RxDoctor Payments Data

Janet Sellmeyer, CRNA

Nurse Anesthetist, Certified Registered · Kansas City, MONPI 1861411514

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 95.2% of the total across 40 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 14 manufacturers reported payments, led by Takeda Pharmaceuticals U.S.A., Inc. at 35.6% of the total. Reporting peaked in 2023 at $346 and has fallen 67.1% since, to $114 in 2025. Among nurse anesthetist, certified registered clinicians in MO with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$832in general payments, 2019–2025

Across 40 payments — averaging $20.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Takeda Pharmaceuticals U.S.A., Inc.$296
  • Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$139
  • Merck$83
  • Lilly USA, LLC$71
  • Fresenius Kabi USA, LLC$47
  • Celltrion USA Inc.$40
  • plus $156 from 8 others

What the payments were for

  • Food & beverage$79295%
  • Education$405%

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

21
22
23
24
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.

How this compares

$832 in reported general payments places this provider in the 95th percentile of 1,371 nurse anesthetist, certified registered providers in Missouri.

See all nurse anesthetist, certified registered providers in Missouri

Medicare billing

Part B allowed, 2024
$8,140
Medicare patients
63
Services billed
63

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 nurse anesthetist, certified registered in Kansas City

See the full list for Missouri

Where these figures come from

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