Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Ernest Ajax

Neurology Washington, IA Medical Doctor

NPI 1740256502 CMS profile 33264

400 E Polk St, Washington, IA 52353

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General payments

$3,060

188 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Ernest Ajax of Washington, IA is reported in the CMS Open Payments database as having received $3,060 across 188 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 60th percentile of Neurology profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $235 23
2024 General $333 21
2023 General $576 38
2022 General $834 63
2021 General $478 19
2020 General $299 12
2019 General $305 12

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Ernest Ajax
  • Neurology median
  • Middle half of Neurology
  • National median

In program year 2025, general payments to Ernest Ajax were reported at $235. Among 11,022 Neurology profiles paid that year, the median was $457 and the middle half received between $118 and $2,344.

Show as a table
Year Ernest Ajax Neurology median Middle half National median
2019 $305 $474 $118–$2,177 $163
2020 $299 $367 $82–$2,309 $114
2021 $478 $438 $104–$2,547 $132
2022 $834 $442 $103–$2,388 $149
2023 $576 $464 $119–$2,312 $160
2024 $333 $468 $119–$2,323 $164
2025 $235 $457 $118–$2,344 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Pfizer Inc. $533 49 payments
  2. Biogen, Inc. $519 13 payments
  3. Harmony Biosciences LLC $402 36 payments
  4. AbbVie, Inc. $398 37 payments
  5. Teva Pharmaceuticals USA, Inc. $168 10 payments
  6. SK Life Science, Inc. $118 2 payments
  7. E.R. Squibb & Sons, L.L.C. $97 1 payment
  8. Amgen Inc. $91 5 payments
  9. Jazz Pharmaceuticals Inc. $77 4 payments
  10. Biohaven Pharmaceutical Holding Company Ltd. $74 4 payments
  11. Other $583 27 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $2,960 187 payments
  2. Education $100 1 payment
Products named General payments · program years 2019–2025
  1. NURTEC ODT Pain $533 49 payments
  2. ZAVZPRET $475 45 payments
  3. VUMERITY $256 4 payments
  4. UBRELVY $252 26 payments
  5. Wakix Neurological Disorders $216 27 payments
  6. QULIPTA $157 12 payments
  7. TECFIDERA $147 3 payments
  8. WAKIX Sleep Medicine $136 6 payments
  9. NURTEC ODT Primary Care $126 7 payments
  10. PAXLOVID $107 9 payments
  11. Other $1,342 66 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 74 drugs

Part D claims

4,090

Median for Neurology: 833

Drug cost

$223,397

Median for Neurology: $202,670

Branded share of claims

29.6%

Median for Neurology: 25.9%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Nurtec Odt Rimegepant Sulfate Brand 40 $66,652
Aimovig Autoinjector Erenumab-Aooe Brand 28 $20,081
Carbidopa-Levodopa Carbidopa/Levodopa Brand 472 $16,915
Neupro Rotigotine Brand 12 $10,094
Ajovy Autoinjector Fremanezumab-Vfrm Brand 13 $9,685
Rasagiline Mesylate Generic 18 $7,056
Propranolol Hcl Er Propranolol Hcl Brand 112 $6,615
Entacapone Generic 32 $6,603
Memantine Hcl Generic 173 $5,568
Levetiracetam Generic 154 $5,418

The 10 drugs with the highest cost, of 74 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 13,695 Part D prescribers listed as Neurology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 8 billing codes

Paid by Medicare

$778

Medicare's payments for the services billed

Medicare patients

11

Average age 77

Services billed

14

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 6 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
NURTEC ODT
  • PFIZER INC. $97
$97 40 —
ZAVZPRET
  • PFIZER INC. $97
$97 — —
Mavenclad
  • EMD Serono, Inc. $55
$55 — —
WAKIX
  • Harmony Biosciences LLC $50
$50 — —
VUMERITY
  • Biogen, Inc. $17
$17 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

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Records

188 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Neurology in Iowa

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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