Joel Rand, PA
Surgical · Des Moines, IANPI 1629140041
Payments from drug & device makers
What this record shows
Intuitive Surgical accounts for 70.4% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2021 at $2,321 and has fallen 92.9% since, to $164 in 2025. Among surgical 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 51 payments — averaging $70.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$3K
- Medtronic$349
- Vertex$183
- BD$135
- Johnson & Johnson$122
- Stryker$81
- plus $199 from 6 others
What the payments were for
- Travel & lodging$1,51242%
- Food & beverage$2,09858%
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 |
|---|---|---|
| Intuitive Surgical | 32 | $2,542 |
| Medtronic | 4 | $349 |
| Vertex | 4 | $183 |
| BD | 1 | $135 |
| Johnson & Johnson | 1 | $122 |
| Stryker | 1 | $81 |
| Heron Therapeutics, Inc. | 1 | $61 |
| Acacia Pharma Inc | 3 | $41 |
| Conmed Corporation | 1 | $36 |
| Medical Device Business Services, Inc. | 1 | $28 |
| Endo Pharmaceuticals Inc. | 1 | $21 |
| Baxter Healthcare | 1 | $12 |
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.
- Da Vinci Surgical System$1,671
- Signia$257
- Phasix Mesh$135
- JOURNAVX$122
- Echelon Flex$122
How this compares
$3,610 in reported general payments places this provider in the 90th percentile of 49 surgical 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 |
|---|---|---|
| Omeprazole | 28 | $146 |
| Ondansetron OdtOndansetron | 11 | $57 |
Paid to pharmacies, not to this prescriber.
Other surgical in Des Moines
- Dudley PhippsDes Moines$173K
- Chad QuistDes Moines$40K
- Robey OrewilerDes Moines$1K
- Jennifer StandiferDes Moines$205
- Kaylene RogersDes Moines$95
- Eric HedrickDes Moines$57
- Laura SchiltzDes Moines$46
- Gary AldrichCedar Rapids$10K
- Jordan ReinerClive$5K
- Lauren CooperIowa City$3K
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.