Richard Jacobson, CRNA
Nurse Anesthetist, Certified Registered · West Union, IANPI 1023042686
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $836 of the $1,236 with a category attached, or 67.6%. 9 manufacturers reported payments, led by Pacira Pharmaceuticals Incorporated at 44.2% of the total. Reporting peaked in 2023 at $547 and has fallen 69.5% since, to $167 in 2025. Among nurse anesthetist, certified registered 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 15 payments — averaging $82.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pacira Pharmaceuticals Incorporated$547
- Stratus Medical, LLC$211
- Globus Medical$167
- Acacia Pharma Inc$122
- Collegium Pharmaceutical, Inc.$54
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$54
- plus $82 from 3 others
What the payments were for
- Travel & lodging$40032%
- Food & beverage$83668%
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 |
|---|---|---|
| Pacira Pharmaceuticals Incorporated | 6 | $547 |
| Stratus Medical, LLC | 2 | $211 |
| Globus Medical | 1 | $167 |
| Acacia Pharma Inc | 1 | $122 |
| Collegium Pharmaceutical, Inc. | 1 | $54 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $54 |
| GRT US Holding, Inc. | 1 | $45 |
| Impel Pharmaceuticals Inc. | 1 | $23 |
| Biodelivery Sciences International, Inc. | 1 | $15 |
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
$1,236 in reported general payments places this provider in the 95th percentile of 338 nurse anesthetist, certified registered providers in Iowa.
See all nurse anesthetist, certified registered 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 |
|---|---|---|
| Xtampza ErOxycodone Myristate | 16 | $8,793 |
| Fentanyl | 27 | $4,921 |
| Gabapentin | 78 | $1,050 |
| Duloxetine Hcl | 19 | $802 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 28 | $775 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 14 | $719 |
| Amitriptyline Hcl | 30 | $437 |
| Methadone Hcl | 12 | $432 |
| Nortriptyline Hcl | 43 | $412 |
| Meloxicam | 103 | $325 |
| Celecoxib | 15 | $274 |
| Morphine Sulfate ErMorphine Sulfate | 11 | $150 |
| Diclofenac Sodium | 11 | $145 |
| Tramadol Hcl | 30 | $113 |
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 |
|---|---|---|
| Collegium Pharmaceutical, Inc.Xtampza Er | $54 | $8,79316 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 338 nurse anesthetist, certified registered providers in Iowa.
Other nurse anesthetist, certified registered in West Union
- Sarah CrillyLake City$3K
- Angala SchwabeSioux City$3K
- Scott ChastekManchester$2K
- Dale KrollSpencer$2K
- Trevor CapronLake City$2K
- Richard MaynardMuscatine$2K
- April CookWaterloo$1K
- Christopher WoodwardEstherville$1K
- Jacob MillerAmes$1K
- Kyle MayerIowa City$1K
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.