John Paszek, MD
Anesthesiology · Des Moines, IANPI 1811977853
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $581 of the $681 with a category attached, or 85.3%. 8 manufacturers reported payments, led by Portola Pharmaceuticals, LLC at 27.7% of the total. Among anesthesiology 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 17 payments — averaging $40.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Portola Pharmaceuticals, LLC$189
- Joint Restoration Foundation, Inc.$170
- Comsort, Inc$100
- Merck$87
- Avanos Medical$55
- Chiesi USA, Inc.$46
- plus $34 from 2 others
What the payments were for
- Consulting fees$10015%
- Food & beverage$58185%
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 |
|---|---|---|
| Portola Pharmaceuticals, LLC | 3 | $189 |
| Joint Restoration Foundation, Inc. | 1 | $170 |
| Comsort, Inc | 1 | $100 |
| Merck | 5 | $87 |
| Avanos Medical | 2 | $55 |
| Chiesi USA, Inc. | 3 | $46 |
| Pajunk Medical Systems, LP | 1 | $19 |
| Pacira Pharmaceuticals Incorporated | 1 | $15 |
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
$681 in reported general payments places this provider in the 90th percentile of 388 anesthesiology 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 anesthesiology in Des Moines
- Bryan PurdyDes Moines$12K
- Allen EckhoffDes Moines$1K
- Dana LowryDes Moines$1K
- Jim DuongDes Moines$1K
- Dustin WiemersDes Moines$756
- John SkoogDes Moines$631
- Tyler VoigtDes Moines$522
- Joseph WickardDes Moines$497
- Sung KimDes Moines$446
- Christine CarstensenDes Moines$444
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.