Mark Jostes, MD
Obstetrics & Gynecology · Saint Louis, MONPI 1477518595
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.2% of the total across 222 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 35 manufacturers, the largest accounting for just 23.2% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $1,100 and has fallen 82.9% since, to $188 in 2025. Among obstetrics & gynecology 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 222 payments — averaging $21.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Astellas Pharma US Inc$424
- Exeltis, USA Inc.$282
- Agile Therapeutics, Inc.$272
- Amgen$272
- Pfizer$227
- plus $2K from 29 others
What the payments were for
- Food & beverage$4,79199%
- Education$371%
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 |
|---|---|---|
| AbbVie(2 entities) | 47 | $1,121 |
| Astellas Pharma US Inc | 16 | $424 |
| Exeltis, USA Inc. | 14 | $282 |
| Agile Therapeutics, Inc. | 11 | $272 |
| Amgen | 14 | $272 |
| Pfizer | 17 | $227 |
| Therapeuticsmd, Inc. | 9 | $215 |
| Sumitomo Pharma America, Inc. | 5 | $208 |
| Sage Therapeutics, LLC | 8 | $193 |
| Avion Pharmaceuticals | 10 | $166 |
| Shield Therapeutics Inc | 6 | $163 |
| Bayer | 9 | $146 |
| Mayne Pharma Commercial LLC | 8 | $132 |
| Urovant Sciences Inc | 1 | $125 |
| Myovant Sciences Inc. | 2 | $124 |
| Evofem Biosciences, Inc. | 6 | $109 |
| Hologic Sales And Service, LLC | 6 | $94 |
| Mission Pharmacal Company | 4 | $75 |
| Lupin Inc. | 4 | $53 |
| Biohaven Pharmaceutical Holding Company Ltd. | 3 | $49 |
| Vertical Pharmaceuticals, LLC | 3 | $45 |
| Organon | 2 | $44 |
| AMAG Pharmaceuticals, Inc. | 2 | $37 |
| Minerva Surgical, Inc | 2 | $32 |
| Duchesnay USA Incorporated | 2 | $31 |
| Meditrina | 2 | $26 |
| Channel Medsystems, Inc. | 1 | $25 |
| Ascend Therapeutics US, LLC | 1 | $20 |
| Lilly USA, LLC | 1 | $20 |
| Exact Sciences | 1 | $18 |
| Merck | 1 | $18 |
| Aspira Women's Health Inc | 1 | $17 |
| Medtronic | 1 | $16 |
| Virtus Pharmaceuticals LLC | 1 | $15 |
| Biohaven Pharmaceuticals, Inc. | 1 | $14 |
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
$4,829 in reported general payments places this provider in the 90th percentile of 750 obstetrics & gynecology 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 |
|---|---|---|
| Estradiol | 178 | $7,894 |
| ProgesteroneProgesterone, Micronized | 112 | $4,417 |
| Estradiol (Twice Weekly)Estradiol | 37 | $4,280 |
| ValacyclovirValacyclovir Hcl | 29 | $1,125 |
| Raloxifene Hcl | 20 | $738 |
| Medroxyprogesterone Acetate | 23 | $590 |
| Clobetasol Propionate | 27 | $515 |
| Nystatin | 44 | $474 |
| Butalbital-Acetaminophen-CaffeButalb/Acetaminophen/Caffeine | 12 | $293 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 17 | $284 |
| Fluconazole | 29 | $170 |
| Sertraline Hcl | 22 | $145 |
| Levothyroxine Sodium | 21 | $145 |
| Metronidazole | 12 | $118 |
| Alprazolam | 13 | $103 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Saint Louis
- Becky LynnSaint Louis$231K
- Kimberly LemoineSaint Louis$30K
- Kaci DurbinSaint Louis$14K
- Wendi CarnsSaint Louis$14K
- Melissa TepeSaint Louis$11K
- Makeba WilliamsSaint Louis$10K
- David WeinsteinSaint Louis$10K
- Jill ScherbelSaint Louis$9K
- Jennifer SmithSaint Louis$8K
- Juliana VerticchioSaint Louis$8K
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.