Larae Stemmerman
Family Medicine · Marion, IANPI 1427040930
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 224 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 27 manufacturers reported payments, led by AbbVie at 29.0% of the total. 2025 is the largest year on record at $1,052, 5.9 times the $178 reported in 2019. Among family medicine clinicians in IA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 224 payments — averaging $16.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- AstraZeneca$763
- Novo Nordisk$349
- Pfizer$287
- Lilly USA, LLC$203
- Exact Sciences$192
- plus $765 from 21 others
What the payments were for
- Food & beverage$3,603100%
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) | 73 | $1,044 |
| AstraZeneca | 33 | $763 |
| Novo Nordisk | 29 | $349 |
| Pfizer | 17 | $287 |
| Lilly USA, LLC | 13 | $203 |
| Exact Sciences | 11 | $192 |
| Paratek Pharmaceuticals, Inc. | 7 | $110 |
| Idorsia Pharmaceuticals US Inc | 7 | $102 |
| Phathom Pharmaceuticals, Inc. | 5 | $92 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $58 |
| Astellas Pharma US Inc | 2 | $43 |
| Galderma Laboratories, L.p. | 3 | $41 |
| Dexcom, Inc. | 2 | $33 |
| Bayer | 2 | $32 |
| Exeltis, USA Inc. | 2 | $32 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $31 |
| Alfasigma USA, Inc. | 2 | $30 |
| Corium, LLC | 1 | $20 |
| Hologic Sales And Service, LLC | 1 | $20 |
| Collegium Pharmaceutical, Inc. | 1 | $19 |
| Xeris Pharmaceuticals, Inc. | 1 | $17 |
| Medtronic | 1 | $16 |
| Phadia US Inc. | 1 | $15 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $15 |
| Myovant Sciences Inc. | 1 | $13 |
| Therapeuticsmd, Inc. | 1 | $13 |
| Nalpropion Pharmaceuticals LLC | 1 | $12 |
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
$3,603 in reported general payments places this provider in the 90th percentile of 1,357 family medicine providers in Iowa.
Other family medicine in Marion
- Kirk PetersonHuxley$576K
- Nicholas GoetschWaterloo$525K
- Stephen HarrisonClinton$249K
- Thomas RossDes Moines$170K
- Yogesh ShahDes Moines$159K
- Leslie George PaulsenMuscatine$136K
- Dylan LoweDes Moines$105K
- Michael AbouassalyWest Burlington$88K
- Kevin DeregnierWinterset$68K
- Laura MoellerAmes$34K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.