Who Paid My Doc
Jonathan Fialkov
Urology West Des Moines, IA Medical Doctor
NPI 1518951532 CMS profile 463529
5950 University Ave, Ste 341, West Des Moines, IA 50266
General payments
$1,504
Research payments
$0
Ownership & investment interest
$0
Research they led as principal investigator
$8,500
Through program year 2025, Jonathan Fialkov of West Des Moines, IA is reported in the CMS Open Payments database as having received $1,504 across 40 general payments and $0 in research payments paid to them. Separately, studies naming them as principal investigator received $8,500 in research payments, paid to institutions rather than 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. The principal-investigator line is research money paid to institutions for studies they led — not to them — and is not added to anything either.
General payments for this record sit in the 38th percentile of Urology profiles with reported payments. Percentile describes the distribution, not the conduct.
By program year
5 rows| Year | Kind | Relative to this record's peak year | Amount | Records |
|---|---|---|---|---|
| 2025 | General | $517 | 13 | |
| 2024 | General | $636 | 10 | |
| 2023 | General | $196 | 8 | |
| 2022 | General | $117 | 7 | |
| 2021 | General | $37 | 2 |
Beside peers
- Jonathan Fialkov
- Urology median
- Middle half of Urology
- National median
In program year 2025, general payments to Jonathan Fialkov were reported at $517. Among 9,461 Urology profiles paid that year, the median was $629 and the middle half received between $190 and $1,620.
Show as a table
| Year | Jonathan Fialkov | Urology median | Middle half | National median |
|---|---|---|---|---|
| 2019 | $0 | $480 | $147–$1,201 | $163 |
| 2020 | $0 | $246 | $87–$645 | $114 |
| 2021 | $37 | $358 | $111–$1,000 | $132 |
| 2022 | $117 | $476 | $143–$1,263 | $149 |
| 2023 | $196 | $560 | $168–$1,461 | $160 |
| 2024 | $636 | $563 | $170–$1,464 | $164 |
| 2025 | $517 | $629 | $190–$1,620 | $169 |
Breakdown
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 · 23 drugsPart D claims
1,627
Drug cost
$71,276
Branded share of claims
26.2%
| Drug | Type | Relative to their largest | Claims | Drug cost |
|---|---|---|---|---|
| Myrbetriq Mirabegron | Brand | 69 | $27,777 | |
| Premarin Estrogens, Conjugated | Brand | 18 | $8,711 | |
| Tamsulosin Hcl | Generic | 536 | $8,282 | |
| Gemtesa Vibegron | Brand | 25 | $5,096 | |
| Finasteride | Generic | 351 | $4,566 | |
| Testosterone | Generic | 16 | $2,699 | |
| Oxybutynin Chloride Er Oxybutynin Chloride | Brand | 98 | $2,574 | |
| Potassium Citrate Er Potassium Citrate | Brand | 20 | $2,143 | |
| Methenamine Hippurate | Generic | 14 | $2,086 | |
| Estradiol | Generic | 15 | $1,702 |
The 10 drugs with the highest cost, of 23 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 10,221 Part D prescribers listed as Urology; they describe a distribution and say nothing about conduct.
Billing to Medicare
Part B · data year 2024 · 12 billing codesPaid by Medicare
$7,199
Medicare patients
59
Services billed
189
| Condition among their Medicare patients | Relative to the most common | Share of patients |
|---|---|---|
| High blood pressure | 75% | |
| Arthritis | 42% | |
| Diabetes | 39% | |
| Chronic kidney disease | 39% | |
| Atrial fibrillation | 31% | |
| Ischemic heart disease | 29% | |
| Cancer | 22% | |
| Depression | 22% |
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
5 products · payments 2024Two 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.
| Product | Paid by | Related payments | Part D claims | Part B services |
|---|---|---|---|---|
| XTANDI |
|
$40 | — | — |
| ORGOVYX |
|
$16 | — | — |
| TALZENNA |
|
$16 | — | — |
| ELIGARD |
|
$11 | — | — |
| JATENZO |
|
$11 | — | — |
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.
Records
40 reportedEvery 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 Urology 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.