Erin Fish, DO
Internal Medicine · Urbandale, IANPI 1073554069
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.6% of the total across 267 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 36 manufacturers, the largest accounting for just 23.8% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,476, more than ten times the $13 reported in 2019. Among internal medicine 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 267 payments — averaging $17.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Pfizer$432
- Boehringer Ingelheim$417
- AstraZeneca$408
- Novo Nordisk$317
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$173
- plus $2K from 30 others
What the payments were for
- Food & beverage$4,563100%
- Education$190%
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 |
|---|---|---|
| AbbVie(2 entities) | 76 | $1,092 |
| Pfizer | 29 | $432 |
| Boehringer Ingelheim | 20 | $417 |
| AstraZeneca | 26 | $408 |
| Novo Nordisk | 16 | $317 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 10 | $173 |
| Abbott | 7 | $163 |
| Actelion Pharmaceuticals US, Inc. | 3 | $152 |
| Phathom Pharmaceuticals, Inc. | 11 | $146 |
| Lilly USA, LLC | 9 | $138 |
| Lundbeck LLC | 6 | $130 |
| Otsuka America Pharmaceutical, Inc. | 6 | $118 |
| Bayer | 5 | $102 |
| Novartis | 5 | $84 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 3 | $72 |
| Sanofi-aventis U.S. LLC | 3 | $65 |
| Exact Sciences | 3 | $63 |
| Johnson & Johnson | 4 | $62 |
| Lexicon Pharmaceuticals, Inc. | 2 | $47 |
| Almatica Pharma LLC | 3 | $43 |
| Astellas Pharma US Inc | 2 | $39 |
| Teva Pharmaceuticals USA, Inc. | 2 | $37 |
| Ironwood Pharmaceuticals, Inc | 2 | $35 |
| Merck | 2 | $32 |
| GSK | 1 | $23 |
| Grifols USA, LLC | 1 | $19 |
| Amgen | 1 | $19 |
| Insulet Corporation | 1 | $19 |
| Xeris Pharmaceuticals, Inc. | 1 | $19 |
| Genentech USA, Inc. | 1 | $18 |
| Sanofi Pasteur Inc. | 1 | $18 |
| Viatris Specialty LLC | 1 | $18 |
| Dexcom, Inc. | 1 | $16 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $16 |
| Seqirus USA Inc | 1 | $16 |
| Medtronic | 1 | $14 |
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
$4,582 in reported general payments places this provider in the 95th percentile of 583 internal medicine 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 |
|---|---|---|
| OzempicSemaglutide | 84 | $110,962 |
| EliquisApixaban | 70 | $70,922 |
| JardianceEmpagliflozin | 45 | $60,104 |
| MounjaroTirzepatide | 50 | $52,079 |
| FarxigaDapagliflozin Propanediol | 29 | $38,386 |
| JanuviaSitagliptin Phosphate | 26 | $29,013 |
| XareltoRivaroxaban | 22 | $22,635 |
| MyrbetriqMirabegron | 21 | $20,150 |
| Spiriva RespimatTiotropium Bromide | 17 | $14,513 |
| Tresiba Flextouch U-100Insulin Degludec | 20 | $12,899 |
| TrintellixVortioxetine Hydrobromide | 16 | $11,823 |
| Dexlansoprazole DrDexlansoprazole | 26 | $7,244 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 46 | $5,174 |
| Levothyroxine Sodium | 435 | $3,593 |
| Atorvastatin Calcium | 338 | $2,774 |
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 |
|---|---|---|
| Novo NordiskOzempic | $317 | $110,96284 claims |
| Boehringer IngelheimJardiance, Spiriva Respimat | $417 | $74,61662 claims |
| PfizerEliquis | $432 | $70,92270 claims |
| Lilly USA, LLCMounjaro | $138 | $52,07950 claims |
| AstraZenecaFarxiga | $408 | $38,38629 claims |
| MerckJanuvia | $32 | $29,01326 claims |
| Johnson & JohnsonXarelto | $62 | $22,63522 claims |
| Astellas Pharma US IncMyrbetriq | $39 | $20,15021 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Trintellix | $16 | $11,82316 claims |
| AbbVieSynthroid | $1,092 | $1,35116 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 95th percentile of 583 internal medicine providers in Iowa.
Other internal medicine in Urbandale
- Lazaro RabangUrbandale$17K
- Erin VoelschowUrbandale$5K
- Mark JohnsonMason City$223K
- Mark CarlsonSioux City$174K
- Madalyn WalshIowa City$80K
- Alan KricsfeldCouncil Bluffs$49K
- Aziz HammoudIowa City$29K
- Matthew FryzekCouncil Bluffs$28K
- Diana Rabadi MararCouncil Bluffs$25K
- Isam MararCouncil Bluffs$23K
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.