Izabela Horzempa, PA
Physician Assistant · Madison, CTNPI 1295426781
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $13,169 of the $15,129 with a category attached, or 87.0%. It is spread thinly across 26 manufacturers, the largest accounting for just 15.8% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $8,223, 6.3 times the $1,313 reported in 2023. Among physician assistant clinicians in CT 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 486 payments — averaging $31.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- LEO Pharma Inc.$2K
- AbbVie$2K
- Johnson & Johnson$2K
- UCB, Inc.$950
- Sanofi$926
- Journey Medical Corporation$900
- plus $6K from 20 others
What the payments were for
- Consulting fees$1,47410%
- Food & beverage$13,16987%
- Education$4863%
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 |
|---|---|---|
| LEO Pharma Inc. | 39 | $2,385 |
| AbbVie | 136 | $2,383 |
| Johnson & Johnson | 44 | $1,821 |
| UCB, Inc. | 32 | $950 |
| Sanofi | 27 | $926 |
| Journey Medical Corporation | 5 | $900 |
| Incyte Corporation | 26 | $816 |
| Novartis | 29 | $632 |
| Lilly USA, LLC | 27 | $623 |
| Sun Pharmaceutical Industries Inc. | 20 | $569 |
| Dermavant Sciences, Inc. | 12 | $531 |
| Arcutis Biotherapeutics, Inc. | 18 | $516 |
| Regeneron Healthcare Solutions, Inc. | 15 | $450 |
| E.r. Squibb & Sons, L.L.C. | 10 | $420 |
| Pfizer | 13 | $360 |
| Amgen | 12 | $255 |
| Verrica Pharmaceuticals Inc. | 2 | $143 |
| Organon | 7 | $114 |
| Sanofi-aventis U.S. LLC | 1 | $85 |
| Galderma Laboratories, L.p. | 3 | $62 |
| Botanix SB Inc | 2 | $55 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 2 | $41 |
| Mayne Pharma Commercial LLC | 1 | $25 |
| Biofrontera Inc. | 1 | $24 |
| Boehringer Ingelheim | 1 | $23 |
| LNHC, Inc | 1 | $17 |
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
$15,129 in reported general payments places this provider in the 95th percentile of 1,795 physician assistant providers in Connecticut.
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 |
|---|---|---|
| Dupixent PenDupilumab | 24 | $95,036 |
| Ketoconazole | 105 | $1,758 |
| Mometasone Furoate | 73 | $1,195 |
| Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc | 31 | $1,142 |
| Fluocinolone AcetonideFluocinolone/Shower Cap | 18 | $1,037 |
| Triamcinolone Acetonide | 42 | $679 |
| Ciclopirox | 19 | $564 |
| Clobetasol Propionate | 28 | $562 |
| Alclometasone Dipropionate | 16 | $531 |
| Doxycycline Hyclate | 18 | $437 |
| CiclopiroxCiclopirox Olamine | 24 | $397 |
| Desonide | 16 | $312 |
| Mupirocin | 40 | $290 |
| Hydrocortisone | 35 | $191 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Madison
- Gary SpinnerBridgeport$119K
- Jordan MarcouTrumbull$44K
- Mary ElliottGuilford$43K
- Christopher ThompsonGroton$42K
- Michael LalondeNew Haven$35K
- Kristine LaneMiddletown$30K
- Kathryn MidgleyNew Haven$28K
- Richard MoroPlainfield$25K
- Janine TedescoDarien$21K
- Marina MathewFairfield$20K
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.