Thomas Malbrough, MD
Physical Medicine & Rehabilitation · Festus, MONPI 1609193937
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 90 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 19 manufacturers reported payments, led by Zyla Life Sciences, Inc. at 24.0% of the total. Reporting peaked in 2019 at $532 and has fallen 96.3% since, to $20 in 2024.
Across 90 payments — averaging $12.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zyla Life Sciences, Inc.$278
- Nevro Corp.$149
- Scilex Pharmaceuticals Inc.$139
- Sentynl Therapeutics, Inc.$120
- Amgen$88
- Abbott$69
- plus $314 from 13 others
What the payments were for
- Food & beverage$1,157100%
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 |
|---|---|---|
| Zyla Life Sciences, Inc. | 40 | $278 |
| Nevro Corp. | 1 | $149 |
| Scilex Pharmaceuticals Inc. | 7 | $139 |
| Sentynl Therapeutics, Inc. | 13 | $120 |
| Amgen | 6 | $88 |
| Abbott | 3 | $69 |
| Pfizer | 2 | $47 |
| AstraZeneca | 3 | $37 |
| Biodelivery Sciences International, Inc. | 2 | $36 |
| Virtus Pharmaceuticals LLC | 2 | $31 |
| Pacira Therapeutics, Inc. | 2 | $31 |
| Collegium Pharmaceutical, Inc. | 2 | $24 |
| Redhill Biopharma Inc. | 1 | $21 |
| Vertex | 1 | $20 |
| Daiichi Sankyo Inc. | 1 | $19 |
| Vertical Pharmaceuticals, LLC | 1 | $16 |
| Ultragenyx Pharmaceutical Inc. | 1 | $16 |
| Shionogi Inc | 1 | $11 |
| Assertio Therapeutics, Inc. | 1 | $5 |
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.
- Senza$149
How this compares
$1,157 in reported general payments places this provider in the 75th percentile of 182 physical medicine & rehabilitation providers in Missouri.
See all physical medicine & rehabilitation 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 | 91 | $1,905 |
| Gabapentin | 69 | $672 |
| Methocarbamol | 45 | $482 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 20 | $411 |
| Methylprednisolone | 20 | $151 |
| Tizanidine Hcl | 27 | $98 |
| Diclofenac Sodium | 16 | $75 |
| Tramadol Hcl | 16 | $74 |
| Meloxicam | 29 | $59 |
| Alprazolam | 44 | $54 |
| Ibuprofen | 14 | $49 |
Paid to pharmacies, not to this prescriber.
Other physical medicine & rehabilitation in Festus
- Lizette AlvarezSaint Louis$182K
- Heidi HunterCape Girardeau$150K
- Constantine FotopoulosKansas City$91K
- Joseph BurrisColumbia$75K
- Alexander ChamessianCreve Coeur$55K
- Jane EmersonColumbia$44K
- Reza FaridColumbia$37K
- Nathan KenyonJefferson City$24K
- Kunj PatelSaint Louis$17K
- Vovanti JonesColumbia$9K
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.