & beverage$1,72230%
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 |
|---|---|---|
| Gen-probe, Inc. | 3 | $3,439 |
| Gen-probe Sales & Service, Inc. | 5 | $979 |
| AbbVie(2 entities) | 26 | $503 |
| Merck | 9 | $282 |
| Astellas Pharma US Inc | 1 | $125 |
| Roche Diagnostics Corporation | 5 | $97 |
| Johnson & Johnson | 4 | $96 |
| Organon | 6 | $34 |
| Sumitomo Pharma America, Inc. | 1 | $25 |
| Zyla Life Sciences, Inc. | 2 | $23 |
| Hologic Sales And Service, LLC | 1 | $16 |
| Smith+Nephew | 1 | $16 |
| Bayer | 1 | $15 |
| Coopersurgical, Inc. | 1 | $14 |
| Lupin Inc. | 1 | $13 |
| Mallinckrodt Enterprises LLC | 1 | $11 |
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
$5,688 in reported general payments places this provider in the 90th percentile of 750 obstetrics & gynecology 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 obstetrics & gynecology in Cape Girardeau
- Thomas ShultzSpringfield$1.1M
- Becky LynnSaint Louis$231K
- Timothy HallIndependence$172K
- Craig McCoyMoberly$101K
- Richard GutknechtIndependence$65K
- Amanda CarrollFestus$55K
- Amy CarterKansas City$49K
- Megan SneedLees Summit$44K
- Kimberly LemoineSaint Louis$30K
- Carrie CardaPoplar Bluff$22K
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.