MS. Rachel Nicole Ramos, AGNP

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Archwell Health Professional Services of Kansas PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 25 clinicians in the practice; 12 are shown here.

• Dr. Nana A Atsina, MD Emergency Medicine Physician · Saint Louis, MO
• Amanda Baebler Medical Physician Assistant · Saint Louis, MO
• Dr. Guy Alexander Fogg, MD Internal Medicine Physician · Independence, MO
• Stephanie Erica Liebmann, MD Family Medicine Physician · Saint Louis, MO
• Mrs. Shandra Ann Miller, FNP Family Nurse Practitioner · Independence, MO
• Dr. Victor M Pace, MD Family Medicine Physician · Saint Louis, MO
• Dr. Edward Allan Puro, MD Internal Medicine Physician · Saint Louis, MO
• Dr. Heather Lynn Savedra, MD Internal Medicine Physician · Kansas City, MO
• Dr. Thomas Schelby, MD Family Medicine Physician · Saint Louis, MO
• Dr. Matthew Brian Wilkinson, MD Emergency Medicine Physician · Overland, MO
• Dr. Dannie E Williams, MD Family Medicine Physician · Overland, MO
• Demetre Deline Williams, FNP-BC Family Nurse Practitioner · Florissant, MO