Lawrence Ciesemier, DO
Allergy & Immunology · Kirksville, MONPI 1952464190
Payments from drug & device makers
Across 544 payments — averaging $18.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$2K
- Takeda Pharmaceuticals U.S.A., Inc.$1K
- CSL Behring$1K
- GSK$869
- Grifols USA, LLC$832
- Regeneron Healthcare Solutions, Inc.$768
- plus $3K from 25 others
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 |
|---|---|---|
| AstraZeneca | 96 | $1,895 |
| Takeda Pharmaceuticals U.S.A., Inc. | 96 | $1,173 |
| CSL Behring | 65 | $1,064 |
| GSK | 50 | $869 |
| Grifols USA, LLC | 48 | $832 |
| Regeneron Healthcare Solutions, Inc. | 26 | $768 |
| Sanofi | 24 | $582 |
| Amgen(2 entities) | 17 | $428 |
| Mylan Specialty L.p. | 22 | $414 |
| Genentech USA, Inc. | 17 | $330 |
| Novartis | 14 | $294 |
| Verona Pharma, Inc. | 6 | $124 |
| Shire North American Group Inc | 12 | $121 |
| Pfizer | 7 | $120 |
| Sanofi-aventis U.S. LLC | 2 | $118 |
| Boehringer Ingelheim | 7 | $113 |
| ARS Pharmaceuticals Operations, Inc. | 4 | $94 |
| Hospira, Inc. | 6 | $89 |
| Viatris Specialty LLC | 4 | $79 |
| Teva Pharmaceuticals USA, Inc. | 4 | $75 |
| Blueprint Medicines Corporation | 3 | $74 |
| Mallinckrodt Hospital Products Inc. | 1 | $66 |
| Octapharma USA, Inc. | 2 | $43 |
| Genentech, Inc. | 1 | $38 |
| Merck | 2 | $35 |
| Bio Products Laboratory USA, Inc. | 2 | $34 |
| Biocryst US Sales Co., LLC | 2 | $25 |
| ADMA Biomanufacturing LLC | 1 | $24 |
| Paratek Pharmaceuticals, Inc. | 1 | $19 |
| Electromed, Inc. | 1 | $17 |
| AbbVie | 1 | $16 |
How this compares
$9,973 in reported general payments places this provider in the 60th percentile of 61 allergy & immunology providers in Missouri.
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.
Other allergy & immunology in Kirksville
- Jeffrey TillinghastSaint Louis$11M
- H James WednerSaint Louis$2.3M
- Peggy KendallSaint Louis$895K
- Barbara JostSaint Louis$470K
- Phillip KorenblatSaint Louis$453K
- Manoj WarrierSaint Louis$316K
- Maya JerathSaint Louis$129K
- Jennifer MonroySaint Louis$123K
- Aaron Ver HeulSaint Louis$100K
- Lanny RosenwasserKansas City$46K
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.