Michael Burns, MD
Sports Medicine · Saint Louis, MONPI 1225071129
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (55.2%), food and beverage and education — rather than concentrated in one kind of arrangement. Avanos Medical accounts for 64.1% of it on its own, with 13 other manufacturers making up the rest. 2025 is the largest year on record at $2,443, 3.2 times the $758 reported in 2019.
Across 40 payments — averaging $101.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Avanos Medical$3K
- Elite Orthopedics, LLC$748
- Heron Therapeutics, Inc.$131
- Stryker$130
- Ferring Pharmaceuticals Inc.$101
- Pacira Therapeutics, Inc.$99
- plus $250 from 8 others
What the payments were for
- Speaking & faculty fees$2,24255%
- Travel & lodging$2015%
- Food & beverage$90722%
- Education$71318%
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 |
|---|---|---|
| Avanos Medical | 5 | $2,603 |
| Elite Orthopedics, LLC | 2 | $748 |
| Heron Therapeutics, Inc. | 3 | $131 |
| Stryker | 4 | $130 |
| Ferring Pharmaceuticals Inc. | 8 | $101 |
| Pacira Therapeutics, Inc. | 6 | $99 |
| Johnson & Johnson | 3 | $61 |
| Davol Inc. | 3 | $57 |
| Smith+Nephew | 1 | $44 |
| ERMI LLC | 1 | $20 |
| Heraeus Medical, LLC. | 1 | $19 |
| Zimmer Biomet | 1 | $18 |
| Vertex | 1 | $17 |
| Sanofi-aventis U.S. LLC | 1 | $15 |
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.
- ON-Q$2,443
How this compares
$4,063 in reported general payments places this provider in the 65th percentile of 127 sports medicine 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 |
|---|---|---|
| Meloxicam | 265 | $675 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 18 | $123 |
| Tramadol Hcl | 32 | $114 |
| Amoxicillin | 22 | $49 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Saint Louis
- Derrick KnapikSaint Louis$72K
- Shalen KoukSaint Louis$46K
- Devon MyersSaint Louis$43K
- William McLaughlinSaint Louis$40K
- Richard SilvermanSaint Louis$27K
- Patrick ReardonSaint Louis$27K
- Brock KnappSaint Louis$24K
- Scott ZehnderSaint Louis$10K
- Christopher RothrockSaint Louis$6K
- Larkin WadsworthSaint Louis$4K
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.