Puja Kachroo, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Saint Louis, MONPI 1881899714
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $34,216 of the $56,952 with a category attached, or 60.1%. Edwards Lifesciences accounts for 75.3% of it on its own, with 5 other manufacturers making up the rest. 2025 is the largest year on record at $32,969, 8.2 times the $3,998 reported in 2019. Among thoracic surgery (cardiothoracic vascular surgery) 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 98 payments — averaging $581.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Edwards Lifesciences$43K
- Artivion, Inc.$9K
- Medtronic$3K
- Boston Scientific$1K
- W. L. Gore & Associates, Inc.$959
- Zimmer Biomet$125
Across 52 payments — averaging $6789.21 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.
- Bolton Medical Inc$120K
- Edwards Lifesciences$108K
- Artivion, Inc.$43K
- W. L. Gore & Associates, Inc.$41K
- Quest Medical Inc.$32K
- Medtronic$9K
What the payments were for
- Consulting fees$11,54020%
- Speaking & faculty fees$5,1259%
- Travel & lodging$34,21660%
- Food & beverage$5,72310%
- Education$3481%
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 |
|---|---|---|
| Edwards Lifesciences | 51 | $42,889 |
| Artivion, Inc. | 24 | $9,397 |
| Medtronic | 10 | $2,502 |
| Boston Scientific | 5 | $1,078 |
| W. L. Gore & Associates, Inc. | 7 | $959 |
| Zimmer Biomet | 1 | $125 |
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.
- Cardiac non-SynerGraft$6,413
- CG Future$1,125
- GENERAL - THERAPIES$969
- GORE TAG Thoracic Branch Endoprosthesis$464
- MITRIS RESILIA Mitral Valve$178
- Product in Development$144
- INSPIRIS RESILIA aortic valve$134
- GORE TAG Conformable Thoracic Endoprosthesis$131
- SternaLock Blu$125
- Edwards SAPIEN 3 Transcatheter Heart Valve$125
- Edwards SAPIEN 3 Ultra Transcatheter Heart Valve$125
- EVOQUE$119
How this compares
$56,952 in reported general payments places this provider in the 90th percentile of 113 thoracic surgery (cardiothoracic vascular surgery) providers in Missouri.
See all thoracic surgery (cardiothoracic vascular surgery) 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 |
|---|---|---|
| Mupirocin | 30 | $204 |
| Chlorhexidine Gluconate | 35 | $101 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in Saint Louis
- Tsuyoshi KanekoSaint Louis$353K
- Ralph DamianoSaint Louis$134K
- Umraan AhmadSaint Louis$51K
- Nabil MunfakhSaint Louis$44K
- Shuddhadeb RaySaint Louis$38K
- Joshua BakerSaint Louis$36K
- Alexander BresciaSaint Louis$35K
- Kunal Deepak KotkarSaint Louis$33K
- George PattersonSaint Louis$23K
- Muhammad MasoodSaint Louis$23K
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.