Kylea Ryther
Nurse Practitioner · West Des Moines, IANPI 1356762231
Payments from drug & device makers
Across 50 payments — averaging $15.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$396
- Novartis$155
- AbbVie$123
- Pfizer$41
- Abbott$23
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$21
- plus $14 from 1 others
What the payments were for
- Food & beverage$774100%
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 |
|---|---|---|
| Boston Scientific | 24 | $396 |
| Novartis | 13 | $155 |
| AbbVie | 4 | $123 |
| Pfizer | 2 | $41 |
| Abbott | 2 | $23 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 4 | $21 |
| Johnson & Johnson | 1 | $14 |
How this compares
$774 in reported general payments places this provider in the 80th percentile of 1,346 nurse practitioner 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 | 190 | $143,341 |
| XareltoRivaroxaban | 76 | $79,152 |
| EntrestoSacubitril/Valsartan | 44 | $37,398 |
| Repatha SureclickEvolocumab | 14 | $19,044 |
| BrilintaTicagrelor | 14 | $11,566 |
| FarxigaDapagliflozin Propanediol | 13 | $7,520 |
| ZetiaEzetimibe | 12 | $4,293 |
| Metoprolol Succinate | 232 | $2,745 |
| Propafenone Hcl | 26 | $1,564 |
| Ranolazine ErRanolazine | 16 | $1,441 |
| Flecainide Acetate | 17 | $1,367 |
| Bisoprolol Fumarate | 77 | $1,311 |
| Potassium Chloride | 102 | $1,218 |
| Losartan Potassium | 101 | $1,061 |
| Dilt-XrDiltiazem Hcl | 36 | $998 |
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 | $41 | $143,341190 claims |
| Johnson & JohnsonXarelto | $14 | $79,15276 claims |
| NovartisEntresto | $155 | $37,39844 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 80th percentile of 1,346 nurse practitioner providers in Iowa.
Other nurse practitioner in West Des Moines
- Beth ChiaWest Des Moines$15K
- Amanda WhiteWest Des Moines$5K
- Nicole MorganDes Moines$106K
- Julie CoffeyIowa City$31K
- Mary JohnsonDavenport$30K
- Megan Hart FernandezCedar Rapids$19K
- Carla HuberCedar Rapids$18K
- Margaret KinneyRed Oak$13K
- Abbey ModlinDes Moines$12K
- Jonathon HenningsWaterloo$11K
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.