Joseph Brunworth, MD
Otolaryngology · St. Louis, MONPI 1366694135
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $4,252 of the $6,584 with a category attached, or 64.6%. Amgen accounts for 64.6% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2024 at $2,564 and has fallen 68.2% since, to $816 in 2025. Among otolaryngology 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 30 payments — averaging $219.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$4K
- Stryker$526
- Integra Lifesciences Corporation$331
- Intersect ENT, Inc.$328
- Sanofi$245
- Acera Surgical, Inc.$209
- plus $692 from 8 others
What the payments were for
- Consulting fees$4,25265%
- Food & beverage$2,33135%
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 |
|---|---|---|
| Amgen | 4 | $4,252 |
| Stryker | 6 | $526 |
| Integra Lifesciences Corporation | 2 | $331 |
| Intersect ENT, Inc. | 3 | $328 |
| Sanofi | 2 | $245 |
| Acera Surgical, Inc. | 1 | $209 |
| Medtronic | 3 | $194 |
| AstraZeneca | 1 | $122 |
| AbbVie | 1 | $112 |
| Johnson & Johnson(2 entities) | 2 | $112 |
| Regeneron Healthcare Solutions, Inc. | 1 | $94 |
| Smith+Nephew | 2 | $26 |
| KARL Storz Endoscopy-america | 1 | $25 |
| Ambu Inc. | 1 | $7 |
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.
- Tavneos$4,252
- DUPIXENT$245
- Restrata Wound Matrix$209
- Acclarent Aera$172
- Inspira Air$172
- RELIEVA SPINPLUS NAV$172
- TruDi Probe$172
- INTEGRA$159
- CODMAN ISOCOOL AHT$159
- MICROFRANCE$159
- INSTRUMENTS-ORTHOPEDIC$159
- INTEGRA DUO$159
- DURAMATRIX$132
- ADHERUS AUTOSPRAY DURAL SEALANT$132
- PROPEL$131
- ENTELLUS - XPRESS ENT DILATION SYSTEM$131
- XPRESS ENT DILATION SYSTEM$128
- TEZSPIRE$122
- SINUVA$117
- BOTOX$112
How this compares
$6,584 in reported general payments places this provider in the 90th percentile of 210 otolaryngology 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 |
|---|---|---|
| Dupixent PenDupilumab | 26 | $98,624 |
| Ipratropium Bromide | 63 | $1,464 |
| Fluticasone Propionate | 22 | $383 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 19 | $148 |
| Famotidine | 14 | $144 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 16 | $66 |
| Prednisone | 25 | $56 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in St. Louis
- Jeffrey SharonSt. Louis$18K
- Talon ManingasJoplin$314K
- Ryan JacksonSaint Louis$284K
- Ravindra UppaluriSaint Louis$168K
- James GouldFestus$143K
- John SchneiderSaint Louis$74K
- Amit WaliaSaint Louis$21K
- Bharat PanugantiSaint Louis$19K
- Kelvin WallsLees Summit$14K
- Cristine Klatt-CromwellSaint Louis$13K
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.