Michelle Schuler
Adult Health · Saint Louis, MONPI 1134629728
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,452 of the $6,284 with a category attached, or 86.8%. It is spread thinly across 29 manufacturers, the largest accounting for just 22.4% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,087, 3.4 times the $613 reported in 2021. Among adult health 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 219 payments — averaging $28.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$1K
- Boston Scientific$564
- Abbott$488
- Novartis$409
- Abiomed$388
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$381
- plus $3K from 23 others
Across 1 payment — averaging $140.00 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.
- Medtronic$140
What the payments were for
- Travel & lodging$65310%
- Food & beverage$5,45287%
- Education$1793%
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 |
|---|---|---|
| Medtronic | 19 | $1,408 |
| Boston Scientific | 17 | $564 |
| Abbott | 22 | $488 |
| Novartis | 22 | $409 |
| Abiomed | 6 | $388 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 22 | $381 |
| Cvrx, Inc. | 8 | $375 |
| Pfizer | 22 | $361 |
| E.r. Squibb & Sons, L.L.C. | 12 | $292 |
| AstraZeneca | 7 | $177 |
| Edwards Lifesciences | 2 | $152 |
| Boehringer Ingelheim | 7 | $151 |
| Amgen | 7 | $131 |
| Actelion Pharmaceuticals US, Inc. | 4 | $106 |
| Novo Nordisk | 4 | $106 |
| Impulse Dynamics (USA) Inc. | 6 | $102 |
| Kestra Medical Technology Services, Inc. | 5 | $100 |
| Biosense Webster, Inc. | 3 | $100 |
| Sanofi-aventis U.S. LLC | 4 | $75 |
| Shockwave Medical, Inc | 2 | $71 |
| Kiniksa Pharmaceuticals, Ltd. | 3 | $69 |
| Cardiva Medical, Inc. | 3 | $64 |
| Bayer | 3 | $52 |
| Johnson & Johnson | 3 | $41 |
| Merck | 2 | $32 |
| Scpharmaceuticals Inc. | 1 | $26 |
| Kiniksa Pharmaceuticals International, PLC | 1 | $23 |
| Regeneron Healthcare Solutions, Inc. | 1 | $22 |
| Philips North America LLC | 1 | $19 |
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
$6,284 in reported general payments places this provider in the 90th percentile of 555 adult health 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 |
|---|---|---|
| EliquisApixaban | 66 | $91,570 |
| EntrestoSacubitril/Valsartan | 40 | $52,369 |
| JardianceEmpagliflozin | 46 | $48,988 |
| XareltoRivaroxaban | 32 | $40,882 |
| Metoprolol Succinate | 134 | $1,723 |
| Atorvastatin Calcium | 45 | $608 |
| Spironolactone | 71 | $426 |
| Rosuvastatin Calcium | 19 | $323 |
| Carvedilol | 55 | $299 |
| Furosemide | 60 | $251 |
| Amlodipine Besylate | 29 | $243 |
| ClopidogrelClopidogrel Bisulfate | 29 | $215 |
| Potassium Chloride | 13 | $187 |
| Losartan Potassium | 30 | $152 |
| Lisinopril | 41 | $109 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerEliquis | $361 | $91,57066 claims |
| NovartisEntresto | $409 | $52,36940 claims |
| Boehringer IngelheimJardiance | $151 | $48,98846 claims |
| Johnson & JohnsonXarelto | $41 | $40,88232 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 555 adult health providers in Missouri.
Other adult health in Saint Louis
- Stephanie VogelSaint Louis$115K
- Shannon TuckerSaint Louis$93K
- Laurencia KlipfelSaint Louis$79K
- Maria WallsSaint Louis$69K
- Jennifer SpeiserSaint Louis$27K
- Michele NobsSaint Louis$15K
- Lisa Koester WiedemannSaint Louis$14K
- Erin DoserSaint Louis$13K
- Marcee StegemeierSaint Louis$12K
- Heather PophamSaint Louis$10K
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.