RxDoctor Payments Data

Andrew Vanosdol, MD

Surgery · Spearfish, SDNPI 1710203401

Payments from drug & device makers

What this record shows

The money is spread across several categories — travel and lodging (42.7%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by Johnson & Johnson at 39.6% of the total. Reporting peaked in 2019 at $7,296 and has fallen 99.8% since, to $17 in 2025. Among surgery clinicians in SD with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$13,529in general payments, 2019–2025

Across 79 payments — averaging $171.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Johnson & Johnson$5K
  • Intuitive Surgical$4K
  • Medical Device Business Services, Inc.$2K
  • Stryker$2K
  • Endogastric Solutions, Inc$156
  • Steris Corporation$108
  • plus $575 from 12 others

What the payments were for

  • Consulting fees$4,68035%
  • Travel & lodging$5,77943%
  • Food & beverage$3,05423%
  • Gifts$160%

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.

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

$13,529 in reported general payments places this provider in the 90th percentile of 87 surgery providers in South Dakota.

See all surgery providers in South Dakota

Medicare billing

Part B allowed, 2024
$76,469
Medicare patients
192
Services billed
417

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
Omeprazole104$1,325
Peg-3350 And ElectrolytesPeg3350/Sod Sulf,bicarb,cl/Kcl25$413
Pantoprazole Sodium35$321
Fluconazole13$285
Sucralfate11$256
Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl12$211
Prednisone11$34
Gabapentin13$31

Paid to pharmacies, not to this prescriber.

Other surgery in Spearfish

See the full list for South Dakota

Where these figures come from

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