Krasimira Mikhova, MD
Clinical Cardiac Electrophysiology · Saint Louis, MONPI 1013320191
Payments from drug & device makers
What this record shows
The money is spread across several categories — grants (48.3%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Medtronic at 44.2% of the total. Reporting peaked in 2022 at $22,203 and has fallen 66.7% since, to $7,401 in 2025. Among clinical cardiac electrophysiology 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 217 payments — averaging $241.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$23K
- Abbott$13K
- Boston Scientific$12K
- Biotronik Inc.$1K
- Baylis Medical Company Inc$1K
- Medical Device Business Services, Inc.$510
- plus $719 from 5 others
What the payments were for
- Grants$25,25248%
- Travel & lodging$15,42429%
- Food & beverage$10,09419%
- Education$1,5393%
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 entities) | 106 | $23,097 |
| Abbott | 70 | $13,398 |
| Boston Scientific | 11 | $12,261 |
| Biotronik Inc. | 10 | $1,211 |
| Baylis Medical Company Inc | 8 | $1,113 |
| Medical Device Business Services, Inc. | 1 | $510 |
| Biosense Webster, Inc. | 2 | $266 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 5 | $164 |
| Abiomed | 1 | $148 |
| Cardiva Medical, Inc. | 2 | $122 |
| Siemens Medical Solutions USA, Inc. | 1 | $20 |
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.
- EMBLEM S ICD ELECTRODE DELIVERY SYSTEM$5,000
- EMBLEM MRI S-ICD$5,000
- ENSITE PRECISION$3,015
- ENSITE$2,760
- Micra$1,249
- VersaCross Access Solution$909
- Carto 3$639
- COBALT DR MRI SURESCAN$606
- TACTICATH ABLATION CATHETER, SENSOR ENABLED$518
- Arctic Front$481
- Ensite Cardiac Mapping System$417
- ARCTIC FRONT ADVANCE$417
- CARDIOMEMS$251
- QUARTET$164
- LINQ II$149
- Impella$148
- AURORA EV-ICD MRI SURESCAN$146
- AVEIR$143
- QDOT MICRO Catheter$138
- Adapta$129
How this compares
$52,308 in reported general payments places this provider in the 90th percentile of 74 clinical cardiac electrophysiology providers in Missouri.
See all clinical cardiac electrophysiology 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 | 19 | $23,406 |
| XareltoRivaroxaban | 12 | $9,146 |
| Dofetilide | 18 | $6,184 |
| Amiodarone Hcl | 35 | $773 |
| Metoprolol Succinate | 17 | $237 |
| Metoprolol Tartrate | 21 | $65 |
Paid to pharmacies, not to this prescriber.
Other clinical cardiac electrophysiology in Saint Louis
- Phillip CuculichSaint Louis$473K
- Daniel CooperSaint Louis$168K
- Gregory BotteronSaint Louis$52K
- Ali MehdiradSaint Louis$47K
- Milan KahandaSaint Louis$45K
- Saulius KalvaitisSaint Louis$43K
- Gabriel SotoSaint Louis$39K
- Justin PieperSaint Louis$39K
- Christopher BauerSaint Louis$38K
- Peter RothsteinSaint Louis$30K
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.