Justin Shatto, MD
Surgery · Osage Beach, MONPI 1518187467
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (37.5%), education and travel and lodging — rather than concentrated in one kind of arrangement. 42 manufacturers reported payments, led by Intuitive Surgical at 54.7% of the total. Reporting peaked in 2020 at $4,573 and has fallen 87.8% since, to $558 in 2025.
Across 149 payments — averaging $56.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$5K
- Covidien LP$1K
- AbbVie$265
- Smith+Nephew$210
- Solventum Corporation$199
- Organogenesis Inc.$135
- plus $2K from 36 others
What the payments were for
- Consulting fees$611%
- Travel & lodging$2,22926%
- Food & beverage$3,17938%
- Education$3,00035%
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 |
|---|---|---|
| Intuitive Surgical | 18 | $4,630 |
| Covidien LP | 14 | $1,175 |
| AbbVie(2 entities) | 9 | $265 |
| Smith+Nephew | 12 | $210 |
| Solventum Corporation | 5 | $199 |
| Organogenesis Inc. | 9 | $135 |
| Melinta Therapeutics, LLC | 9 | $122 |
| Vertex | 4 | $112 |
| Kerecis Limited | 4 | $105 |
| Johnson & Johnson | 6 | $100 |
| AstraZeneca | 2 | $97 |
| Boehringer Ingelheim | 1 | $95 |
| Medtronic | 3 | $93 |
| Paratek Pharmaceuticals, Inc. | 5 | $92 |
| Integra Lifesciences Corporation | 3 | $91 |
| W. L. Gore & Associates, Inc. | 3 | $82 |
| Davol Inc. | 4 | $81 |
| Convatec Inc. | 4 | $70 |
| Z-medica, LLC | 3 | $61 |
| TELA Bio, Inc. | 1 | $55 |
| KUB Technologies Inc. | 1 | $53 |
| KCI USA, Inc. | 3 | $47 |
| Braintree Laboratories, Inc. | 2 | $45 |
| Polynovo North America LLC | 1 | $43 |
| Innocoll Pharmaceuticals Limited | 2 | $39 |
| Pacira Pharmaceuticals Incorporated | 2 | $39 |
| Olympus America Inc. | 1 | $37 |
| BD | 2 | $35 |
| Conmed Corporation | 2 | $32 |
| Baxter Healthcare | 1 | $26 |
| Tactile Systems Technology Inc | 2 | $24 |
| Lifenet Health | 1 | $21 |
| Acera Surgical, Inc. | 1 | $20 |
| Stryker | 1 | $18 |
| Innovation Technologies Inc | 1 | $18 |
| Dilon Technologies, Inc. | 1 | $18 |
| Aroa Biosurgery Incorporated | 1 | $17 |
| Hospira, Inc. | 1 | $17 |
| Osiris Therapeutics Inc. | 1 | $14 |
| Aesculap, Inc. | 1 | $12 |
| Electromed, Inc. | 1 | $12 |
| Acell, Inc. | 1 | $12 |
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.
- Da Vinci Surgical System$4,188
- Sonicision$932
How this compares
$8,469 in reported general payments places this provider in the 80th percentile of 612 surgery 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 |
|---|---|---|
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 15 | $990 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 64 | $318 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 11 | $124 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 21 | $114 |
| Cephalexin | 16 | $103 |
| Levofloxacin | 18 | $96 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 12 | $86 |
Paid to pharmacies, not to this prescriber.
Other surgery in Osage Beach
- James ScottSaint Louis$307K
- Omar GuerraSaint Louis$249K
- John TannColumbia$216K
- Mark DrakeSaint Louis$212K
- Adeel KhanSaint Louis$204K
- Michael AwadSaint Louis$176K
- Patricia HodginsFenton$145K
- Laurie PunchSaint Louis$141K
- Jeffrey BlatnikSaint Louis$134K
- Bradley MooreKansas City$110K
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.