Mario Macias
Obstetrics & Gynecology · Osage Beach, MONPI 1174881601
Payments from drug & device makers
Across 61 payments — averaging $21.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$205
- Dexcom, Inc.$201
- AbbVie$151
- Neurocrine Biosciences, Inc.$97
- Organon$92
- Novo Nordisk$84
- plus $472 from 15 others
What the payments were for
- Travel & lodging$20516%
- Food & beverage$1,09684%
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 |
|---|---|---|
| Intuitive Surgical | 2 | $205 |
| Dexcom, Inc. | 7 | $201 |
| AbbVie | 9 | $151 |
| Neurocrine Biosciences, Inc. | 5 | $97 |
| Organon | 7 | $92 |
| Novo Nordisk | 4 | $84 |
| Exeltis, USA Inc. | 3 | $61 |
| Otsuka America Pharmaceutical, Inc. | 4 | $59 |
| Merck | 3 | $57 |
| Pfizer | 3 | $56 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 2 | $42 |
| AstraZeneca | 2 | $29 |
| Exact Sciences | 2 | $29 |
| Alkermes, Inc. | 1 | $23 |
| Johnson & Johnson | 1 | $21 |
| Boston Scientific | 1 | $20 |
| Medtronic | 1 | $17 |
| Sanofi Pasteur Inc. | 1 | $17 |
| Hologic Sales And Service, LLC | 1 | $17 |
| Sobi, Inc | 1 | $13 |
| Meditrina | 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.
How this compares
$1,301 in reported general payments places this provider in the 65th percentile of 750 obstetrics & gynecology providers in Missouri.
Other obstetrics & gynecology in Osage Beach
- Thomas ShultzSpringfield$1.1M
- Kent BransonCreve Coeur$576K
- Saji JacobSt. Louis$411K
- Becky LynnSaint Louis$231K
- Timothy HallIndependence$172K
- Craig McCoyMoberly$101K
- Andrew DavisSt. Louis$75K
- Richard GutknechtIndependence$65K
- Amanda CarrollFestus$55K
- Leanna MosherIndependence$54K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.