Rachael Payne
Surgery · Saint Louis, MONPI 1912492646
Payments from drug & device makers
What this record shows
This record is dominated by education: $14,500 of the $20,597 with a category attached, or 70.4%. Intuitive Surgical accounts for 70.6% of it on its own, with 23 other manufacturers making up the rest. Reporting peaked in 2022 at $8,961 and has fallen 68.2% since, to $2,852 in 2025. Among 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 62 payments — averaging $332.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$15K
- Axogen$3K
- RTI Surgical, Inc$359
- AbbVie$317
- Endo USA, Inc.$314
- Integra Lifesciences Corporation$259
- plus $2K from 18 others
What the payments were for
- Travel & lodging$1,4947%
- Food & beverage$4,60322%
- Education$14,50070%
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 |
|---|---|---|
| Intuitive Surgical | 7 | $14,546 |
| Axogen | 18 | $2,905 |
| RTI Surgical, Inc | 3 | $359 |
| AbbVie | 5 | $317 |
| Endo USA, Inc. | 3 | $314 |
| Integra Lifesciences Corporation | 3 | $259 |
| Acera Surgical, Inc. | 2 | $230 |
| KCI USA, Inc. | 3 | $211 |
| Motiva USA, LLC | 1 | $173 |
| Kerecis Limited | 1 | $166 |
| Sientra, Inc. | 2 | $154 |
| Baxter Healthcare | 2 | $135 |
| TELA Bio, Inc. | 1 | $129 |
| Polynovo North America LLC | 1 | $120 |
| Mentor Worldwide LLC | 1 | $103 |
| Stryker | 1 | $101 |
| Sonex Health, Inc. | 1 | $100 |
| Acell, Inc. | 1 | $90 |
| Misonix Inc | 1 | $68 |
| Smith+Nephew | 1 | $32 |
| Globus Medical | 1 | $30 |
| Molnlycke Health Care US, LLC | 1 | $24 |
| Elite Orthopedics, LLC | 1 | $17 |
| Piedmont Plus Innovation | 1 | $15 |
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.
- DAVINCI XI$14,500
- AXOGUARD$3,936
- AXOGUARD HA+ NERVE PROTECTOR$2,322
- AxoGuard Nerve Cap$2,322
- Kerecis Omega3 Marigen$665
- AxoGuard Nerve Connector$473
- AxoGuard Nerve Protector$473
- INTEGRA$377
- CORTIVA ALLOGRAFT DERMIS$359
- AVANCE NERVE GRAFT$354
- XIAFLEX$242
- Motiva Implant Matrix$173
- Kerecis Omega3 SurgiClose$166
- Restrata Wound Matrix$134
- OviTex 2S$129
- NATRELLE SALINE-FILLED BREAST IMPLANTS$128
- INTEGRA DERMAL REGENERATION TEMPLATE$126
- PRIMATRIX$126
- BILAYER WOUND MATRIX (BWM)$120
- INTEGRA WOUND MATRIX (IWM)$120
How this compares
$20,597 in reported general payments places this provider in the 90th percentile of 612 surgery providers in Missouri.
Other surgery in Saint Louis
- James ScottSaint Louis$307K
- Omar GuerraSaint Louis$249K
- Mark DrakeSaint Louis$212K
- Adeel KhanSaint Louis$204K
- Michael AwadSaint Louis$176K
- Laurie PunchSaint Louis$141K
- Jeffrey BlatnikSaint Louis$134K
- Sekhar DharmarajanSaint Louis$110K
- Shaina EckhouseSaint Louis$67K
- Jason RheeSaint Louis$63K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.