Vinicius Tieppo Francio, MD
Pain Medicine · Saint Louis, MONPI 1811311434
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (31.0%), grants and travel and lodging — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Medtronic at 38.0% of the total. Among pain medicine clinicians in MO with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 202 payments — averaging $175.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$13K
- MML US, Inc.$9K
- Abbott$3K
- Boston Scientific$3K
- Saluda Medical Americas, Inc.$3K
- Nevro Corp.$948
- plus $3K from 11 others
Across 5 payments — averaging $2700.00 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.
- Nevro Corp.$14K
What the payments were for
- Consulting fees$5,56416%
- Grants$10,00028%
- Travel & lodging$8,92825%
- Food & beverage$10,98131%
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 | 52 | $13,488 |
| MML US, Inc. | 34 | $9,137 |
| Abbott | 29 | $3,437 |
| Boston Scientific | 17 | $2,761 |
| Saluda Medical Americas, Inc. | 16 | $2,623 |
| Nevro Corp. | 14 | $948 |
| Globus Medical | 17 | $692 |
| Nalu Medical, Inc. | 4 | $452 |
| Spinal Simplicity, LLC | 3 | $388 |
| SPR Therapeutics, Inc | 4 | $373 |
| Biotronik NRO, Inc. | 2 | $300 |
| Pacira Pharmaceuticals Incorporated | 2 | $237 |
| Painteq LLC | 2 | $169 |
| Foundation Fusion Solutions, LLC | 1 | $156 |
| Relievant Medsystems, Inc. | 1 | $149 |
| Vertos Medical, Inc. | 3 | $134 |
| Avanos Medical | 1 | $29 |
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.
- SYNCHROMEDII$10,000
- ReActiv8$8,579
- Evoke$2,310
- PROCLAIM$2,246
- INTELLIS ADAPTIVESTIM$1,249
- Senza$1,040
- VANTA ADAPTIVESTIM$1,033
- VERCISE$696
- Intracept$562
- ETERNA$478
- HA MINUTEMAN G3-R$369
- Prospera$300
- SPRINT PNS System$235
- Nalu Neurostimulation System$224
- PAINTEQ$125
- Zilretta$123
- Iovera$114
How this compares
$35,473 in reported general payments places this provider in the 95th percentile of 124 pain medicine 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 |
|---|---|---|
| Pregabalin | 16 | $274 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 12 | $146 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $84 |
| Tizanidine Hcl | 12 | $37 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Saint Louis
- Jooyoung MaengSaint Louis$25K
- Nabil AhmadSaint Louis$21K
- Katharine GurbaSaint Louis$18K
- Jeremy ThompsonSaint Louis$11K
- Alexander BeyzerSaint Louis$11K
- Hamed SadeghipourSaint Louis$10K
- Hess PanjetonSaint Louis$6K
- Xiaobin YiSaint Louis$6K
- Nicole ShinSaint Louis$6K
- Satish ReddySaint Louis$5K
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.