Luis Sanchez, MD
Vascular Surgery · Saint Louis, MONPI 1679590111
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (45.9%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. 19 manufacturers reported payments, led by W. L. Gore & Associates, Inc. at 58.3% of the total. Among vascular surgery clinicians in MO with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 454 payments — averaging $392.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- W. L. Gore & Associates, Inc.$104K
- Cook Incorporated$23K
- Bolton Medical Inc$22K
- Medtronic$16K
- Artivion, Inc.$3K
- Atrium Medical Corporation$3K
- plus $7K from 13 others
Across 181 payments — averaging $2212.74 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- W. L. Gore & Associates, Inc.$276K
- Medtronic$68K
- Cook Research Incorporated$43K
- Bolton Medical Inc$13K
What the payments were for
- Consulting fees$81,75046%
- Speaking & faculty fees$41,31623%
- Travel & lodging$19,55011%
- Food & beverage$33,96519%
- Education$1,5001%
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 |
|---|---|---|
| W. L. Gore & Associates, Inc. | 286 | $103,908 |
| Cook Incorporated | 9 | $23,257 |
| Bolton Medical Inc | 42 | $21,520 |
| Medtronic(2 entities) | 67 | $16,139 |
| Artivion, Inc. | 7 | $3,327 |
| Atrium Medical Corporation | 7 | $3,317 |
| Endologix LLC | 2 | $2,100 |
| Cook Medical LLC | 10 | $1,167 |
| Philips North America LLC | 10 | $978 |
| GE HealthCare | 3 | $914 |
| Cook Research Incorporated | 1 | $630 |
| Silk Road Medical, Inc. | 2 | $229 |
| Cvrx, Inc. | 2 | $228 |
| Integra Lifesciences Corporation | 1 | $139 |
| Inspiremd Ltd | 1 | $96 |
| Z-medica, LLC | 1 | $57 |
| Shockwave Medical, Inc | 1 | $31 |
| Terumo Medical Corporation | 1 | $28 |
| Inari Medical, Inc. | 1 | $17 |
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.
- GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis$50,761
- Cook Medical AFEN$17,500
- VIABAHN Endoprosthesis$14,102
- Relay Plus$13,973
- GORE TAG Thoracic Endoprosthesis$9,246
- ENDURANT IIS$7,404
- GORE EXCLUDER AAA Endoprosthesis$7,000
- GORE VIABAHN VBX Balloon Expandable Endo$6,734
- Product in Development$5,277
- Cook Medical Zenith$4,050
- Valiant Captivia$3,204
- iCAST$3,028
- Relay Grafts$2,897
- Jotec Products$2,580
- Grafts$2,405
- Endurant$1,860
- TREO ABDOMINAL STENT-GRAFT SYSTEM$1,500
- TAG Thoracic Endoprosthesis$1,447
- Heli-FX EndoAnchor System$1,400
- BIODESIGN$1,382
How this compares
$178,082 in reported general payments places this provider in the 95th 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 | 27 | $20,382 |
| Cilostazol | 81 | $1,098 |
| ClopidogrelClopidogrel Bisulfate | 117 | $736 |
| Oxycodone Hcl | 19 | $76 |
| Prednisone | 17 | $30 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Saint Louis
- Jeffrey JimSaint Louis$1.2M
- Brian PetersonSaint Louis$216K
- Catherine WittgenSaint Louis$139K
- John OhmanSaint Louis$113K
- Patrick GeraghtySaint Louis$65K
- Nathan DrozSaint Louis$38K
- Mohamed ZayedSaint Louis$30K
- Vipul KhetarpaulSaint Louis$23K
- Zachary WankenSaint Louis$18K
- Matthew SmedsSaint Louis$14K
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.