General payments by specialty; the figure on the right is the average per physician.
Orthopaedic Surgery $3M $16,712/phys
Podiatrist $2M $24,782/phys
Clinical Cardiac Electrophysiology $638,509 $18,243/phys
Physician Assistant $616,936 $1,193/phys
Family $526,794 $726/phys
Family Medicine $508,298 $864/phys
Neurology $399,268 $6,239/phys
Vascular & Interventional Radiology $359,384 $14,974/phys
Foot & Ankle Surgery $358,450 $4,596/phys
Medical Oncology $323,290 $11,546/phys
Vascular Surgery $312,624 $10,085/phys
Psychiatric/Mental Health $307,612 $1,064/phys
By total general payments, 2024 — largely device royalties to inventor-physicians.
John Callaghan Orthopaedic Surgery · Iowa City · top payer: DePuy Synthes Products, Inc. $2M
Paul Dayton Podiatrist · Ankeny · top payer: Treace Medical Concepts, Inc. $2M
Steven Mickelsen Clinical Cardiac Electrophysiology · Iowa City · top payer: Boston Scientific Corporation $471,142
Jayson Gesulga Physician Assistant · Urbandale · top payer: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $258,559
Bruce Hughes Neurology · Des Moines · top payer: EMD Serono, Inc. $245,952
Edgar Samaniego Vascular & Interventional Radiology · Iowa City · top payer: MicroVention, Inc. $193,357
Tara Graff Medical Oncology · Des Moines · top payer: BeiGene USA, Inc. $175,879
Douglas Massop Vascular Surgery · West Des Moines · top payer: Silk Road Medical, Inc. $172,070
Bryan Krajicek Pulmonary Disease · Council Bluffs · top payer: AstraZeneca Pharmaceuticals LP $170,568
Charles Jennisch Psychiatry · Urbandale · top payer: Otsuka America Pharmaceutical, Inc. $148,570
Aubrey Molgaard Family · Atlantic · top payer: sanofi-aventis U.S. LLC $138,084
Santiago Ortega Gutierrez Vascular & Interventional Radiology · Iowa City · top payer: Medtronic, Inc. $137,735
Tarrah Holliday Psychiatric/Mental Health · Atlantic · top payer: Alkermes, Inc. $123,071
Thomas Heineman Otolaryngology · Cedar Rapids · top payer: Inspire Medical Systems, Inc. $120,931
Annunziato Amendola Sports Medicine · Iowa City · top payer: Arthrex, Inc. $116,999
Sean Grambart Foot & Ankle Surgery · Des Moines · top payer: DePuy Synthes Sales Inc. $116,608
Omar Akhtar Adult Reconstructive Orthopaedic Surgery · Cedar Rapids · top payer: Stryker Corporation $114,491
Kirk Peterson Family Medicine · Huxley · top payer: Takeda Pharmaceuticals U.S.A., Inc. $106,540
Cesar De Cesar Netto Orthopaedic Surgery · Iowa City · top payer: Paragon 28, Inc. $103,635
Kelsey Millonig Foot & Ankle Surgery · Des Moines · top payer: Orthofix Medical, Inc. $97,588
Phinit Phisitkul Foot and Ankle Surgery · Sioux City · top payer: Arthrex, Inc. $85,719
Brian Adams Orthopaedic Surgery · Iowa City · top payer: Smith+Nephew, Inc. $81,696
Eric Scott Vascular Surgery · West Des Moines · top payer: Medtronic, Inc. $78,389
Patricia Arason Medical · West Des Moines · top payer: Galderma Laboratories, L.P. $76,697
Carla Nester Pediatric Nephrology · Iowa City · top payer: NOVARTIS PHARMACEUTICALS CORPORATION $75,816
RECORDED — CMS Open Payments
figures for program year 2024.
DERIVED — state totals,
per-physician means, and rankings are sums over those records.
Machine-readable: JSON-LD · Markdown · national overview
What this is — and is not
A disclosure record of industry–physician financial ties in Iowa — not evidence that any
payment influenced care, not a measure of a physician's quality, and not advice
about your own doctor. To verify a specific physician, search CMS Open Payments directly.