Michelle Hardie
Physician Assistant · Sioux City, IANPI 1366576563
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 19 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 15 manufacturers, the largest accounting for just 18.7% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $141 and has fallen 86.7% since, to $19 in 2025.
Across 19 payments — averaging $16.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- E.r. Squibb & Sons, L.L.C.$60
- Merck$31
- Johnson & Johnson$27
- Amgen$23
- Abbott$20
- Biomarin Pharmaceutical Inc.$19
- plus $142 from 9 others
What the payments were for
- Food & beverage$322100%
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 |
|---|---|---|
| E.r. Squibb & Sons, L.L.C. | 3 | $60 |
| Merck | 2 | $31 |
| Johnson & Johnson | 2 | $27 |
| Amgen | 1 | $23 |
| Abbott | 1 | $20 |
| Biomarin Pharmaceutical Inc. | 1 | $19 |
| Sanofi-aventis U.S. LLC | 1 | $19 |
| Boehringer Ingelheim | 1 | $18 |
| Actelion Pharmaceuticals US, Inc. | 1 | $18 |
| Alnylam Pharmaceuticals Inc. | 1 | $18 |
| Sanofi Pasteur Inc. | 1 | $17 |
| Esperion Therapeutics, Inc. | 1 | $14 |
| Ironshore Pharmaceuticals Inc. | 1 | $14 |
| Amarin Pharma, Inc. | 1 | $12 |
| Pfizer | 1 | $12 |
How this compares
$322 in reported general payments places this provider in the 65th percentile of 1,140 physician assistant 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 |
|---|---|---|
| Prednisone | 11 | $24 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Sioux City
- Brian PaughSioux City$7K
- Albert OkineSioux City$5K
- Colette DemossSioux City$3K
- Jayson GesulgaUrbandale$878K
- Laurie ClairJohnston$293K
- Katherine LemAmes$224K
- Laura CunninghamWest Des Moines$128K
- Michon LeddyClive$73K
- Kyle HawkinsIowa City$42K
- Andrew MetzgerIowa City$37K
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.