Ronald Kay, CRNA
Nurse Anesthetist, Certified Registered · Harlan, IANPI 1861462541
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 21 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 12 manufacturers reported payments, led by Acacia Pharma Inc at 24.6% of the total. Reporting peaked in 2022 at $206 and has fallen 79.6% since, to $42 in 2025.
Across 21 payments — averaging $18.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acacia Pharma Inc$95
- Amgen$64
- Johnson & Johnson$49
- Pacira Pharmaceuticals Incorporated$37
- Bayer$32
- Integra Lifesciences Corporation$23
- plus $86 from 6 others
What the payments were for
- Food & beverage$386100%
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 |
|---|---|---|
| Acacia Pharma Inc | 2 | $95 |
| Amgen | 5 | $64 |
| Johnson & Johnson(2 entities) | 3 | $49 |
| Pacira Pharmaceuticals Incorporated | 2 | $37 |
| Bayer | 2 | $32 |
| Integra Lifesciences Corporation | 1 | $23 |
| AbbVie | 1 | $20 |
| Dexcom, Inc. | 1 | $15 |
| Lilly USA, LLC | 1 | $14 |
| VBI Vaccine (delaware) Inc. | 1 | $13 |
| Currax Pharmaceuticals LLC | 1 | $13 |
| Merck | 1 | $12 |
How this compares
$386 in reported general payments places this provider in the 85th 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.
Other nurse anesthetist, certified registered in Harlan
- 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.