Shalen Kouk, MD
Sports Medicine · Saint Louis, MONPI 1558748871
Payments from drug & device makers
What this record shows
The money is spread across several categories — grants (43.5%), education and food and beverage — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Arthrex at 52.6% of the total. Reporting peaked in 2020 at $27,688 and has fallen 91.5% since, to $2,342 in 2025. Among sports medicine 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 118 payments — averaging $390.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$24K
- Smith+Nephew$16K
- Elite Orthopedics, LLC$4K
- Zimmer Biomet$848
- Stryker$317
- Catalyst Orthoscience$192
- plus $500 from 10 others
What the payments were for
- Grants$20,00043%
- Travel & lodging$4,3019%
- Food & beverage$5,24511%
- Education$16,47936%
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 |
|---|---|---|
| Arthrex | 42 | $24,226 |
| Smith+Nephew | 5 | $15,566 |
| Elite Orthopedics, LLC | 39 | $4,377 |
| Zimmer Biomet | 11 | $848 |
| Stryker | 3 | $317 |
| Catalyst Orthoscience | 2 | $192 |
| Johnson & Johnson(2 entities) | 5 | $180 |
| Nuo Therapeutics | 1 | $117 |
| Kerecis Limited | 1 | $46 |
| Vertex | 2 | $42 |
| Ossur Americas, Inc. | 1 | $28 |
| Ferring Pharmaceuticals Inc. | 2 | $28 |
| Exactech, Inc. | 1 | $16 |
| Vericel Corporation | 1 | $15 |
| Davol Inc. | 1 | $14 |
| Mid-atlantic Surgical Systems, LLC | 1 | $13 |
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.
- NA$289
- Persona$245
- AccuFill$144
- ROSA$144
- VISIONAIRE$139
- Catalyst CSR Shoulder System$137
- Sports Medicine-None$136
- REGENETEN Shoulder$129
- SHOULDER IMPLANTS BICEPS REPAIR FIBERTAK$111
- ARTHREX$107
- mymobility Platform$104
How this compares
$46,026 in reported general payments places this provider in the 90th percentile of 127 sports 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 |
|---|---|---|
| Oxycodone Hcl | 90 | $329 |
| Meloxicam | 188 | $322 |
| Ondansetron OdtOndansetron | 53 | $277 |
| Diclofenac Sodium | 57 | $255 |
| Celecoxib | 29 | $215 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 25 | $178 |
| Naproxen | 46 | $161 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 24 | $128 |
| Tramadol Hcl | 33 | $70 |
| Gabapentin | 15 | $51 |
| Amoxicillin | 11 | $22 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Saint Louis
- Derrick KnapikSaint Louis$72K
- Devon MyersSaint Louis$43K
- William McLaughlinSaint Louis$40K
- Richard SilvermanSaint Louis$27K
- Patrick ReardonSaint Louis$27K
- Brock KnappSaint Louis$24K
- Scott ZehnderSaint Louis$10K
- Christopher RothrockSaint Louis$6K
- Michael BurnsSaint Louis$4K
- Larkin WadsworthSaint Louis$4K
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.