Larae Stemmerman
Family Medicine · Marion, IANPI 1427040930
Payments from drug & device makers
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
- Nicholas GoetschWaterloo$4.1M
- James PoockWaterloo$1.5M
- Jennifer KayCouncil Bluffs$613K
- Nicholas BechtoldSioux City$584K
- Kirk PetersonHuxley$576K
- Stephen HarrisonClinton$249K
- Sharon SteenBelle Plaine$241K
- Carlos Alarcon SchroderJohnston$237K
- Thomas RossDes Moines$170K
- Yogesh ShahDes Moines$159K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.