Alex Gerdes
Nurse Practitioner · Sioux City, IANPI 1942936885
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 93.9% of the total across 137 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 43 manufacturers, the largest accounting for just 11.1% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $1,820 and has fallen 86.3% since, to $249 in 2025. Among nurse practitioner clinicians in IA 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 137 payments — averaging $20.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- E.r. Squibb & Sons, L.L.C.$308
- Novartis$201
- Seagen Inc.$168
- Amgen$157
- Insulet Corporation$150
- Incyte Corporation$134
- plus $2K from 37 others
What the payments were for
- Food & beverage$2,61294%
- Education$1696%
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.
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.
- Omnipod$150
How this compares
$2,781 in reported general payments places this provider in the 95th percentile of 1,346 nurse practitioner 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 |
|---|---|---|
| Pirfenidone | 11 | $40,097 |
| TrulicityDulaglutide | 36 | $36,501 |
| EliquisApixaban | 56 | $22,194 |
| DapagliflozinDapagliflozin Propanediol | 36 | $15,735 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 11 | $7,466 |
| Mirabegron ErMirabegron | 26 | $7,054 |
| RexultiBrexpiprazole | 11 | $6,969 |
| JanuviaSitagliptin Phosphate | 15 | $4,280 |
| GemtesaVibegron | 11 | $2,678 |
| Gabapentin | 128 | $2,185 |
| Insulin Aspart FlexpenInsulin Aspart | 11 | $1,675 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 73 | $1,667 |
| Potassium Chloride | 82 | $1,635 |
| Midodrine Hcl | 36 | $1,280 |
| Pantoprazole Sodium | 96 | $1,224 |
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, LLCTrulicity | $32 | $36,50136 claims |
| PfizerEliquis | $101 | $22,19456 claims |
| AstraZenecaBreztri Aerosphere | $26 | $7,46611 claims |
| MerckJanuvia | $78 | $4,28015 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 1,346 nurse practitioner providers in Iowa.
Other nurse practitioner in Sioux City
- Nicole MorganDes Moines$106K
- Julie CoffeyIowa City$31K
- Mary JohnsonDavenport$30K
- Megan Hart FernandezCedar Rapids$19K
- Carla HuberCedar Rapids$18K
- Beth ChiaWest Des Moines$15K
- Margaret KinneyRed Oak$13K
- Abbey ModlinDes Moines$12K
- Jonathon HenningsWaterloo$11K
- Michaela JohnsonWaterloo$9K
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.