Jayson Gesulga, PA
Physician Assistant · Urbandale, IANPI 1972989721
Payments from drug & device makers
Across 1,789 payments — averaging $490.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Neurocrine Biosciences, Inc.$339K
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$212K
- Teva Pharmaceuticals USA, Inc.$107K
- Alkermes, Inc.$88K
- AbbVie$55K
- E.r. Squibb & Sons, L.L.C.$34K
- plus $42K from 19 others
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 |
|---|---|---|
| Neurocrine Biosciences, Inc. | 522 | $338,849 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 383 | $212,161 |
| Teva Pharmaceuticals USA, Inc. | 208 | $107,278 |
| Alkermes, Inc. | 188 | $88,036 |
| AbbVie(2 entities) | 204 | $55,290 |
| E.r. Squibb & Sons, L.L.C. | 65 | $34,355 |
| Otsuka America Pharmaceutical, Inc. | 108 | $31,194 |
| Idorsia Pharmaceuticals US Inc | 16 | $6,149 |
| Neuronetics, Inc. | 3 | $1,687 |
| Axsome Therapeutics, Inc. | 18 | $607 |
| Johnson & Johnson | 22 | $528 |
| Lundbeck LLC | 12 | $317 |
| Sunovion Pharmaceuticals Inc. | 4 | $295 |
| Takeda Pharmaceuticals U.S.A., Inc. | 9 | $294 |
| Vanda Pharmaceuticals Inc. | 5 | $170 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 5 | $151 |
| Boehringer Ingelheim | 2 | $85 |
| Novo Nordisk | 3 | $60 |
| Indivior Inc. | 3 | $60 |
| Bristol Myers Squibb | 1 | $56 |
| Almatica Pharma LLC | 3 | $54 |
| Jazz Pharmaceuticals Inc. | 2 | $43 |
| Supernus Pharmaceuticals, Inc. | 1 | $22 |
| Noven Therapeutics, LLC | 1 | $18 |
| Neos Therapeutics, LP | 1 | $17 |
How this compares
$877,777 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.
Other physician assistant in Urbandale
- Erin DohlmanUrbandale$4K
- Angela ConleyUrbandale$4K
- 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.