Hanna Zembrzuska, MD
Rheumatology · Iowa City, IANPI 1336346352
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $21,800 of the $29,559 with a category attached, or 73.8%. Novartis accounts for 91.6% of it on its own, with 6 other manufacturers making up the rest. 2025 is the largest year on record at $27,361, more than ten times the $1,926 reported in 2023. Among rheumatology 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 46 payments — averaging $642.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$27K
- Janssen Research & Development, LLC$2K
- Johnson & Johnson$364
- Boehringer Ingelheim$123
- GSK$99
- AstraZeneca$50
- plus $19 from 1 others
Across 53 payments — averaging $30,746 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Novartis$1.5M
- Janssen Research & Development, LLC$109K
- Boehringer Ingelheim$37K
- AbbVie$27K
- Boehringer Ingelheim International GmbH$2K
- Eli Lilly$1K
What the payments were for
- Consulting fees$21,80074%
- Travel & lodging$4,89917%
- Food & beverage$2,84110%
- Education$190%
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 | 25 | $27,063 |
| Janssen Research & Development, LLC | 14 | $1,841 |
| Johnson & Johnson | 3 | $364 |
| Boehringer Ingelheim | 1 | $123 |
| GSK | 1 | $99 |
| AstraZeneca | 1 | $50 |
| Sobi, Inc | 1 | $19 |
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.
- COSENTYX$803
- Tremfya$364
- SIMPONI ARIA$364
- OFEV$123
- KYMRIAH$114
How this compares
$29,559 in reported general payments places this provider in the 95th percentile of 50 rheumatology 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 |
|---|---|---|
| Enbrel SureclickEtanercept | 31 | $217,879 |
| Taltz AutoinjectorIxekizumab | 24 | $163,233 |
| Humira(Cf) PenAdalimumab | 24 | $161,288 |
| Cosentyx Sensoready (2 Pens)Secukinumab | 13 | $98,083 |
| Orencia ClickjectAbatacept | 12 | $67,247 |
| SimponiGolimumab | 11 | $62,831 |
| Mycophenolate Mofetil | 36 | $11,924 |
| Hydroxychloroquine Sulfate | 95 | $4,053 |
| MethotrexateMethotrexate Sodium | 67 | $1,944 |
| Colchicine | 19 | $1,727 |
| Prednisone | 133 | $1,133 |
| Leflunomide | 40 | $861 |
| Allopurinol | 39 | $402 |
| Gabapentin | 29 | $387 |
| Azathioprine | 12 | $275 |
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 |
|---|---|---|
| Johnson & JohnsonSimponi | $364 | $62,83111 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 50 rheumatology providers in Iowa.
Other rheumatology in Iowa City
- Paul RothmanIowa City$217K
- Gulsen OzenIowa City$1K
- Ruoning NiIowa City$751
- Mani MaheshwariIowa City$552
- Elizabeth FieldIowa City$300
- Prasanna PatelIowa City$283
- Lindsay MoyIowa City$256
- Ayesha IftekharIowa City$135
- Brittany BettendorfIowa City$133
- Alick FengIowa City$117
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.