Juan Mira, MD
Surgery · Des Moines, IANPI 1902245806
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (43.9%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 77.9% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2023 at $8,745 and has fallen 97.0% since, to $261 in 2025. Among surgery 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 95 payments — averaging $155.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$12K
- Medtronic$1K
- TELA Bio, Inc.$721
- Boston Scientific$379
- W. L. Gore & Associates, Inc.$173
- Integra Lifesciences Corporation$131
- plus $729 from 7 others
What the payments were for
- Travel & lodging$3,50524%
- Food & beverage$4,78732%
- Education$6,50044%
- Gifts$150%
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 | 50 | $11,534 |
| Medtronic | 24 | $1,139 |
| TELA Bio, Inc. | 8 | $721 |
| Boston Scientific | 3 | $379 |
| W. L. Gore & Associates, Inc. | 2 | $173 |
| Integra Lifesciences Corporation | 1 | $131 |
| Novocure Inc. | 1 | $129 |
| Johnson & Johnson | 1 | $125 |
| Baxter Healthcare | 1 | $125 |
| Acell, Inc. | 1 | $123 |
| Stryker | 1 | $105 |
| Conmed Corporation | 1 | $67 |
| BD | 1 | $56 |
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.
- DAVINCI XI$6,500
- Da Vinci Surgical System$3,913
- PlasmaBlade$401
- INTEGRA$394
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex)$287
- OviTex 2S$255
- GORE ENFORM Biomaterial$154
- EXALT Model D$144
- LigaSure$132
- INTEGRA DERMAL REGENERATION TEMPLATE$131
- PRIMATRIX$131
- OPTUNE LUA (NOVOTTF-200T)$129
- Harmonic$125
- SPYGLASS$118
- GENERAL - THERAPIES$117
- SPY-PHI SYSTEM$105
How this compares
$14,807 in reported general payments places this provider in the 90th percentile of 331 surgery 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 |
|---|---|---|
| CreonLipase/Protease/Amylase | 39 | $69,376 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 12 | $92 |
| Pantoprazole Sodium | 15 | $83 |
Paid to pharmacies, not to this prescriber.
Other surgery in Des Moines
- Dennis WhitmerDes Moines$40K
- Mark SmolikDes Moines$25K
- Paul DunlavyDes Moines$18K
- Christopher BellDes Moines$18K
- Chad BuhsDes Moines$16K
- Cameron WagnerDes Moines$16K
- Jacob WeaselDes Moines$14K
- Michael ValliereDes Moines$14K
- Nathan MohrDes Moines$9K
- Krista HainesDes Moines$8K
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.