Rajiv Handa, MD
Clinical Cardiac Electrophysiology · Saint Louis, MONPI 1790783538
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (48.5%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 19 manufacturers reported payments, led by Philips North America LLC at 43.7% of the total. Reporting peaked in 2021 at $10,755 and has fallen 81.2% since, to $2,027 in 2025.
Across 504 payments — averaging $44.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Philips North America LLC$10K
- Boston Scientific$3K
- Abbott$2K
- Medtronic$2K
- Biosense Webster, Inc.$1K
- Johnson & Johnson$1K
- plus $3K from 13 others
What the payments were for
- Consulting fees$9,40042%
- Speaking & faculty fees$3502%
- Travel & lodging$1,7518%
- Food & beverage$10,85849%
- Education$130%
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 |
|---|---|---|
| Philips North America LLC | 6 | $9,776 |
| Boston Scientific | 161 | $3,058 |
| Abbott | 53 | $2,499 |
| Medtronic(2 entities) | 37 | $2,291 |
| Biosense Webster, Inc. | 33 | $1,036 |
| Johnson & Johnson | 66 | $1,006 |
| E.r. Squibb & Sons, L.L.C. | 67 | $799 |
| Pfizer | 37 | $662 |
| Kestra Medical Technology Services, Inc. | 9 | $275 |
| Sanofi-aventis U.S. LLC | 11 | $192 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 12 | $182 |
| Flowphysix Inc | 1 | $150 |
| Sanofi | 1 | $125 |
| Abiomed | 1 | $95 |
| Cardiofocus, Inc. | 1 | $82 |
| Novartis | 3 | $60 |
| Boehringer Ingelheim | 3 | $50 |
| CSL Behring | 1 | $21 |
| Cook Medical LLC | 1 | $12 |
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.
- (9520) IGT Devices Undivided$4,825
- IGT D Peripheral$4,700
- AVEIR$1,126
- Micra$676
- Avalus$266
- EnSite Precision Cardiac Mapping System$259
- GENERAL - THERAPIES$227
- Spectranetics Undiv$225
- Assure WCD$159
- AZURE XT DR MRI SURESCAN$155
- FLOWRUNNER$150
- QDOT MICRO Catheter$150
- AVVIGO Guidance System$148
- ENDURANT IIS$143
- COBALT DR MRI SURESCAN$139
- OCTARAY MAPPING CATHETER$135
- MitraClip$134
- QDOT MICRO$127
- MULTAQ$125
- LUX-DX$123
How this compares
$22,372 in reported general payments places this provider in the 60th percentile of 74 clinical cardiac electrophysiology providers in Missouri.
See all clinical cardiac electrophysiology 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 | 616 | $542,247 |
| XareltoRivaroxaban | 223 | $192,606 |
| MultaqDronedarone Hcl | 97 | $115,745 |
| Dofetilide | 83 | $15,247 |
| Mexiletine Hcl | 44 | $5,508 |
| Amiodarone Hcl | 416 | $5,418 |
| Dabigatran EtexilateDabigatran Etexilate Mesylate | 18 | $4,608 |
| SotalolSotalol Hcl | 182 | $4,296 |
| Metoprolol Succinate | 272 | $3,319 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 53 | $2,057 |
| Verapamil SrVerapamil Hcl | 18 | $1,549 |
| Flecainide Acetate | 12 | $687 |
| Metoprolol Tartrate | 62 | $519 |
| Verapamil ErVerapamil Hcl | 14 | $348 |
| Dilt-XrDiltiazem Hcl | 17 | $178 |
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 | $662 | $542,247616 claims |
| Johnson & JohnsonXarelto | $1,006 | $192,606223 claims |
| Sanofi-aventis U.S. LLCMultaq | $192 | $115,74597 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 60th percentile of 74 clinical cardiac electrophysiology providers in Missouri.
Other clinical cardiac electrophysiology in Saint Louis
- Phillip CuculichSaint Louis$473K
- Daniel CooperSaint Louis$168K
- Krasimira MikhovaSaint Louis$52K
- Gregory BotteronSaint Louis$52K
- Ali MehdiradSaint Louis$47K
- Milan KahandaSaint Louis$45K
- Saulius KalvaitisSaint Louis$43K
- Gabriel SotoSaint Louis$39K
- Justin PieperSaint Louis$39K
- Christopher BauerSaint Louis$38K
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.