Michael Koenig
Pediatrics · Saint Louis, MONPI 1720171093
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 82 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 19 manufacturers reported payments, led by GSK at 30.0% of the total. 2025 is the largest year on record at $930, 2.2 times the $420 reported in 2019. Among pediatrics 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 82 payments — averaging $24.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$601
- Supernus Pharmaceuticals, Inc.$268
- Pfizer$215
- Ironshore Pharmaceuticals Inc.$202
- Cranial Technologies, Inc$161
- Tris Pharma Inc$104
- plus $449 from 13 others
What the payments were for
- Food & beverage$2,001100%
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 |
|---|---|---|
| GSK | 20 | $601 |
| Supernus Pharmaceuticals, Inc. | 8 | $268 |
| Pfizer | 7 | $215 |
| Ironshore Pharmaceuticals Inc. | 9 | $202 |
| Cranial Technologies, Inc | 8 | $161 |
| Tris Pharma Inc | 6 | $104 |
| Takeda Pharmaceuticals U.S.A., Inc. | 5 | $86 |
| AbbVie | 3 | $68 |
| Ironwood Pharmaceuticals, Inc | 2 | $41 |
| Collegium Pharmaceutical, Inc. | 2 | $38 |
| Alk-abello, Inc | 2 | $38 |
| Merck | 2 | $30 |
| Seqirus USA Inc | 1 | $30 |
| Kowa Pharmaceuticals America, Inc. | 2 | $28 |
| Corium, LLC | 1 | $23 |
| Kyowa Kirin, Inc. | 1 | $23 |
| Azurity Pharmaceuticals, Inc. | 1 | $16 |
| Neurelis, Inc. | 1 | $15 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 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
$2,001 in reported general payments places this provider in the 90th percentile of 1,306 pediatrics providers in Missouri.
Other pediatrics in Saint Louis
- Molly FiggemeierSaint Louis$74K
- Alexander FaySaint Louis$53K
- Natalie GoedekerSaint Louis$17K
- Gita MalurSaint Louis$12K
- Laura KuenstingSaint Louis$9K
- Scott TrailSaint Louis$8K
- Donna ManleySaint Louis$6K
- Mark LevinSaint Louis$5K
- Ann HennesseySaint Louis$5K
- Prapti SinghSaint Louis$4K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.