Aaron Shives, MD
Family Medicine · Watertown, SDNPI 1659338747
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.5% of the total across 364 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 32 manufacturers, the largest accounting for just 11.5% — the pattern of someone who eats at a lot of different presentations. Among family medicine clinicians in SD 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 364 payments — averaging $13.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$574
- Lilly USA, LLC$543
- AbbVie$479
- Grifols USA, LLC$400
- Astellas Pharma US Inc$372
- AstraZeneca$318
- plus $2K from 26 others
What the payments were for
- Food & beverage$4,76496%
- Education$2234%
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 |
|---|---|---|
| Pfizer | 53 | $574 |
| Lilly USA, LLC | 42 | $543 |
| AbbVie(2 entities) | 46 | $479 |
| Grifols USA, LLC | 21 | $400 |
| Astellas Pharma US Inc | 18 | $372 |
| AstraZeneca | 10 | $318 |
| Daiichi Sankyo Inc. | 18 | $279 |
| Amgen | 17 | $259 |
| Novo Nordisk | 23 | $253 |
| Johnson & Johnson | 31 | $241 |
| Boehringer Ingelheim | 10 | $158 |
| Biohaven Pharmaceutical Holding Company Ltd. | 14 | $155 |
| Bayer | 6 | $114 |
| Abbott | 6 | $108 |
| Eisai Inc. | 6 | $101 |
| Amarin Pharma, Inc. | 7 | $91 |
| Dexcom, Inc. | 5 | $64 |
| Merck | 4 | $61 |
| Sunovion Pharmaceuticals Inc. | 5 | $58 |
| Novartis | 4 | $50 |
| Medtronic | 3 | $50 |
| Exact Sciences | 3 | $46 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $45 |
| Teva Pharmaceuticals USA, Inc. | 1 | $32 |
| Biohaven Pharmaceuticals, Inc. | 2 | $31 |
| Organon | 1 | $25 |
| Collegium Pharmaceutical, Inc. | 1 | $17 |
| Sanofi-aventis U.S. LLC | 1 | $16 |
| Boston Scientific | 1 | $14 |
| BETA Bionics, Inc. | 1 | $12 |
| Ironshore Pharmaceuticals Inc. | 1 | $12 |
| Shire North American Group Inc | 1 | $12 |
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.
How this compares
$4,987 in reported general payments places this provider in the 95th percentile of 408 family medicine providers in South Dakota.
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 |
|---|---|---|
| GattexTeduglutide | 13 | $582,406 |
| MounjaroTirzepatide | 155 | $160,017 |
| EliquisApixaban | 200 | $151,308 |
| XareltoRivaroxaban | 96 | $83,731 |
| FarxigaDapagliflozin Propanediol | 89 | $81,705 |
| TrulicityDulaglutide | 72 | $79,338 |
| OzempicSemaglutide | 47 | $44,219 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 53 | $30,893 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 38 | $23,796 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 22 | $20,996 |
| JardianceEmpagliflozin | 12 | $19,846 |
| Repatha SureclickEvolocumab | 36 | $19,404 |
| Fentanyl | 111 | $10,058 |
| Breo ElliptaFluticasone/Vilanterol | 23 | $8,657 |
| MyrbetriqMirabegron | 24 | $8,610 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc.Gattex | $45 | $582,40613 claims |
| Lilly USA, LLCMounjaro, Trulicity | $543 | $239,355227 claims |
| PfizerEliquis, Abrysvo | $574 | $154,591211 claims |
| AstraZenecaFarxiga, Bevespi Aerosphere | $318 | $86,376100 claims |
| Johnson & JohnsonXarelto | $241 | $83,73196 claims |
| Novo NordiskOzempic | $253 | $44,21947 claims |
| Boehringer IngelheimJardiance | $158 | $19,84612 claims |
| Astellas Pharma US IncMyrbetriq | $372 | $8,61024 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 408 family medicine providers in South Dakota.
Other family medicine in Watertown
- Jonathan McAreaveyWatertown$5K
- Sarah ReiffenbergerWatertown$4K
- Daniel ReiffenbergerWatertown$3K
- Jessica HornWatertown$3K
- Joseph OroWatertown$2K
- Kyla Helm-SwansonRapid City$22K
- Andrew BurchettSioux Falls$13K
- Lornell HansenSioux Falls$11K
- Michael GerlachMitchell$9K
- Jeffry MeyerSioux Falls$8K
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.