Kathleen Gradoville
Pediatrics · Des Moines, IANPI 1285626390
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 90.4% of the total across 106 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 22 manufacturers reported payments, led by AstraZeneca at 34.4% of the total. Among pediatrics 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 106 payments — averaging $26.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$960
- Alcresta Therapeutics, Inc.$487
- Vertex$241
- Sanofi$200
- Sanofi-aventis U.S. LLC$159
- GSK$134
- plus $613 from 16 others
What the payments were for
- Food & beverage$2,52590%
- Education$26910%
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 |
|---|---|---|
| AstraZeneca | 38 | $960 |
| Alcresta Therapeutics, Inc. | 10 | $487 |
| Vertex | 11 | $241 |
| Sanofi | 8 | $200 |
| Sanofi-aventis U.S. LLC | 2 | $159 |
| GSK | 8 | $134 |
| Mylan Specialty L.p. | 1 | $110 |
| Insmed, Inc. | 4 | $83 |
| Chiesi USA, Inc. | 4 | $74 |
| Sobi, Inc | 2 | $46 |
| Covis Pharma GmbH | 3 | $45 |
| Regeneron Healthcare Solutions, Inc. | 3 | $44 |
| Alk-abello, Inc | 2 | $33 |
| Tactile Systems Technology Inc | 1 | $30 |
| Baxter Healthcare | 1 | $27 |
| Nestle Healthcare Nutrition Inc. | 1 | $20 |
| Viatris Specialty LLC | 1 | $19 |
| Pharming Healthcare, Inc. | 1 | $17 |
| AbbVie | 1 | $17 |
| Gilead | 1 | $16 |
| Electromed, Inc. | 2 | $16 |
| Genentech USA, Inc. | 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
$2,795 in reported general payments places this provider in the 95th percentile of 308 pediatrics providers in Iowa.
Other pediatrics in Des Moines
- Daniel SleiterDes Moines$44K
- Heidi KochDes Moines$16K
- Jan FooteDes Moines$9K
- Alisha KumarDes Moines$2K
- Robert FornoffDes Moines$1K
- Sally TwedtDes Moines$674
- Casie HaleDes Moines$554
- Christina DasilvaDes Moines$547
- Lauren Siebrase WilkesIowa City$33K
- Laura DenningCouncil Bluffs$5K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.