Kelsi Hirai
Vascular Surgery · Springfield, MONPI 1306379524
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $5,185 of the $7,255 with a category attached, or 71.5%. 9 manufacturers reported payments, led by Penumbra, Inc. at 24.2% of the total.
Across 46 payments — averaging $157.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$2K
- Silk Road Medical, Inc.$2K
- Bolton Medical Inc$1K
- W. L. Gore & Associates, Inc.$1K
- Medtronic$1K
- Endologix LLC$134
- plus $226 from 3 others
What the payments were for
- Travel & lodging$5,18571%
- Food & beverage$2,07029%
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 |
|---|---|---|
| Penumbra, Inc. | 9 | $1,756 |
| Silk Road Medical, Inc. | 6 | $1,728 |
| Bolton Medical Inc | 4 | $1,191 |
| W. L. Gore & Associates, Inc. | 8 | $1,176 |
| Medtronic | 11 | $1,043 |
| Endologix LLC | 1 | $134 |
| Shockwave Medical, Inc | 2 | $111 |
| Bard Peripheral Vascular, Inc. | 4 | $87 |
| Inari Medical, Inc. | 1 | $28 |
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.
- ENROUTE Transcarotid Neuroprotection System$3,341
- ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter$1,670
- ENROUTE Transcarotid Stent$1,670
- Indigo System$1,414
- TREO ABDOMINAL STENT-GRAFT SYSTEM$1,191
- ANTERALIGN SPINAL SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY$777
- GORE VIABAHN VBX Balloon Expandable Endo$404
- GORE SYNECOR Biomaterial$381
- Balloon Sheath with Dilator$152
- Torus Stent Graft System$134
- ENDOCROSS Device$134
- GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis$130
- Penumbra System$103
How this compares
$7,255 in reported general payments places this provider in the 55th percentile of 92 vascular 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 |
|---|---|---|
| EliquisApixaban | 17 | $24,724 |
| ClopidogrelClopidogrel Bisulfate | 12 | $204 |
| Oxycodone Hcl | 25 | $46 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Springfield
- Robert VorhiesSpringfield$42K
- Grant ScottSpringfield$13K
- Ricardo Figueroa-VicentySpringfield$12K
- Charles DunnSpringfield$10K
- John MullinsSpringfield$5K
- Stephen GalloSpringfield$5K
- Jeffrey JimSaint Louis$1.2M
- Karl StarkNorth Kansas City$223K
- Brian PetersonSaint Louis$216K
- Luis SanchezSaint Louis$178K
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.