Sigal Fridman, PA
Surgical · Saint Louis, MONPI 1821741356
Payments from drug & device makers
What this record shows
21 manufacturers reported payments, led by Axonics, Inc. at 56.7% of the total. Reporting peaked in 2023 at $1,673 and has fallen 74.1% since, to $433 in 2025. Among surgical 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 60 payments — averaging $45.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axonics, Inc.$2K
- Intuitive Surgical$224
- Hollister Incorporated$119
- Takeda Pharmaceuticals U.S.A., Inc.$106
- Davol Inc.$103
- Merck$101
- plus $529 from 15 others
What the payments were for
- Travel & lodging$1,14342%
- Food & beverage$1,58658%
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 |
|---|---|---|
| Axonics, Inc. | 15 | $1,548 |
| Intuitive Surgical | 9 | $224 |
| Hollister Incorporated | 2 | $119 |
| Takeda Pharmaceuticals U.S.A., Inc. | 5 | $106 |
| Davol Inc. | 3 | $103 |
| Merck | 5 | $101 |
| Trevena, Inc. | 4 | $75 |
| Polynovo North America LLC | 2 | $72 |
| Medtronic | 1 | $54 |
| Kerecis Limited | 1 | $44 |
| Braintree Laboratories, Inc. | 2 | $42 |
| Teleflex LLC | 1 | $36 |
| Vertex | 2 | $35 |
| Integra Lifesciences Corporation | 1 | $28 |
| Coloplast | 1 | $27 |
| Solventum Corporation | 1 | $26 |
| Convatec Inc. | 1 | $21 |
| Bard Peripheral Vascular, Inc. | 1 | $21 |
| Hologic Sales And Service, LLC | 1 | $17 |
| KCI USA, Inc. | 1 | $16 |
| Sanara Medtech Inc. | 1 | $14 |
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.
- Axonics$1,194
How this compares
$2,729 in reported general payments places this provider in the 90th percentile of 118 surgical 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 36 | $278 |
Paid to pharmacies, not to this prescriber.
Other surgical in Saint Louis
- Ciara GlennSaint Louis$9K
- Thomas PrangeSaint Louis$5K
- Ella BarberSaint Louis$3K
- Dennis HaffordSaint Louis$2K
- Renee KertzSaint Louis$2K
- Aliyah PattersonSaint Louis$2K
- Forrest SimmonsSaint Louis$1K
- Lindsey HellwigSaint Louis$999
- Thomas TopperSaint Louis$819
- Emily CiveraSaint Louis$816
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.