Shuddhadeb Ray, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Saint Louis, MONPI 1891081055
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (47.2%), education and travel and lodging — rather than concentrated in one kind of arrangement. 27 manufacturers reported payments, led by Intuitive Surgical at 35.9% of the total. Reporting peaked in 2024 at $13,272 and has fallen 79.1% since, to $2,771 in 2025. Among thoracic surgery (cardiothoracic vascular surgery) 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 276 payments — averaging $137.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$14K
- Abiomed$7K
- Edwards Lifesciences$4K
- Atricure, Inc.$4K
- Medtronic$4K
- Angiodynamics, Inc.$1K
- plus $5K from 21 others
What the payments were for
- Travel & lodging$6,58717%
- Food & beverage$17,94947%
- Education$13,50035%
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 |
|---|---|---|
| Intuitive Surgical | 12 | $13,644 |
| Abiomed | 69 | $6,589 |
| Edwards Lifesciences | 35 | $4,496 |
| Atricure, Inc. | 33 | $3,602 |
| Medtronic(2 entities) | 47 | $3,512 |
| Angiodynamics, Inc. | 10 | $1,377 |
| Boston Scientific | 6 | $1,244 |
| Abbott | 9 | $930 |
| Zimmer Biomet | 12 | $617 |
| Baxter Healthcare | 8 | $380 |
| Kls-martin L.p. | 6 | $310 |
| Artivion, Inc. | 4 | $261 |
| LSI Solutions Inc | 4 | $212 |
| Corcym Inc | 5 | $209 |
| Clearflow Inc. | 1 | $135 |
| Medical Device Business Services, Inc. | 1 | $125 |
| Helios Cardio Inc | 1 | $116 |
| Stryker | 1 | $60 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 3 | $47 |
| Elite Orthopedics, LLC | 1 | $36 |
| Davol Inc. | 2 | $33 |
| Octapharma USA, Inc. | 1 | $22 |
| Getinge USA Sales, LLC | 1 | $18 |
| KCI USA, Inc. | 1 | $17 |
| Inari Medical, Inc. | 1 | $16 |
| Biom'up France SAS | 1 | $16 |
| Veran Medical Technologies, 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.
- DAVINCI XI$7,500
- Da Vinci Surgical System$6,000
- Impella$4,425
- SYNERGY ABLATION SYSTEM$1,422
- ATRICLIP LAA EXCLUSION SYSTEM$1,391
- Octopus$1,390
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$1,162
- GENERAL - THERAPIES$1,134
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$947
- AngioVac$904
- MITRIS RESILIA Mitral Valve$591
- Edwards SAPIEN 3 Transcatheter Heart Valve$368
- MitraClip$344
- Edwards SAPIEN 3 Ultra Transcatheter Heart Valve$288
- ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2)$288
- CoreValve Evolut$271
- Avalus$261
- AMPLATZER AMULET$235
- BIOGLUE SURGICAL ADHESIVE$167
- CRYOVALVE SG PULMONARY HUMAN HEART VALVE$167
How this compares
$38,036 in reported general payments places this provider in the 90th percentile of 113 thoracic surgery (cardiothoracic vascular surgery) providers in Missouri.
See all thoracic surgery (cardiothoracic vascular surgery) 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 | 54 | $261 |
| Tramadol Hcl | 21 | $45 |
| Metoprolol Tartrate | 18 | $31 |
| Pantoprazole Sodium | 15 | $17 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in Saint Louis
- Tsuyoshi KanekoSaint Louis$353K
- Ralph DamianoSaint Louis$134K
- Puja KachrooSaint Louis$57K
- Umraan AhmadSaint Louis$51K
- Nabil MunfakhSaint Louis$44K
- Joshua BakerSaint Louis$36K
- Alexander BresciaSaint Louis$35K
- Kunal Deepak KotkarSaint Louis$33K
- George PattersonSaint Louis$23K
- Muhammad MasoodSaint Louis$23K
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.