RxDoctor Payments Data

Anand Deshmukh, MD

Cardiovascular Disease · Council Bluffs, IANPI 1003022708

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 98.9% of the total across 190 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 29 manufacturers, the largest accounting for just 14.3% — the pattern of someone who eats at a lot of different presentations.

$3,189in general payments, 2019–2025

Across 190 payments — averaging $16.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novartis$457
  • Medtronic$374
  • Pfizer$304
  • Boston Scientific$271
  • Inari Medical, Inc.$221
  • E.r. Squibb & Sons, L.L.C.$218
  • plus $1K from 23 others
$248in research payments, 2019–2025

Across 2 payments — averaging $124.16 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Novartis$248

What the payments were for

  • Food & beverage$3,15499%
  • Education$351%

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

19
20
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.

How this compares

$3,189 in reported general payments places this provider in the 75th percentile of 142 cardiovascular disease providers in Iowa.

See all cardiovascular disease providers in Iowa

Medicare billing

Part B allowed, 2024
$262,494
Medicare patients
1,385
Services billed
4,360

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
JardianceEmpagliflozin532$477,212
EntrestoSacubitril/Valsartan208$248,457
EliquisApixaban216$212,418
XareltoRivaroxaban141$141,596
FarxigaDapagliflozin Propanediol99$112,029
Repatha SureclickEvolocumab119$108,226
VascepaIcosapent Ethyl94$38,902
Praluent PenAlirocumab44$36,210
OzempicSemaglutide33$30,918
MultaqDronedarone Hcl37$30,294
BrilintaTicagrelor16$9,877
Icosapent Ethyl29$8,467
Ezetimibe303$7,276
Rosuvastatin Calcium490$5,668
Metoprolol Succinate355$4,905

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.

CompanyPaid to this providerPart D cost of their drugs
Boehringer IngelheimJardiance$14$477,212532 claims
NovartisEntresto$457$248,457208 claims
PfizerEliquis$304$212,418216 claims
Johnson & JohnsonXarelto$135$141,596141 claims
AstraZenecaFarxiga, Brilinta$98$121,906115 claims
Novo NordiskOzempic$48$30,91833 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 75th percentile of 142 cardiovascular disease providers in Iowa.

Other cardiovascular disease in Council Bluffs

See the full list for Iowa

Where these figures come from

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