Jose Angel, MD
Internal Medicine · West Des Moines, IANPI 1255449070
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 93.5% of the total across 128 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 26 manufacturers reported payments, led by AbbVie at 31.1% of the total. Reporting peaked in 2019 at $688 and has fallen 88.6% since, to $78 in 2025. Among internal medicine 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 128 payments — averaging $15.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$633
- Novo Nordisk$214
- AstraZeneca$151
- Johnson & Johnson$141
- Boehringer Ingelheim$114
- Astellas Pharma US Inc$99
- plus $683 from 20 others
What the payments were for
- Food & beverage$1,90494%
- Education$1326%
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 |
|---|---|---|
| AbbVie(2 entities) | 62 | $633 |
| Novo Nordisk | 9 | $214 |
| AstraZeneca | 10 | $151 |
| Johnson & Johnson | 5 | $141 |
| Boehringer Ingelheim | 4 | $114 |
| Astellas Pharma US Inc | 1 | $99 |
| GSK | 1 | $91 |
| Novartis | 5 | $82 |
| Sanofi-aventis U.S. LLC | 4 | $75 |
| Amgen | 3 | $54 |
| Ironwood Pharmaceuticals, Inc | 3 | $53 |
| Teva Pharmaceuticals USA, Inc. | 3 | $50 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $48 |
| Abbott | 2 | $38 |
| Genentech USA, Inc. | 2 | $36 |
| Optinose US, Inc. | 1 | $22 |
| Sanofi Pasteur Inc. | 1 | $18 |
| Merck | 1 | $14 |
| Pfizer | 1 | $14 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $14 |
| Medtronic | 1 | $14 |
| Supernus Pharmaceuticals, Inc. | 1 | $13 |
| Sunovion Pharmaceuticals Inc. | 1 | $12 |
| Otsuka America Pharmaceutical, Inc. | 1 | $12 |
| Lilly USA, LLC | 1 | $12 |
| Kowa Pharmaceuticals America, Inc. | 1 | $12 |
How this compares
$2,035 in reported general payments places this provider in the 90th percentile of 583 internal medicine 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 |
|---|---|---|
| EliquisApixaban | 66 | $21,350 |
| ArexvyRsvpref3 Antigen/As01e/Pf | 49 | $15,092 |
| NamzaricMemantine Hcl/Donepezil Hcl | 25 | $8,281 |
| RytaryCarbidopa/Levodopa | 26 | $5,769 |
| LinzessLinaclotide | 11 | $5,486 |
| Tresiba Flextouch U-100Insulin Degludec | 19 | $5,420 |
| Quetiapine Fumarate | 169 | $4,852 |
| LumiganBimatoprost | 17 | $4,673 |
| Divalproex Sodium | 48 | $4,626 |
| Sertraline Hcl | 220 | $4,437 |
| Chlorpromazine Hcl | 13 | $4,000 |
| Memantine Hcl | 58 | $3,258 |
| Levothyroxine Sodium | 127 | $2,237 |
| Risperidone | 97 | $2,222 |
| Tamsulosin Hcl | 78 | $2,109 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerEliquis | $14 | $21,35066 claims |
| AbbVieNamzaric, Linzess, Lumigan | $633 | $18,44053 claims |
| GSKArexvy | $91 | $15,09249 claims |
| Lilly USA, LLCOlanzapine | $12 | $1,44447 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 90th percentile of 583 internal medicine providers in Iowa.
Other internal medicine in West Des Moines
- Lena Rydberg FreeseWest Des Moines$2K
- Kathleen JonesWest Des Moines$2K
- Mark JohnsonMason City$223K
- Mark CarlsonSioux City$174K
- Madalyn WalshIowa City$80K
- Alan KricsfeldCouncil Bluffs$49K
- Aziz HammoudIowa City$29K
- Matthew FryzekCouncil Bluffs$28K
- Diana Rabadi MararCouncil Bluffs$25K
- Isam MararCouncil Bluffs$23K
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.