Desiree Chizmadia
Nurse Practitioner · Cleveland, OHNPI 1801309695
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (49.6%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Novartis at 34.9% of the total. 2025 is the largest year on record at $6,742, 4.0 times the $1,683 reported in 2021. Among nurse practitioner clinicians in OH 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 174 payments — averaging $84.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$5K
- Sanofi$2K
- EMD Serono, Inc.$1K
- TG Therapeutics, Inc.$1K
- Genentech USA, Inc.$1K
- Biogen$978
- plus $2K from 10 others
What the payments were for
- Consulting fees$7,32150%
- Speaking & faculty fees$6504%
- Travel & lodging$9927%
- Food & beverage$5,57738%
- Education$2342%
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 |
|---|---|---|
| Novartis | 63 | $5,160 |
| Sanofi | 19 | $2,139 |
| EMD Serono, Inc. | 6 | $1,449 |
| TG Therapeutics, Inc. | 13 | $1,436 |
| Genentech USA, Inc. | 5 | $1,371 |
| Biogen | 28 | $978 |
| Johnson & Johnson | 8 | $856 |
| Genentech, Inc. | 9 | $707 |
| Bristol Myers Squibb | 9 | $247 |
| Amgen | 2 | $133 |
| Banner Life Sciences, LLC | 4 | $88 |
| Eisai Inc. | 3 | $68 |
| AstraZeneca | 1 | $45 |
| Vanda Pharmaceuticals Inc. | 2 | $39 |
| E.r. Squibb & Sons, L.L.C. | 1 | $35 |
| Sandoz | 1 | $23 |
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
$14,773 in reported general payments places this provider in the 95th percentile of 4,700 nurse practitioner providers in Ohio.
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 |
|---|---|---|
| Kesimpta PenOfatumumab | 32 | $348,509 |
| Avonex Pen (4 Pack)Interferon Beta-1a | 13 | $152,486 |
| Dalfampridine ErDalfampridine | 72 | $30,765 |
| NuedextaDextromethorphan Hbr/Quinidine | 16 | $17,979 |
| Baclofen | 473 | $10,305 |
| Gabapentin | 413 | $8,516 |
| Modafinil | 55 | $4,796 |
| Duloxetine Hcl | 143 | $3,484 |
| Trospium Chloride | 25 | $2,740 |
| Pregabalin | 105 | $2,514 |
| Tizanidine Hcl | 150 | $1,833 |
| Oxcarbazepine | 35 | $1,516 |
| AmantadineAmantadine Hcl | 55 | $1,148 |
| Ropinirole Hcl | 50 | $941 |
| Escitalopram Oxalate | 45 | $629 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Cleveland
- Margaret BobonichCleveland$235K
- Beth FaimanCleveland$101K
- Jessica GlennieCleveland$40K
- Elizabeth KirchnerCleveland$27K
- Julie WidmarCleveland$12K
- Suzanne FortunaCleveland$9K
- Mary GallagherWestlake$229K
- Sonia HissettCincinnati$179K
- Ashley TaylorNew Albany$107K
- Katherine AlexanderColumbus$99K
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.