Timothy Smith, MD
Clinical Cardiac Electrophysiology · Saint Louis, MONPI 1386662815
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $7,038 of the $11,334 with a category attached, or 62.1%. Medtronic accounts for 63.2% of it on its own, with 14 other manufacturers making up the rest. Reporting peaked in 2023 at $2,752 and has fallen 51.4% since, to $1,338 in 2025. That places this record below the midpoint for clinical cardiac electrophysiology clinicians in MO, where the typical reported total is $14,594.
Across 194 payments — averaging $58.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$7K
- Abbott$2K
- Abiomed$1K
- Biosense Webster, Inc.$412
- Biotronik Inc.$189
- Boston Scientific$132
- plus $377 from 9 others
Across 87 payments — averaging $5114.58 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Amgen$242K
- Abbott$99K
- Medtronic$85K
- Eli Lilly$17K
- Boston Scientific$2K
What the payments were for
- Travel & lodging$4,29638%
- Food & beverage$7,03862%
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 |
|---|---|---|
| Medtronic(2 entities) | 109 | $7,169 |
| Abbott | 56 | $1,692 |
| Abiomed | 6 | $1,364 |
| Biosense Webster, Inc. | 3 | $412 |
| Biotronik Inc. | 3 | $189 |
| Boston Scientific | 3 | $132 |
| Lilly USA, LLC | 3 | $97 |
| Sanofi | 4 | $88 |
| Lundbeck LLC | 1 | $51 |
| Impulse Dynamics (USA) Inc. | 1 | $30 |
| Novartis | 1 | $28 |
| Cardiva Medical, Inc. | 1 | $25 |
| Amgen | 1 | $25 |
| Teva Pharmaceuticals USA, Inc. | 1 | $18 |
| Siemens Medical Solutions USA, Inc. | 1 | $15 |
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.
- Impella$1,281
- Micra$1,102
- EVERA MRI XT DR SURESCAN$843
- ENSITE$608
- Carto 3$562
- COBALT DR MRI SURESCAN$442
- AURORA EV-ICD MRI SURESCAN$414
- Claria MRI$162
- Edora$150
- BioMonitor$150
- Solia$150
- Acticor$150
- Rivacor$150
- SelectSecure$142
- Confirm Rx$118
- AZURE XT DR MRI SURESCAN$110
- ENSITE PRECISION$107
How this compares
$11,334 in reported general payments places this provider in the 45th percentile of 74 clinical cardiac electrophysiology providers in Missouri.
See all clinical cardiac electrophysiology 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 |
|---|---|---|
| EliquisApixaban | 508 | $445,436 |
| XareltoRivaroxaban | 52 | $60,823 |
| Dofetilide | 80 | $19,990 |
| MultaqDronedarone Hcl | 19 | $14,758 |
| Metoprolol Succinate | 446 | $4,767 |
| SotalolSotalol Hcl | 142 | $3,424 |
| Mexiletine Hcl | 18 | $2,292 |
| Flecainide Acetate | 40 | $2,286 |
| Amiodarone Hcl | 174 | $1,762 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 35 | $1,144 |
| Dilt-XrDiltiazem Hcl | 36 | $666 |
| Fludrocortisone Acetate | 12 | $467 |
| Diltiazem 24hr Er (Xr)Diltiazem Hcl | 25 | $466 |
| Metoprolol Tartrate | 54 | $269 |
| Carvedilol | 13 | $191 |
Paid to pharmacies, not to this prescriber.
Other clinical cardiac electrophysiology in Saint Louis
- Phillip CuculichSaint Louis$473K
- Daniel CooperSaint Louis$168K
- Krasimira MikhovaSaint Louis$52K
- Gregory BotteronSaint Louis$52K
- Ali MehdiradSaint Louis$47K
- Milan KahandaSaint Louis$45K
- Saulius KalvaitisSaint Louis$43K
- Gabriel SotoSaint Louis$39K
- Justin PieperSaint Louis$39K
- Christopher BauerSaint Louis$38K
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.