Michael Jacoby, MD
Neurology · Des Moines, IANPI 1346354198
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $221,545 of the $243,007 with a category attached, or 91.2%. 32 manufacturers reported payments, led by AbbVie at 56.2% of the total. Among neurology 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 425 payments — averaging $571.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$137K
- Lilly USA, LLC$31K
- Amgen$30K
- Pfizer$24K
- Lundbeck LLC$10K
- Biohaven Pharmaceuticals, Inc.$7K
- plus $3K from 26 others
What the payments were for
- Consulting fees$2,2161%
- Speaking & faculty fees$221,54591%
- Travel & lodging$11,4735%
- Food & beverage$6,9123%
- Education$8620%
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 |
|---|---|---|
| AbbVie(2 entities) | 209 | $136,546 |
| Lilly USA, LLC | 39 | $31,174 |
| Amgen | 37 | $30,034 |
| Pfizer | 20 | $24,497 |
| Lundbeck LLC | 17 | $9,888 |
| Biohaven Pharmaceuticals, Inc. | 7 | $7,375 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $1,177 |
| Teva Pharmaceuticals USA, Inc. | 30 | $821 |
| Novartis | 14 | $259 |
| Genentech USA, Inc. | 2 | $150 |
| Sunovion Pharmaceuticals Inc. | 5 | $142 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 5 | $123 |
| E.r. Squibb & Sons, L.L.C. | 1 | $104 |
| Supernus Pharmaceuticals, Inc. | 5 | $87 |
| EMD Serono, Inc. | 3 | $79 |
| UCB, Inc. | 4 | $75 |
| Biogen | 4 | $54 |
| Argenx US, Inc. | 2 | $53 |
| TG Therapeutics, Inc. | 3 | $47 |
| Eisai Inc. | 2 | $40 |
| SK Life Science, Inc. | 1 | $38 |
| Adamas Pharmaceuticals, Inc. | 2 | $34 |
| CSL Behring | 1 | $32 |
| Alnylam Pharmaceuticals Inc. | 2 | $32 |
| GE HealthCare | 1 | $29 |
| Promius Pharma LLC | 1 | $22 |
| Merz North America, Inc. | 1 | $18 |
| AstraZeneca | 1 | $18 |
| Kyowa Kirin, Inc. | 1 | $16 |
| Tanabe Pharma America, Inc. | 1 | $16 |
| Upsher-smith Laboratories LLC | 1 | $16 |
| MDD US Operations, LLC | 1 | $14 |
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
$243,007 in reported general payments places this provider in the 95th percentile of 132 neurology 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 |
|---|---|---|
| Aimovig AutoinjectorErenumab-Aooe | 114 | $90,882 |
| Nurtec OdtRimegepant Sulfate | 78 | $84,919 |
| UbrelvyUbrogepant | 50 | $57,345 |
| QuliptaAtogepant | 25 | $28,081 |
| Emgality PenGalcanezumab-Gnlm | 25 | $18,964 |
| Oxtellar XrOxcarbazepine | 12 | $18,268 |
| Emgality SyringeGalcanezumab-Gnlm | 12 | $8,528 |
| ReyvowLasmiditan Succinate | 13 | $7,948 |
| Levetiracetam | 187 | $6,925 |
| Lacosamide | 29 | $6,839 |
| Memantine Hcl | 134 | $4,962 |
| Gabapentin | 164 | $4,395 |
| Aspirin-Dipyridamole ErAspirin/Dipyridamole | 14 | $3,273 |
| Pregabalin | 116 | $2,840 |
| Donepezil Hcl | 427 | $2,819 |
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 |
|---|---|---|
| AbbVieUbrelvy, Qulipta | $136,546 | $85,42675 claims |
| PfizerNurtec Odt | $24,497 | $84,91978 claims |
| Supernus Pharmaceuticals, Inc.Oxtellar Xr | $87 | $18,26812 claims |
| Lilly USA, LLCReyvow | $31,174 | $7,94813 claims |
| Upsher-smith Laboratories LLCTopiramate | $16 | $1,536241 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 95th percentile of 132 neurology providers in Iowa.
Other neurology in Des Moines
- Bruce HughesDes Moines$1.8M
- Lynn RankinDes Moines$181K
- Wendy ZadehDes Moines$134K
- Paul BabikianDes Moines$107K
- Mark PuricelliDes Moines$45K
- Keith KohoutDes Moines$36K
- Erik ArnesonDes Moines$10K
- John WrightDes Moines$9K
- Lynn StruckDes Moines$6K
- Irving WolfeDes Moines$6K
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.