Joseph Vavricek, MD
Diagnostic Radiology · Des Moines, IANPI 1245551274
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $5,263 of the $7,187 with a category attached, or 73.2%. 9 manufacturers reported payments, led by Relievant Medsystems, Inc. at 39.0% of the total. Reporting peaked in 2023 at $4,179 and has fallen 90.6% since, to $392 in 2025. Among diagnostic radiology clinicians in IA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 64 payments — averaging $112.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Relievant Medsystems, Inc.$3K
- Terumo Medical Corporation$3K
- Medtronic$897
- Stryker$433
- Bard Peripheral Vascular, Inc.$107
- Boston Scientific$101
- plus $197 from 3 others
What the payments were for
- Speaking & faculty fees$501%
- Travel & lodging$5,26373%
- Food & beverage$1,78425%
- Education$901%
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 |
|---|---|---|
| Relievant Medsystems, Inc. | 12 | $2,805 |
| Terumo Medical Corporation | 15 | $2,646 |
| Medtronic(3 entities) | 16 | $897 |
| Stryker | 6 | $433 |
| Bard Peripheral Vascular, Inc. | 4 | $107 |
| Boston Scientific | 4 | $101 |
| Inari Medical, Inc. | 4 | $100 |
| BD | 1 | $50 |
| Trisalus Life Sciences, Inc. | 2 | $48 |
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.
- Intracept$10,363
- Navicross$1,853
- GLIDESHEATH SLENDER$1,597
- TR Band$575
- Glidesheath$575
- GlideWire$575
- OSTEOCOOL RF ABLATION$476
- mild Device Kit$366
- KYPHON Balloon Kyphoplasty$155
- IVS - VERTEBRAL AUGMENTATION PRODUCTS$119
How this compares
$7,187 in reported general payments places this provider in the 95th percentile of 252 diagnostic radiology 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 diagnostic radiology in Des Moines
- Daniel KrejchiDes Moines$254
- Austin PetersDes Moines$231
- Zachary VietsDes Moines$160
- Ryan BussDes Moines$153
- Paul JabourClive$23K
- Andrea LamphiearIowa City$19K
- Stuart LehrClive$11K
- Michael HummelIowa City$11K
- Joshua RosebrookWest Des Moines$10K
- Sarah PauleyCedar Rapids$9K
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.