Jeffrey Heese, CRNA
Nurse Anesthetist, Certified Registered · Rolla, MONPI 1396787545
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 14 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 9 manufacturers reported payments, led by Merck at 24.7% of the total. 2025 is the largest year on record at $83, 5.5 times the $15 reported in 2021.
Across 14 payments — averaging $19.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$67
- Avanos Medical$49
- Medtronic$42
- Pacira Pharmaceuticals Incorporated$25
- Abbott$23
- Teleflex LLC$20
- plus $45 from 3 others
What the payments were for
- Food & beverage$271100%
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 |
|---|---|---|
| Merck | 4 | $67 |
| Avanos Medical | 3 | $49 |
| Medtronic | 1 | $42 |
| Pacira Pharmaceuticals Incorporated | 1 | $25 |
| Abbott | 1 | $23 |
| Teleflex LLC | 1 | $20 |
| Vertex | 1 | $16 |
| Vyaire Medical, Inc. | 1 | $15 |
| Cumberland Pharmaceuticals, Inc. | 1 | $14 |
How this compares
$271 in reported general payments places this provider in the 80th percentile of 1,371 nurse anesthetist, certified registered providers in Missouri.
See all nurse anesthetist, certified registered 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 nurse anesthetist, certified registered in Rolla
- Becky HeidottenRolla$2K
- Nathan MicklautzRolla$1K
- Jason CoreyRolla$631
- Mary BaderOsage Beach$45K
- Melinda WeberSaint Louis$31K
- Robert WalshSaint Louis$12K
- Paula RubisonJoplin$5K
- Casey MillerSaint Louis$4K
- Phillip KnowlesLee's Summit$3K
- Katherine McElroyJoplin$2K
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.