Sara Lorenz, MD
Obstetrics & Gynecology · Cape Girardeau, MONPI 1639370539
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $476 of the $603 with a category attached, or 78.9%. It is spread thinly across 9 manufacturers, the largest accounting for just 21.1% — the pattern of someone who eats at a lot of different presentations. That places this record below the midpoint for obstetrics & gynecology clinicians in MO, where the typical reported total is $460.
Across 15 payments — averaging $40.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cumberland Pharmaceuticals, Inc.$127
- Johnson & Johnson$120
- Astellas Pharma US Inc$118
- Intuitive Surgical$87
- Covidien LP$50
- Merck$38
- plus $65 from 3 others
What the payments were for
- Speaking & faculty fees$12721%
- Food & beverage$47679%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Cumberland Pharmaceuticals, Inc. | 1 | $127 |
| Johnson & Johnson | 2 | $120 |
| Astellas Pharma US Inc | 1 | $118 |
| Intuitive Surgical | 1 | $87 |
| Covidien LP | 3 | $50 |
| Merck | 3 | $38 |
| AbbVie(2 entities) | 2 | $33 |
| Convatec Inc. | 1 | $18 |
| Minerva Surgical, Inc | 1 | $14 |
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
$603 in reported general payments places this provider in the 50th percentile of 750 obstetrics & gynecology 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 |
|---|---|---|
| Norethindrone Acetate | 15 | $1,934 |
| Medroxyprogesterone Acetate | 18 | $97 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Cape Girardeau
- Heather CuginiCape Girardeau$6K
- Thomas ShultzSpringfield$1.1M
- Becky LynnSaint Louis$231K
- Timothy HallIndependence$172K
- Craig McCoyMoberly$101K
- Richard GutknechtIndependence$65K
- Amanda CarrollFestus$55K
- Amy CarterKansas City$49K
- Megan SneedLees Summit$44K
- Kimberly LemoineSaint Louis$30K
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.