Sidharth Puram, MD
Otolaryngology · Saint Louis, MONPI 1568800183
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (53.2%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 9 manufacturers reported payments, led by Janssen Research & Development, LLC at 53.2% of the total. 2025 is the largest year on record at $2,343, more than ten times the $12 reported in 2019.
Across 21 payments — averaging $197.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Janssen Research & Development, LLC$2K
- Intuitive Surgical$866
- Kls-martin L.p.$685
- Axogen$138
- Stryker$93
- Acera Surgical, Inc.$77
- plus $83 from 3 others
What the payments were for
- Consulting fees$2,20553%
- Travel & lodging$80819%
- Food & beverage$1,13327%
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 |
|---|---|---|
| Janssen Research & Development, LLC | 1 | $2,205 |
| Intuitive Surgical | 7 | $866 |
| Kls-martin L.p. | 5 | $685 |
| Axogen | 1 | $138 |
| Stryker | 1 | $93 |
| Acera Surgical, Inc. | 2 | $77 |
| EMD Serono, Inc. | 2 | $49 |
| Checkpoint Surgical, Inc | 1 | $22 |
| Acell, 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.
How this compares
$4,147 in reported general payments places this provider in the 85th percentile of 210 otolaryngology 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 |
|---|---|---|
| Pentoxifylline | 49 | $1,049 |
| Gabapentin | 43 | $609 |
| Oxycodone Hcl | 37 | $440 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 21 | $357 |
| Alendronate Sodium | 48 | $228 |
| Fluconazole | 15 | $133 |
| Prednisone | 85 | $117 |
| Chlorhexidine Gluconate | 31 | $114 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Saint Louis
- Ryan JacksonSaint Louis$284K
- Ravindra UppaluriSaint Louis$168K
- John SchneiderSaint Louis$74K
- Amit WaliaSaint Louis$21K
- Bharat PanugantiSaint Louis$19K
- Cristine Klatt-CromwellSaint Louis$13K
- Lauren RolandSaint Louis$11K
- James HartmanSaint Louis$7K
- Robert ObertSaint Louis$7K
- Barry RosenblumSaint 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.