Shady Adib Keleh, MD
Pain Medicine · Columbia, MONPI 1669737227
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.9% of the total across 211 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 17 manufacturers reported payments, led by Abbott at 42.3% of the total. Reporting peaked in 2023 at $1,793 and has fallen 76.4% since, to $422 in 2025.
Across 211 payments — averaging $32.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$3K
- Medtronic$899
- Saluda Medical Americas, Inc.$572
- Nevro Corp.$556
- Boston Scientific$405
- AbbVie$321
- plus $1K from 11 others
What the payments were for
- Travel & lodging$60%
- Food & beverage$6,881100%
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 |
|---|---|---|
| Abbott | 136 | $2,914 |
| Medtronic | 13 | $899 |
| Saluda Medical Americas, Inc. | 3 | $572 |
| Nevro Corp. | 9 | $556 |
| Boston Scientific | 5 | $405 |
| AbbVie(2 entities) | 15 | $321 |
| SPR Therapeutics, Inc | 2 | $293 |
| Pfizer | 14 | $196 |
| Stimwave Technologies Incorporated | 1 | $180 |
| Fisher & Paykel Healthcare Inc | 1 | $149 |
| Avanos Medical | 1 | $110 |
| Merck | 5 | $108 |
| Solventum Corporation | 1 | $60 |
| Grifols USA, LLC | 1 | $51 |
| Edwards Lifesciences | 2 | $35 |
| Vertex | 1 | $25 |
| Biodelivery Sciences International, Inc. | 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.
- FISHER & PAYKEL HEALTHCARE$745
- PROCLAIM$539
- VANTA ADAPTIVESTIM$411
- Evoke SCS$339
- Proclaim Family of SCS IPGs$299
- SPRINT PNS System$293
- INTELLIS ADAPTIVESTIM$280
- Proclaim IPG$276
- Evoke$234
- Senza$174
- ETERNA$166
- Protege Family of SCS IPGs$147
- WaveWriter Alpha Prime 16$138
- Omnia$138
- SPECTRA WAVEWRITER$126
- Senza Spinal Cord Stimulation System$118
- ON-Q* PUMP AND ACCESSORIES$110
- GENERAL PAIN MANAGEMENT$102
How this compares
$6,886 in reported general payments places this provider in the 75th percentile of 124 pain medicine 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 |
|---|---|---|
| Buprenorphine | 17 | $3,197 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 31 | $572 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 12 | $404 |
| Oxycodone Hcl | 14 | $349 |
| Pregabalin | 20 | $316 |
| Gabapentin | 19 | $179 |
| Meloxicam | 12 | $24 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Columbia
- Abram ElsenraatColumbia$14K
- Ebby VargheseColumbia$8K
- Donald MeyerColumbia$8K
- Richard WolkowitzColumbia$3K
- Christopher ReisCape Girardeau$113K
- Anne ChristopherChesterfield$104K
- Tyler ConcannonKansas City$64K
- Vinicius Tieppo FrancioSaint Louis$35K
- Luvell GlantonHannibal$33K
- Jooyoung MaengSaint Louis$25K
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.