Sean Smith, MD
Physical Medicine & Rehabilitation · Saint Louis, MONPI 1700268968
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $1,111 of the $1,581 with a category attached, or 70.2%. Pacira Pharmaceuticals Incorporated accounts for 85.3% of it on its own, with 2 other manufacturers making up the rest. Reporting peaked in 2024 at $1,349 and has fallen 90.1% since, to $134 in 2025.
Across 12 payments — averaging $131.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pacira Pharmaceuticals Incorporated$1K
- Biogen$134
- AbbVie$98
Across 11 payments — averaging $15,411 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.
- Ionis Pharmaceuticals, Inc.$139K
- Pacira Pharmaceuticals Incorporated$30K
What the payments were for
- Travel & lodging$1,11170%
- Food & beverage$47130%
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 |
|---|---|---|
| Pacira Pharmaceuticals Incorporated | 9 | $1,349 |
| Biogen | 2 | $134 |
| AbbVie | 1 | $98 |
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
$1,581 in reported general payments places this provider in the 80th percentile of 182 physical medicine & rehabilitation providers in Missouri.
See all physical medicine & rehabilitation 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 |
|---|---|---|
| Radicava OrsEdaravone | 69 | $993,350 |
| HizentraImmun Glob G(Igg)/Pro/Iga 0-50 | 27 | $464,373 |
| SkyclarysOmaveloxolone | 11 | $352,237 |
| RelyvrioSod Phenylbutyrat/Taurursodiol | 22 | $281,586 |
| Riluzole | 108 | $17,644 |
| NuedextaDextromethorphan Hbr/Quinidine | 11 | $17,012 |
| Mycophenolate Mofetil | 34 | $3,015 |
| Atropine Sulfate | 16 | $981 |
| Duloxetine Hcl | 40 | $683 |
| Baclofen | 71 | $668 |
| Gabapentin | 27 | $617 |
| Pyridostigmine Bromide | 11 | $558 |
| Ipratropium Bromide | 15 | $359 |
| Prednisone | 48 | $186 |
| Amitriptyline Hcl | 29 | $167 |
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 |
|---|---|---|
| BiogenSkyclarys | $134 | $352,23711 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 80th percentile of 182 physical medicine & rehabilitation providers in Missouri.
Other physical medicine & rehabilitation in Saint Louis
- Lizette AlvarezSaint Louis$182K
- Kunj PatelSaint Louis$17K
- Tulsi PandatSaint Louis$8K
- Heidi PratherSaint Louis$4K
- Carol CrooksSaint Louis$3K
- Nathan OlafsenSaint Louis$2K
- Daniel SohnSaint Louis$2K
- Jeremy HartmanSaint Louis$2K
- Sindhu JacobSaint Louis$1K
- Andrew SloanSaint Louis$636
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.