RxDoctor Payments Data

Joseph Losh, DO

Surgical Critical Care · Des Moines, IANPI 1700225430

Payments from drug & device makers

What this record shows

This record is dominated by education: $8,500 of the $13,111 with a category attached, or 64.8%. Intuitive Surgical accounts for 93.9% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2024 at $11,099 and has fallen 93.7% since, to $699 in 2025.

$13,111in general payments, 2019–2025

Across 48 payments — averaging $273.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Intuitive Surgical$12K
  • Medtronic$280
  • Davol Inc.$152
  • La Jolla Pharmaceutical Company$135
  • Conmed Corporation$111
  • CLR Medical, Inc.$55
  • plus $66 from 2 others

What the payments were for

  • Travel & lodging$1,67913%
  • Food & beverage$2,92322%
  • Education$8,50065%
  • Gifts$90%

General payments by program year

19
21
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.

CompanyPaymentsTotal
Intuitive Surgical36$12,311
Medtronic(2 entities)2$280
Davol Inc.2$152
La Jolla Pharmaceutical Company2$135
Conmed Corporation2$111
CLR Medical, Inc.1$55
Polynovo North America LLC2$47
Zimmer Biomet1$19

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

Too few surgical critical care providers in Iowato place this figure against a meaningful peer group, so we don't.

Medicare billing

Part B allowed, 2024
$48,071
Medicare patients
136
Services billed
275

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 surgical critical care in Des Moines

See the full list for Iowa

Where these figures come from

Is this you, or does something look wrong? →