Munish Gupta, MD
Orthopaedic Surgery of the Spine · Saint Louis, MONPI 1417948571
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $719,547 of the $1,023,530 with a category attached, or 70.3%. Depuy Synthes Products, Inc. accounts for 78.6% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2019 at $397,448 and has fallen 72.8% since, to $107,998 in 2025. Among orthopaedic surgery of the spine clinicians in MO with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 288 payments — averaging $3553.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Depuy Synthes Products, Inc.$805K
- Medical Device Business Services, Inc.$130K
- Globus Medical$38K
- Medtronic$24K
- Alphatec Spine, Inc$13K
- Smaio USA Corporation$6K
- plus $7K from 10 others
What the payments were for
- Royalty or licence$719,54770%
- Consulting fees$247,11224%
- Speaking & faculty fees$21,5052%
- Travel & lodging$27,8673%
- Food & beverage$7,4981%
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 |
|---|---|---|
| Depuy Synthes Products, Inc. | 99 | $804,782 |
| Medical Device Business Services, Inc. | 61 | $130,062 |
| Globus Medical | 49 | $38,116 |
| Medtronic(2 entities) | 31 | $24,208 |
| Alphatec Spine, Inc | 7 | $13,270 |
| Smaio USA Corporation | 7 | $6,022 |
| Smaio SA | 9 | $5,140 |
| Johnson & Johnson | 16 | $1,079 |
| Zimmer Biomet | 2 | $246 |
| Orthofix Medical, Inc. | 1 | $137 |
| Augmedics Inc. | 1 | $135 |
| Bioventus LLC | 1 | $130 |
| Pacira Pharmaceuticals Incorporated | 1 | $90 |
| Spine Wave, Inc. | 1 | $63 |
| Stryker | 1 | $33 |
| Medicrea USA, Corp. | 1 | $16 |
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.
- EXPEDIUM$765,186
- TRIALTIS$68,542
- ALIF Instruments (Universal)$15,554
- VIPER$14,444
- LIF$12,544
- KODIAK$11,688
- ELSA$8,383
- GRAFTON$8,236
- RISE$7,669
- GRAFTONAND GRAFTON PLUSDEMINERALIZED BONE MATRIX (DBM)$7,202
- INFUSE$3,300
- MASTERGRAFT$2,200
- INFUSE BONE GRAFT$2,051
- LLIF$1,800
- EMPIRE (Expandable ALIF)$1,375
- RISE-L . RISE-L A/L$1,269
- Endoscopic Disc Instr.$750
- 3D Printed Cervical Interbody$750
- Xvision$677
- CREO$607
How this compares
$1,023,530 in reported general payments places this provider in the 95th percentile of 53 orthopaedic surgery of the spine providers in Missouri.
See all orthopaedic surgery of the spine 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 |
|---|---|---|
| Oxycodone Hcl | 67 | $437 |
| Gabapentin | 28 | $360 |
| Baclofen | 19 | $262 |
| Mupirocin | 29 | $213 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $106 |
| Amoxicillin | 11 | $11 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Saint Louis
- Jacob BuchowskiSaint Louis$658K
- Brian NeumanSaint Louis$106K
- R Adams CowleySaint Louis$53K
- Michael ReiterSaint Louis$37K
- Mark LambrechtsSaint Louis$37K
- Nicholas PallottaSaint Louis$21K
- Matthew GoodwinSaint Louis$20K
- John ClohisySaint Louis$19K
- Diana DoulehSaint Louis$18K
- Bryan RynearsonSaint Louis$17K
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.