Angala Schwabe, CRNA
Nurse Anesthetist, Certified Registered · Sioux City, IANPI 1871883330
Payments from drug & device makers
What this record shows
Merz North America, Inc. accounts for 91.6% of it on its own, with 7 other manufacturers making up the rest. 2025 is the largest year on record at $2,315, more than ten times the $53 reported in 2021. Among nurse anesthetist, certified registered clinicians in IA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 31 payments — averaging $87.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merz North America, Inc.$2K
- Carl Zeiss Meditec USA, Inc.$75
- Amgen$39
- Bausch & Lomb, A Division Of Bausch Health US, LLC$36
- AbbVie$28
- Merck$17
- plus $33 from 2 others
What the payments were for
- Travel & lodging$1,14942%
- Food & beverage$1,55658%
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 |
|---|---|---|
| Merz North America, Inc. | 19 | $2,478 |
| Carl Zeiss Meditec USA, Inc. | 4 | $75 |
| Amgen | 2 | $39 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 2 | $36 |
| AbbVie | 1 | $28 |
| Merck | 1 | $17 |
| Pacira Pharmaceuticals Incorporated | 1 | $17 |
| Johnson & Johnson Surgical Vision, Inc. | 1 | $15 |
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.
- XEOMIN$1,580
How this compares
$2,705 in reported general payments places this provider in the 95th percentile of 338 nurse anesthetist, certified registered providers in Iowa.
See all nurse anesthetist, certified registered 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.
Other nurse anesthetist, certified registered in Sioux City
- Adam KynastonSioux City$999
- Monty McKinvenSioux City$639
- Daniel FuxaSioux City$542
- Kimberly PerrySioux City$261
- John HagestromSioux City$251
- Abbie SusieSioux City$226
- Sarah CrillyLake City$3K
- Scott ChastekManchester$2K
- Dale KrollSpencer$2K
- Trevor CapronLake City$2K
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.