Alan Kricsfeld, MD
Internal Medicine · Council Bluffs, IANPI 1467406017
Payments from drug & device makers
Across 767 payments — averaging $63.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$25K
- AstraZeneca$3K
- Bayer$2K
- AbbVie$2K
- Amgen$2K
- Medtronic$2K
- plus $13K from 45 others
What the payments were for
- Consulting fees$1,5033%
- Speaking & faculty fees$22,22546%
- Travel & lodging$1,0972%
- Food & beverage$23,85049%
- Education$1580%
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.
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
$48,833 in reported general payments places this provider in the 95th percentile of 583 internal medicine providers in Iowa.
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 |
|---|---|---|
| MounjaroTirzepatide | 346 | $397,106 |
| EliquisApixaban | 286 | $198,911 |
| XareltoRivaroxaban | 161 | $133,026 |
| JardianceEmpagliflozin | 82 | $73,899 |
| OzempicSemaglutide | 64 | $61,077 |
| TrulicityDulaglutide | 53 | $55,704 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 49 | $44,625 |
| JanuviaSitagliptin Phosphate | 43 | $40,850 |
| FarxigaDapagliflozin Propanediol | 41 | $38,676 |
| Repatha SureclickEvolocumab | 36 | $30,081 |
| TradjentaLinagliptin | 28 | $26,863 |
| InvokanaCanagliflozin | 43 | $26,057 |
| MyrbetriqMirabegron | 59 | $24,233 |
| GemtesaVibegron | 42 | $21,517 |
| KerendiaFinerenone | 20 | $15,983 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity | $838 | $452,810399 claims |
| PfizerEliquis | $616 | $198,911286 claims |
| Johnson & JohnsonXarelto, Invokana | $24,878 | $159,083204 claims |
| Boehringer IngelheimJardiance, Tradjenta, Combivent Respimat, Jentadueto Xr, Trijardy Xr | $474 | $140,965160 claims |
| Novo NordiskOzempic | $1,146 | $61,07764 claims |
| MerckJanuvia, Janumet | $229 | $51,78758 claims |
| GSKTrelegy Ellipta | $677 | $44,62549 claims |
| AstraZenecaFarxiga, Symbicort | $3,233 | $43,27054 claims |
| Astellas Pharma US IncMyrbetriq | $296 | $24,23359 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $346 | $21,51742 claims |
| BayerKerendia | $2,371 | $15,98320 claims |
| AbbVieSynthroid | $1,862 | $5,03469 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 583 internal medicine providers in Iowa.
Other internal medicine in Council Bluffs
- Isam MararCouncil Bluffs$1.5M
- Matthew FryzekCouncil Bluffs$28K
- Diana Rabadi MararCouncil Bluffs$25K
- Barry KricsfeldCouncil Bluffs$13K
- Vikrant SalariaCouncil Bluffs$7K
- Kathleen JonesWest Des Moines$7.6M
- Jennifer KillionAmes,$4.9M
- Lena Rydberg FreeseWest Des Moines$1.8M
- Mark JohnsonMason City$223K
- Ryan TomlinsonDes Moines$209K
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.