Emily Anzmann, DPM
Foot & Ankle Surgery · Des Moines, IANPI 1518341254
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (39.2%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 7 manufacturers reported payments, led by Arthrex at 39.4% of the total. Reporting peaked in 2019 at $9,229 and has fallen 79.8% since, to $1,866 in 2024.
Across 107 payments — averaging $136.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$6K
- Stryker$6K
- Conetic Solutions, Inc.$1K
- Treace Medical Concepts, Inc.$1K
- Smith+Nephew$529
- Zimmer Biomet$235
- plus $168 from 1 others
What the payments were for
- Travel & lodging$4,92834%
- Food & beverage$3,93527%
- Education$5,72239%
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 |
|---|---|---|
| Arthrex | 17 | $5,741 |
| Stryker(2 entities) | 63 | $5,556 |
| Conetic Solutions, Inc. | 2 | $1,313 |
| Treace Medical Concepts, Inc. | 6 | $1,043 |
| Smith+Nephew | 11 | $529 |
| Zimmer Biomet | 6 | $235 |
| KCI USA, Inc. | 2 | $168 |
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
$14,585 in reported general payments places this provider in the 80th percentile of 112 foot & ankle surgery 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| SantylCollagenase Clostridium Hist. | 11 | $3,415 |
| Diclofenac Sodium | 53 | $2,483 |
| Terbinafine Hcl | 73 | $658 |
| Ciclopirox | 20 | $402 |
| Minocycline Hcl | 23 | $350 |
| Ketoconazole | 18 | $240 |
| Oxycodone Hcl | 45 | $227 |
| Ammonium Lactate | 12 | $209 |
| Methylprednisolone | 25 | $144 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 12 | $144 |
| Cephalexin | 19 | $99 |
| Meloxicam | 22 | $55 |
| Doxycycline Hyclate | 11 | $52 |
| Tramadol Hcl | 11 | $45 |
| Prednisone | 18 | $28 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Smith+NephewSantyl | $529 | $3,41511 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 80th percentile of 112 foot & ankle surgery providers in Iowa.
Other foot & ankle surgery in Des Moines
- Michael LeeDes Moines$2.1M
- Sean GrambartDes Moines$590K
- Kelsey MillonigDes Moines$330K
- Justin RaatzDes Moines$28K
- Mica MurdochDes Moines$25K
- Blake HaleDes Moines$14K
- Ashley McClainDes Moines$5K
- Monique RodriguezDes Moines$4K
- Erica ReedDes Moines$3K
- Phinit PhisitkulSioux City$1.4M
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.