RxDoctor Payments Data

Matthew Dewall, MD

Orthopaedic Surgery · West Des Moines, IANPI 1184832594

Payments from drug & device makers

$279in general payments, 2019–2025

Across 7 payments — averaging $39.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Stryker$148
  • Smith+Nephew$109
  • Johnson & Johnson$22

What the payments were for

  • Food & beverage$279100%

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

19
22
24
25

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.

CompanyPaymentsTotal
Stryker4$148
Smith+Nephew2$109
Johnson & Johnson1$22

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

$279 in reported general payments places this provider in the 15th percentile of 219 orthopaedic surgery providers in Iowa.

See all orthopaedic surgery providers in Iowa

Medicare billing

Part B allowed, 2024
$352,153
Medicare patients
751
Services billed
7,875

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

DrugClaimsCost to plans & patients
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen34$388
Diclofenac Sodium22$191
Celecoxib11$84
Prednisone25$71
Meloxicam25$54
Amoxicillin36$25

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in West Des Moines

See the full list for Iowa

Where these figures come from

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