Keith Thomae, MD
Surgery · Florissant, MONPI 1184679409
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (50.5%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 61.1% of it on its own, with 29 other manufacturers making up the rest. 2025 is the largest year on record at $14,543, 8.0 times the $1,807 reported in 2019. Among surgery 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 124 payments — averaging $184.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$14K
- TELA Bio, Inc.$5K
- Endogastric Solutions, Inc$2K
- Kerecis Limited$384
- TAS Medical, Inc.$336
- Biotissue Holdings Inc.$163
- plus $1K from 24 others
What the payments were for
- Travel & lodging$6,29328%
- Food & beverage$5,03922%
- Education$11,53950%
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 | 21 | $13,981 |
| TELA Bio, Inc. | 29 | $4,724 |
| Endogastric Solutions, Inc | 22 | $2,013 |
| Kerecis Limited | 4 | $384 |
| TAS Medical, Inc. | 2 | $336 |
| Biotissue Holdings Inc. | 1 | $163 |
| Novartis | 6 | $160 |
| Davol Inc. | 2 | $135 |
| Solventum Corporation | 2 | $116 |
| Innovation Technologies Inc | 1 | $102 |
| Medtronic | 1 | $95 |
| Amneal Pharmaceuticals LLC | 5 | $85 |
| Endologix LLC | 1 | $78 |
| KCI USA, Inc. | 4 | $76 |
| Covidien LP | 2 | $69 |
| AbbVie | 3 | $41 |
| Boston Scientific | 2 | $39 |
| Innocoll Pharmaceuticals Limited | 2 | $34 |
| Acera Surgical, Inc. | 2 | $33 |
| Amgen | 2 | $31 |
| Argenx US, Inc. | 1 | $25 |
| Clovis Oncology, Inc. | 1 | $24 |
| Avion Pharmaceuticals | 1 | $23 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $20 |
| Midsouth Orthopedics Inc. | 1 | $20 |
| Bristol Myers Squibb | 1 | $17 |
| Aesculap, Inc. | 1 | $16 |
| Shire North American Group Inc | 1 | $13 |
| Acell, Inc. | 1 | $12 |
| Corium, LLC | 1 | $10 |
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.
- DAVINCI XI$11,500
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex)$2,506
- Da Vinci Surgical System$2,322
- OviTex 2S$1,499
- ESOPHYX$1,250
- Kerecis Omega3 SurgiClose$701
- Kerecis Omega3 GraftGuide$234
- Kerecis Omega3 Marigen$234
- Ovitex$213
- Phasix Mesh$105
- Irrisept$102
How this compares
$22,871 in reported general payments places this provider in the 90th 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 |
|---|---|---|
| Acetaminophen-CodeineAcetaminophen With Codeine | 22 | $155 |
| Levofloxacin | 11 | $47 |
Paid to pharmacies, not to this prescriber.
Other surgery in Florissant
- 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.