Sean Juguilon, MD
Family Medicine · Ames, IANPI 1225014624
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 1 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Every reported general payment came from a single manufacturer, Alkermes, Inc.. That places this record below the midpoint for family medicine clinicians in IA, where the typical reported total is $122.
Across 1 payment — averaging $21.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alkermes, Inc.$22
Across 5 payments — averaging $22,655 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Sanofi Pasteur Inc.$113K
What the payments were for
- Food & beverage$22100%
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.
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 |
|---|---|---|
| Alkermes, Inc. | 1 | $22 |
How this compares
$22 in reported general payments places this provider in the 10th percentile of 1,357 family medicine 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 |
|---|---|---|
| EliquisApixaban | 45 | $42,771 |
| JardianceEmpagliflozin | 27 | $24,297 |
| Spiriva HandihalerTiotropium Bromide | 12 | $12,154 |
| Methylphenidate ErMethylphenidate Hcl | 19 | $5,741 |
| JanuviaSitagliptin Phosphate | 12 | $3,526 |
| PaxlovidNirmatrelvir/Ritonavir | 12 | $2,858 |
| Atorvastatin Calcium | 350 | $2,696 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 28 | $2,594 |
| SynthroidLevothyroxine Sodium | 18 | $2,470 |
| Levothyroxine Sodium | 200 | $2,174 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 75 | $2,149 |
| Celecoxib | 21 | $1,632 |
| Gabapentin | 82 | $1,525 |
| Valsartan | 34 | $1,458 |
| Atovaquone-Proguanil HclAtovaquone/Proguanil Hcl | 20 | $1,304 |
Paid to pharmacies, not to this prescriber.
Other family medicine in Ames
- Laura MoellerAmes$34K
- Kirk PetersonHuxley$576K
- Nicholas GoetschWaterloo$525K
- Stephen HarrisonClinton$249K
- Thomas RossDes Moines$170K
- Yogesh ShahDes Moines$159K
- Leslie George PaulsenMuscatine$136K
- Dylan LoweDes Moines$105K
- Michael AbouassalyWest Burlington$88K
- Kevin DeregnierWinterset$68K
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.