Steven Quam, DO
Pain Medicine · West Des Moines, IANPI 1780681551
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 57 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 19 manufacturers reported payments, led by Nevro Corp. at 25.2% of the total. Reporting peaked in 2019 at $512 and has fallen 61.8% since, to $196 in 2025. That places this record below the midpoint for pain medicine clinicians in IA, where the typical reported total is $2,859.
Across 57 payments — averaging $22.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nevro Corp.$324
- Vertex$193
- Pfizer$157
- Si-bone, Inc.$84
- Supernus Pharmaceuticals, Inc.$82
- Teva Pharmaceuticals USA, Inc.$81
- plus $367 from 13 others
What the payments were for
- Food & beverage$1,288100%
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 |
|---|---|---|
| Nevro Corp. | 10 | $324 |
| Vertex | 4 | $193 |
| Pfizer | 10 | $157 |
| Si-bone, Inc. | 3 | $84 |
| Supernus Pharmaceuticals, Inc. | 4 | $82 |
| Teva Pharmaceuticals USA, Inc. | 5 | $81 |
| Lilly USA, LLC | 5 | $74 |
| Amgen | 3 | $52 |
| AbbVie(2 entities) | 2 | $45 |
| Boston Scientific | 2 | $40 |
| Tonix Medicines, Inc. | 1 | $28 |
| Scilex Pharmaceuticals Inc. | 1 | $20 |
| Abbott | 1 | $20 |
| Vertos Medical, Inc. | 1 | $18 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $17 |
| Collegium Pharmaceutical, Inc. | 1 | $16 |
| Idorsia Pharmaceuticals US Inc | 1 | $13 |
| Vertical Pharmaceuticals, LLC | 1 | $13 |
| Merck | 1 | $11 |
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
$1,288 in reported general payments places this provider in the 40th percentile of 31 pain 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 |
|---|---|---|
| OxycontinOxycodone Hcl | 12 | $6,054 |
| Fentanyl | 11 | $2,647 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 70 | $2,101 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 40 | $1,762 |
| Morphine Sulfate ErMorphine Sulfate | 30 | $1,101 |
| Gabapentin | 75 | $946 |
| Oxycodone Hcl | 21 | $431 |
| Cyclobenzaprine Hcl | 29 | $333 |
| Tramadol Hcl | 34 | $279 |
| Duloxetine Hcl | 25 | $244 |
| Tizanidine Hcl | 24 | $194 |
| Naproxen | 11 | $167 |
| Methylprednisolone | 19 | $166 |
| Pregabalin | 17 | $142 |
| Meloxicam | 13 | $38 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in West Des Moines
- Christopher StalveyWest Des Moines$14K
- Jun XuWest Des Moines$4K
- Arpan PatelWest Des Moines$3K
- James SykesWest Des Moines$861
- Clay RansdellWest Des Moines$642
- Andrew SpellmanWest Des Moines$304
- Kenneth PollackWest Des Moines$0
- Garry ClarkSioux City$189K
- Jolene SmithClive$85K
- Daniel MoyseDes Moines$40K
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.