RxDoctor Payments Data

Phillip Cuculich, MD

Clinical Cardiac Electrophysiology · Saint Louis, MONPI 1639252190

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $386,965 of the $473,451 with a category attached, or 81.7%. Siemens Medical Solutions USA, Inc. accounts for 80.1% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2022 at $162,646 and has fallen 68.7% since, to $50,935 in 2025. Among clinical cardiac electrophysiology 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.

$473,451in general payments, 2019–2025

Across 212 payments — averaging $2233.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Siemens Medical Solutions USA, Inc.$379K
  • Medtronic$49K
  • Abbott$34K
  • Varian Medical Systems, Inc.$5K
  • Boston Scientific$3K
  • Irhythm Technologies, Inc.$875
  • plus $2K from 6 others
$4,744in research payments, 2019–2025

Across 1 payment — averaging $4743.80 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.

  • Abbott$5K

What the payments were for

  • Consulting fees$386,96582%
  • Speaking & faculty fees$60,49413%
  • Travel & lodging$18,3114%
  • Food & beverage$7,6822%

General payments by program year

19
20
21
22
23
24
25

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.

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

$473,451 in reported general payments places this provider in the 95th percentile of 74 clinical cardiac electrophysiology providers in Missouri.

See all clinical cardiac electrophysiology providers in Missouri

Medicare billing

Part B allowed, 2024
$142,602
Medicare patients
339
Services billed
1,560

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

DrugClaimsCost to plans & patients
EliquisApixaban166$159,235
XareltoRivaroxaban25$26,087
Dofetilide99$20,148
Flecainide Acetate74$3,263
Dabigatran EtexilateDabigatran Etexilate Mesylate12$2,063
Amiodarone Hcl79$1,765
SotalolSotalol Hcl80$1,401
Metoprolol Succinate93$683
Carvedilol14$125
Metoprolol Tartrate21$54

Paid to pharmacies, not to this prescriber.

Other clinical cardiac electrophysiology in Saint Louis

See the full list for Missouri

Where these figures come from

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