John Mellas, MD
Nephrology · Fenton, MONPI 1497712079
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 12 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 5 manufacturers reported payments, led by Medtronic at 40.1% of the total. Reporting peaked in 2019 at $203 and has fallen 92.0% since, to $16 in 2025. That places this record below the midpoint for nephrology clinicians in MO, where the typical reported total is $723.
Across 12 payments — averaging $34.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$167
- Boehringer Ingelheim$103
- AstraZeneca$78
- Mallinckrodt Enterprises LLC$53
- Amgen$16
Across 8 payments — averaging $12,102 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- AstraZeneca$68K
- Novartis$28K
What the payments were for
- Food & beverage$417100%
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 |
|---|---|---|
| Medtronic | 2 | $167 |
| Boehringer Ingelheim | 1 | $103 |
| AstraZeneca | 5 | $78 |
| Mallinckrodt Enterprises LLC | 3 | $53 |
| Amgen | 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.
- RESOLUTE ONYX$144
- JARDIANCE$103
How this compares
$417 in reported general payments places this provider in the 35th percentile of 253 nephrology 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| VelphoroSucroferric Oxyhydroxide | 59 | $177,270 |
| AuryxiaFerric Citrate | 32 | $58,048 |
| XphozahTenapanor Hcl | 17 | $56,317 |
| Sevelamer Carbonate | 194 | $30,627 |
| OzempicSemaglutide | 23 | $21,904 |
| FarxigaDapagliflozin Propanediol | 13 | $18,578 |
| Lanthanum Carbonate | 12 | $10,972 |
| JardianceEmpagliflozin | 13 | $8,066 |
| EliquisApixaban | 11 | $6,003 |
| Calcium Acetate | 71 | $4,959 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 151 | $4,022 |
| Clonidine | 31 | $2,396 |
| Novolog FlexpenInsulin Aspart | 14 | $1,882 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 17 | $1,317 |
| Labetalol Hcl | 45 | $1,159 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AstraZenecaFarxiga | $78 | $18,57813 claims |
| Boehringer IngelheimJardiance | $103 | $8,06613 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 35th percentile of 253 nephrology providers in Missouri.
Other nephrology in Fenton
- Derek LarsonCreve Coeur$605K
- Marcos RothsteinSaint Louis$350K
- Anuja JavaSaint Louis$240K
- Kevin MartinSt Louis$189K
- Alejandro AlvarezFlorissant$176K
- Gary SingerSaint Peters$170K
- Daniel CoyneSaint Louis$163K
- Tarek AlhamadSaint Louis$155K
- Tingting LiSaint Louis$130K
- Bahar BastaniSt Louis$87K
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.