James Randall, MD
Radiation Oncology · Saint Louis, MONPI 1396205498
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 9 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 8 manufacturers, the largest accounting for just 23.1% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $432, 10.0 times the $43 reported in 2021.
Across 9 payments — averaging $107.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GT Medical Technologies, Inc$223
- Reflexion Medical, Inc.$213
- Novocure Inc.$197
- Icotec Medical Inc.$144
- Servier Pharmaceuticals LLC$99
- AstraZeneca$43
- plus $48 from 2 others
What the payments were for
- Food & beverage$968100%
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 |
|---|---|---|
| GT Medical Technologies, Inc | 1 | $223 |
| Reflexion Medical, Inc. | 1 | $213 |
| Novocure Inc. | 2 | $197 |
| Icotec Medical Inc. | 1 | $144 |
| Servier Pharmaceuticals LLC | 1 | $99 |
| AstraZeneca | 1 | $43 |
| Boston Scientific | 1 | $33 |
| Tactile Systems Technology Inc | 1 | $16 |
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.
- GammaTile$223
- REFLEXION MEDICAL RADIOTHERAPY SYSTEM$213
- VADER PEDICLE SYSTEM 6.0, SCREW, Carbon/PEEK, POLYAX., FEN., O 5.5 X 45 MM$144
- VADER PEDICLE SYSTEM, ROD, Carbon/PEEK, CURVED, 6.0 R450 X 200 MM$144
- KONG-TL VBR E, EXPANDABLE BODY, L, 19 MM X 27 - 37 MM$144
- KONG-TL VBR, END PLATE, ROUND, L AND SCREW, 12 X 43 MM$144
- KONG-TL VBR, END PLATE, RECTANGULAR, M AND SCREW, 12 X 33 MM$144
- Optune$132
How this compares
$968 in reported general payments places this provider in the 55th percentile of 123 radiation oncology 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 radiation oncology in Saint Louis
- Clifford RobinsonSaint Louis$817K
- Pamela SamsonSaint Louis$95K
- Jeffrey BradleySaint Louis$75K
- Matthew SprakerSaint Louis$61K
- Lauren HenkeSaint Louis$45K
- Jeff MichalskiSaint Louis$44K
- Stephanie PerkinsSaint Louis$16K
- Hiram GaySaint Louis$12K
- Shahed BadiyanSaint Louis$6K
- Robert FrazierSaint Louis$6K
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.