RxDoctor Payments Data

Amanda White

Nurse Practitioner · West Des Moines, IANPI 1659657906

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $2,991 of the $4,677 with a category attached, or 63.9%. 7 manufacturers reported payments, led by Atricure, Inc. at 49.8% of the total. Reporting peaked in 2023 at $3,003 and has fallen 79.0% since, to $630 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.

$4,677in general payments, 2019–2025

Across 92 payments — averaging $50.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Atricure, Inc.$2K
  • Boston Scientific$812
  • Abbott$667
  • Medtronic$456
  • Impulse Dynamics (USA) Inc.$214
  • ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$176
  • plus $24 from 1 others

What the payments were for

  • Travel & lodging$1,65535%
  • Food & beverage$2,99164%
  • Education$321%

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

21
22
23
24
25

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

$4,677 in reported general payments places this provider in the 95th percentile of 1,346 nurse practitioner providers in Iowa.

See all nurse practitioner providers in Iowa

Medicare billing

Part B allowed, 2024
$25,827
Medicare patients
269
Services billed
595

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

DrugClaimsCost to plans & patients
EliquisApixaban495$371,667
XareltoRivaroxaban76$71,815
Dofetilide26$4,239
Metoprolol Succinate388$3,771
Flecainide Acetate167$3,616
Amiodarone Hcl268$1,813
SotalolSotalol Hcl146$1,585
Midodrine Hcl20$1,396
Diltiazem 24hr Er (Cd)Diltiazem Hcl80$1,280
Mexiletine Hcl14$948
Propafenone Hcl12$539
Potassium Chloride38$456
Dilt-XrDiltiazem Hcl13$420
Diltiazem 24hr ErDiltiazem Hcl26$229
Digoxin30$211

Paid to pharmacies, not to this prescriber.

Other nurse practitioner in West Des Moines

See the full list for Iowa

Where these figures come from

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