Lionel Smith, MD
Family Medicine · Keokuk, IANPI 1386617249
Payments from drug & device makers
Across 15 payments — averaging $17.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$58
- Otsuka America Pharmaceutical, Inc.$41
- Pfizer$41
- Lilly USA, LLC$36
- Kowa Pharmaceuticals America, Inc.$27
- Idorsia Pharmaceuticals US Inc$24
- plus $37 from 2 others
What the payments were for
- Food & beverage$264100%
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 |
|---|---|---|
| Novo Nordisk | 3 | $58 |
| Otsuka America Pharmaceutical, Inc. | 2 | $41 |
| Pfizer | 3 | $41 |
| Lilly USA, LLC | 2 | $36 |
| Kowa Pharmaceuticals America, Inc. | 2 | $27 |
| Idorsia Pharmaceuticals US Inc | 1 | $24 |
| Corium, LLC | 1 | $24 |
| AbbVie | 1 | $13 |
How this compares
$264 in reported general payments places this provider in the 60th percentile of 1,357 family medicine 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 |
|---|---|---|
| JanuviaSitagliptin Phosphate | 11 | $10,000 |
| ArexvyRsvpref3 Antigen/As01e/Pf | 26 | $7,729 |
| Dicyclomine Hcl | 12 | $633 |
| Gentamicin Sulfate | 13 | $515 |
| Gabapentin | 26 | $514 |
| Atorvastatin Calcium | 50 | $420 |
| Levothyroxine Sodium | 37 | $399 |
| Potassium Chloride | 21 | $366 |
| Escitalopram Oxalate | 23 | $304 |
| Fenofibrate | 11 | $294 |
| Pantoprazole Sodium | 17 | $290 |
| Irbesartan | 27 | $233 |
| Omeprazole | 22 | $198 |
| Furosemide | 29 | $184 |
| Losartan Potassium | 15 | $162 |
Paid to pharmacies, not to this prescriber.
Other family medicine in Keokuk
- Nicholas GoetschWaterloo$4.1M
- James PoockWaterloo$1.5M
- Jennifer KayCouncil Bluffs$613K
- Nicholas BechtoldSioux City$584K
- Kirk PetersonHuxley$576K
- Stephen HarrisonClinton$249K
- Sharon SteenBelle Plaine$241K
- Carlos Alarcon SchroderJohnston$237K
- Thomas RossDes Moines$170K
- Yogesh ShahDes Moines$159K
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.