Mariana Touza
Endocrinology, Diabetes & Metabolism · North Kansas City, MONPI 1457526196
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 5 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 5 manufacturers reported payments, led by Sanofi-aventis U.S. LLC at 32.9% of the total. Reporting peaked in 2019 at $165 and has fallen 53.6% since, to $77 in 2023. That places this record below the midpoint for endocrinology, diabetes & metabolism clinicians in MO, where the typical reported total is $1,287.
Across 5 payments — averaging $69.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi-aventis U.S. LLC$114
- Amgen$104
- Eli Lilly$54
- Medtronic$51
- Bayer$23
Across 54 payments — averaging $7127.55 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.
- Bayer$167K
- Amgen$159K
- Kowa Research Institute, Inc.$42K
- Gilead$12K
- CSL Behring$2K
- Sanofi US Services Inc.$2K
What the payments were for
- Food & beverage$346100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Sanofi-aventis U.S. LLC | 1 | $114 |
| Amgen | 1 | $104 |
| Eli Lilly | 1 | $54 |
| Medtronic | 1 | $51 |
| Bayer | 1 | $23 |
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.
- DISEASE STATE$114
- EVENITY$104
How this compares
$346 in reported general payments places this provider in the 30th percentile of 182 endocrinology, diabetes & metabolism providers in Missouri.
See all endocrinology, diabetes & metabolism providers in Missouri →
Other endocrinology, diabetes & metabolism in North Kansas City
- Avin PothulooriNorth Kansas City$13K
- Ralph DudaSpringfield$644K
- Karen Chang-ChenChesterfield$640K
- Alan RaubaJefferson City$594K
- Jerome ThurmanSaint Charles$312K
- Janet McGillSaint Louis$212K
- Megan WoodSt. Louis$207K
- Ralph OiknineChesterfield$144K
- Jonben SvobodaSpringfield$142K
- James BonucchiSpringfield$128K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.