Ryan Cook, MD
Vascular & Interventional Radiology · Des Moines, IANPI 1285858084
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,553 of the $4,599 with a category attached, or 77.3%. 13 manufacturers reported payments, led by Stryker at 32.2% of the total. 2025 is the largest year on record at $2,002, 8.1 times the $248 reported in 2019.
Across 58 payments — averaging $79.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$1K
- Inari Medical, Inc.$841
- Penumbra, Inc.$579
- Imperative Care, Inc$486
- Sirtex Medical Inc$424
- Medtronic$229
- plus $559 from 7 others
What the payments were for
- Travel & lodging$1,04523%
- Food & beverage$3,55377%
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 |
|---|---|---|
| Stryker | 10 | $1,480 |
| Inari Medical, Inc. | 12 | $841 |
| Penumbra, Inc. | 4 | $579 |
| Imperative Care, Inc | 9 | $486 |
| Sirtex Medical Inc | 3 | $424 |
| Medtronic(3 entities) | 6 | $229 |
| Terumo Medical Corporation | 5 | $191 |
| Teleflex LLC | 1 | $149 |
| Boston Scientific | 1 | $99 |
| Bard Peripheral Vascular, Inc. | 4 | $63 |
| Microvention, Inc. | 1 | $23 |
| Abbott | 1 | $20 |
| Siemens Medical Solutions USA, Inc. | 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.
- EVOLVE$1,208
- FLOWTRIEVER CATHETER, S$568
- CT THROMBECTOMY SYSTEM KIT$568
- SIR-Spheres Microspheres$424
- Indigo System$336
- Indigo$209
- ZOOM 88-T LARGE DISTAL PLATFORM$155
- Interventional Products$149
- Navicross$142
- Azur CX Detachable$142
- CONCERTOTM$121
- ZOOM 7X CATHETER$105
How this compares
$4,599 in reported general payments places this provider in the 70th percentile of 34 vascular & interventional radiology providers in Iowa.
See all vascular & interventional radiology 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 vascular & interventional radiology in Des Moines
- Alan McDanielDes Moines$7K
- Karl DigmanDes Moines$141
- Nitin ShirodkarDes Moines$17
- Edgar SamaniegoIowa City$650K
- Santiago Ortega GutierrezIowa City$628K
- David LaceyClive$52K
- Sandeep LaroiaIowa City$24K
- Douglas PowellIowa City$16K
- Gustavo AndradeIowa City$13K
- Nima GolchinAmes$8K
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.