RxDoctor Payments Data

Jason Wittmer, MD

Pulmonary Disease · Des Moines, IANPI 1487630489

Payments from drug & device makers

What this record shows

This record is dominated by education: $6,096 of the $9,979 with a category attached, or 61.1%. Intuitive Surgical accounts for 74.7% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2023 at $4,536 and has fallen 86.6% since, to $606 in 2025.

$9,979in general payments, 2019–2025

Across 50 payments — averaging $199.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Intuitive Surgical$7K
  • Veran Medical Technologies, Inc.$1K
  • Harmony Biosciences LLC$422
  • Verona Pharma, Inc.$143
  • Genentech USA, Inc.$140
  • Galvanize Therapeutics, Inc$137
  • plus $430 from 5 others

What the payments were for

  • Travel & lodging$2,19822%
  • Food & beverage$1,68417%
  • Education$6,09661%

General payments by program year

19
20
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

$9,979 in reported general payments places this provider in the 80th percentile of 110 pulmonary disease providers in Iowa.

See all pulmonary disease providers in Iowa

Medicare billing

Part B allowed, 2024
$46,286
Medicare patients
293
Services billed
681

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
OfevNintedanib Esylate21$268,965
AdempasRiociguat15$197,494
Trelegy ElliptaFluticasone/Umeclidin/Vilanter248$182,936
EsbrietPirfenidone11$114,980
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr80$38,256
Breztri AerosphereBudesonide/Glycopyr/Formoterol25$20,775
Spiriva RespimatTiotropium Bromide29$18,220
Spiriva HandihalerTiotropium Bromide25$14,877
Breo ElliptaFluticasone/Vilanterol22$14,402
Incruse ElliptaUmeclidinium Bromide33$12,976
Stiolto RespimatTiotropium Br/Olodaterol Hcl26$11,973
Fluticasone-SalmeterolFluticasone Propion/Salmeterol68$8,618
SymbicortBudesonide/Formoterol Fumarate27$7,345
Bevespi AerosphereGlycopyrrolate/Formoterol Fum17$7,324
Arnuity ElliptaFluticasone Furoate12$3,522

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
GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta, Incruse Ellipta, Arnuity Ellipta$125$252,092395 claims
Genentech USA, Inc.Esbriet$140$114,98011 claims
AstraZenecaBreztri Aerosphere, Symbicort, Bevespi Aerosphere$82$35,44469 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 80th percentile of 110 pulmonary disease providers in Iowa.

Other pulmonary disease in Des Moines

See the full list for Iowa

Where these figures come from

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