Gideon Ladd, PA
Physician Assistant · Cedar Rapids, IANPI 1225061906
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (42.2%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. Getinge USA Sales, LLC accounts for 91.0% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2021 at $6,360 and has fallen 97.6% since, to $153 in 2025. Among physician assistant 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.
Across 57 payments — averaging $126.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Getinge USA Sales, LLC$7K
- Intuitive Surgical$198
- Maquet Cardiovascular L.L.C.$158
- Edwards Lifesciences$86
- Boston Scientific$59
- W. L. Gore & Associates, Inc.$31
- plus $118 from 6 others
What the payments were for
- Speaking & faculty fees$2,54235%
- Travel & lodging$3,05242%
- Food & beverage$1,63623%
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 |
|---|---|---|
| Getinge USA Sales, LLC | 40 | $6,579 |
| Intuitive Surgical | 2 | $198 |
| Maquet Cardiovascular L.L.C. | 3 | $158 |
| Edwards Lifesciences | 3 | $86 |
| Boston Scientific | 2 | $59 |
| W. L. Gore & Associates, Inc. | 1 | $31 |
| Novartis | 1 | $28 |
| Silk Road Medical, Inc. | 1 | $24 |
| Solventum Corporation | 1 | $23 |
| Heartflow, Inc. | 1 | $22 |
| AstraZeneca | 1 | $16 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $4 |
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.
- Vasoview Hemopro 2$5,673
How this compares
$7,229 in reported general payments places this provider in the 95th percentile of 1,140 physician assistant 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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 39 | $357 |
| Potassium Chloride | 20 | $222 |
| Metoprolol Succinate | 11 | $59 |
| Metoprolol Tartrate | 11 | $42 |
| Furosemide | 21 | $41 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Cedar Rapids
- Alexis AhlbergCedar Rapids$4K
- Jayson GesulgaUrbandale$878K
- Laurie ClairJohnston$293K
- Katherine LemAmes$224K
- Laura CunninghamWest Des Moines$128K
- Michon LeddyClive$73K
- Kyle HawkinsIowa City$42K
- Andrew MetzgerIowa City$37K
- Myrl HolidaIowa City$37K
- Kelly MerchieDavenport$15K
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.