Ashton Pruett
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 204 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 34 manufacturers, the largest accounting for just 15.9% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,377, more than ten times the $17 reported in 2021. Among family clinicians in IA 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.
Across 204 payments — averaging $15.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$509
- Amgen$340
- Novo Nordisk$282
- AstraZeneca$211
- Pfizer$188
- Lundbeck LLC$184
- plus $1K from 28 others
What the payments were for
- Food & beverage$3,211100%
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.
| Company | Payments | Total |
|---|---|---|
| AbbVie | 40 | $509 |
| Amgen | 22 | $340 |
| Novo Nordisk | 19 | $282 |
| AstraZeneca | 6 | $211 |
| Pfizer | 12 | $188 |
| Lundbeck LLC | 11 | $184 |
| Lilly USA, LLC | 12 | $169 |
| Otsuka America Pharmaceutical, Inc. | 8 | $152 |
| Bayer | 9 | $141 |
| Teva Pharmaceuticals USA, Inc. | 9 | $138 |
| Astellas Pharma US Inc | 7 | $116 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 5 | $78 |
| Lexicon Pharmaceuticals, Inc. | 4 | $76 |
| Sumitomo Pharma America, Inc. | 4 | $74 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $61 |
| Merck | 4 | $60 |
| GSK | 4 | $54 |
| Phathom Pharmaceuticals, Inc. | 3 | $52 |
| Novartis | 3 | $46 |
| E.r. Squibb & Sons, L.L.C. | 2 | $31 |
| Mylan Specialty L.p. | 2 | $28 |
| ANI Pharmaceuticals, Inc. | 1 | $27 |
| Boehringer Ingelheim | 2 | $27 |
| Inspire Medical Systems, Inc. | 1 | $25 |
| Dexcom, Inc. | 1 | $17 |
| Idorsia Pharmaceuticals US Inc | 1 | $17 |
| Krystal Biotech Inc | 1 | $17 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $17 |
| VBI Vaccine (delaware) Inc. | 1 | $16 |
| Exact Sciences | 1 | $15 |
| Sanofi-aventis U.S. LLC | 1 | $14 |
| Johnson & Johnson | 1 | $14 |
| Seqirus USA Inc | 1 | $13 |
| Genentech USA, Inc. | 1 | $2 |
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.
- AIRSUPRA$133
How this compares
$3,211 in reported general payments places this provider in the 90th percentile of 1,268 family 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 |
|---|---|---|
| Cefdinir | 36 | $606 |
| Trazodone Hcl | 13 | $280 |
| Omeprazole | 42 | $258 |
| Levothyroxine Sodium | 37 | $237 |
| Potassium Chloride | 15 | $237 |
| Lisinopril | 21 | $157 |
| Pantoprazole Sodium | 14 | $155 |
| Losartan Potassium | 11 | $106 |
| Azithromycin | 31 | $104 |
| Amlodipine Besylate | 19 | $95 |
| Prednisone | 37 | $90 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 12 | $86 |
| Methylprednisolone | 13 | $79 |
| Atorvastatin Calcium | 16 | $75 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 18 | $71 |
Paid to pharmacies, not to this prescriber.
Other family in Onawa
- Jessica RenzOnawa$4K
- Stefanie GaticaAnkeny$354K
- Aubrey MolgaardAmes$238K
- Joan KittenFort Dodge$85K
- Megan FergusonPella$82K
- Rodney ClarkDes Moines$63K
- Jennifer CondonFort Dodge$31K
- Karen HunkeAmes$20K
- Tonia AckermanWest Des Moines$17K
- Chi-Ying SageWaterloo$14K
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.