Jacy Nunez, PA
Physician Assistant · West Des Moines, IANPI 1073013736
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.8% of the total across 82 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 8 manufacturers reported payments, led by Medtronic at 46.8% of the total. Among physician assistant 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 82 payments — averaging $39.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$2K
- Stryker$734
- Johnson & Johnson$366
- Globus Medical$347
- Medical Device Business Services, Inc.$207
- Vertex$31
- plus $37 from 2 others
What the payments were for
- Food & beverage$3,10096%
- Education$1374%
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 |
|---|---|---|
| Medtronic | 44 | $1,516 |
| Stryker | 23 | $734 |
| Johnson & Johnson(2 entities) | 6 | $366 |
| Globus Medical(2 entities) | 4 | $347 |
| Medical Device Business Services, Inc. | 2 | $207 |
| Vertex | 1 | $31 |
| Smith+Nephew | 1 | $19 |
| Pacira Pharmaceuticals Incorporated | 1 | $17 |
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.
- RELINE$303
- ACF$163
- Expedium VERSE$163
- Spine & Trauma 3D Navigation$163
- Simplify Cervical Artificial Disc$162
- NAVLOCK$155
- ALIF$141
- STRATAFIX$137
- CONDUIT$118
- Sentio$118
- SYMPHONY$118
- STEALTHSTATION S8 PLATFORM$116
How this compares
$3,237 in reported general payments places this provider in the 90th 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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 134 | $1,748 |
| Pregabalin | 63 | $1,384 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 84 | $1,037 |
| Methocarbamol | 113 | $882 |
| Gabapentin | 47 | $673 |
| Tramadol Hcl | 63 | $286 |
| Tizanidine Hcl | 26 | $141 |
| Hydromorphone Hcl | 18 | $126 |
| Mupirocin | 14 | $107 |
| Prednisone | 44 | $88 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in West Des Moines
- Laura CunninghamWest Des Moines$128K
- Taylor MyersWest Des Moines$7K
- Bianca WaldschmidtWest Des Moines$7K
- Amanda van WykWest Des Moines$6K
- Caitlin StudleyWest Des Moines$5K
- Christine HaackWest Des Moines$5K
- Lauren CrawfordWest Des Moines$5K
- McKenzie TonksWest Des Moines$4K
- Bailey O'DonnellWest Des Moines$4K
- Racheal McMahonWest Des Moines$4K
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.