RxDoctor Payments Data

Bernard Leman, MD

Gastroenterology · Clive, IANPI 1972560597

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 99.7% of the total across 686 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 32 manufacturers reported payments, led by AbbVie at 31.3% of the total. Among gastroenterology 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.

$11,597in general payments, 2019–2025

Across 686 payments — averaging $16.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$4K
  • Johnson & Johnson$2K
  • Bristol Myers Squibb$693
  • Pfizer$630
  • Takeda Pharmaceuticals U.S.A., Inc.$590
  • Phathom Pharmaceuticals, Inc.$368
  • plus $4K from 26 others
$285,233in research payments, 2019–2025

Across 117 payments — averaging $2437.89 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.

  • Takeda Pharmaceuticals U.S.A., Inc.$160K
  • AbbVie$61K
  • Eli Lilly$22K
  • UCB Biosciences Inc.$19K
  • Bristol Myers Squibb$18K
  • Genentech, Inc.$4K
  • plus $1K from 1 others

What the payments were for

  • Food & beverage$11,557100%
  • Education$400%

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.

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

$11,597 in reported general payments places this provider in the 90th percentile of 113 gastroenterology providers in Iowa.

See all gastroenterology providers in Iowa

Medicare billing

Part B allowed, 2024
$114,110
Medicare patients
382
Services billed
2,107

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
StelaraUstekinumab73$2,052,805
EntyvioVedolizumab41$349,408
Skyrizi On-BodyRisankizumab-Rzaa15$343,320
Humira(Cf) PenAdalimumab12$166,983
RemicadeInfliximab14$64,017
Mesalamine69$22,482
LinzessLinaclotide35$18,921
Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates189$11,603
ViberziEluxadoline12$9,348
Balsalazide Disodium63$7,134
Dexlansoprazole DrDexlansoprazole13$4,794
Mesalamine ErMesalamine16$3,445
NexiumEsomeprazole Magnesium12$3,246
Budesonide ErBudesonide11$3,107
Diphenoxylate-AtropineDiphenoxylate Hcl/Atropine46$2,932

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
Johnson & JohnsonStelara, Remicade$1,718$2,116,82287 claims
Takeda Pharmaceuticals U.S.A., Inc.Entyvio$590$349,40841 claims
AbbVieLinzess, Viberzi$3,626$28,26847 claims
Fresenius Kabi USA, LLCSodium Chloride$13$13151 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 90th percentile of 113 gastroenterology providers in Iowa.

Other gastroenterology in Clive

See the full list for Iowa

Where these figures come from

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