Michele Renze
Acute Care · Des Moines, IANPI 1669879045
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,793 of the $4,646 with a category attached, or 81.7%. It is spread thinly across 26 manufacturers, the largest accounting for just 9.8% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,445, 3.8 times the $384 reported in 2021. Among acute care 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 49 payments — averaging $94.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- E.r. Squibb & Sons, L.L.C.$453
- Sanofi-aventis U.S. LLC$344
- AstraZeneca$343
- Gilead$343
- AbbVie$322
- Lilly USA, LLC$282
- plus $3K from 20 others
What the payments were for
- Food & beverage$3,79382%
- Education$85218%
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 |
|---|---|---|
| E.r. Squibb & Sons, L.L.C. | 5 | $453 |
| Sanofi-aventis U.S. LLC | 4 | $344 |
| AstraZeneca | 3 | $343 |
| Gilead(2 entities) | 3 | $343 |
| AbbVie | 3 | $322 |
| Lilly USA, LLC | 3 | $282 |
| Johnson & Johnson | 3 | $273 |
| Genentech, Inc. | 3 | $206 |
| Seagen Inc. | 2 | $162 |
| Deciphera Pharmaceuticals Inc. | 1 | $161 |
| Pharmacyclics LLC, An Abbvie Company | 2 | $154 |
| Daiichi Sankyo Inc. | 2 | $139 |
| Pfizer | 2 | $136 |
| Sirtex Medical Inc | 1 | $125 |
| Genentech USA, Inc. | 1 | $125 |
| CTI Biopharma Corp. | 1 | $122 |
| Genmab U.S., Inc. | 1 | $119 |
| Adaptive Biotechnologies Corporation | 1 | $117 |
| Exelixis Inc. | 1 | $114 |
| Bayer | 1 | $107 |
| Amgen | 1 | $103 |
| Pharmaessentia USA Corporation | 1 | $100 |
| Servier Pharmaceuticals LLC | 1 | $91 |
| Sanofi | 1 | $88 |
| Regeneron Healthcare Solutions, Inc. | 1 | $65 |
| Astellas Pharma US Inc | 1 | $52 |
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
$4,646 in reported general payments places this provider in the 95th percentile of 104 acute care 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 |
|---|---|---|
| Ondansetron Hcl | 55 | $640 |
| Dexamethasone | 15 | $323 |
| Prochlorperazine Maleate | 42 | $236 |
| Acyclovir | 21 | $185 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $183 |
| Gabapentin | 14 | $156 |
| Doxycycline Hyclate | 15 | $78 |
| Ondansetron OdtOndansetron | 11 | $74 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 14 | $70 |
| Potassium Chloride | 13 | $57 |
| Pantoprazole Sodium | 13 | $50 |
| Levofloxacin | 11 | $50 |
| Prednisone | 11 | $27 |
Paid to pharmacies, not to this prescriber.
Other acute care in Des Moines
- Samantha BoninDes Moines$4K
- Kristel HowellDes Moines$3K
- Caleb AndersonDes Moines$2K
- Julie SchuckDes Moines$2K
- Julie ShryockDes Moines$1K
- Elizabeth BiggerstaffDes Moines$711
- Selena SampsonDes Moines$365
- Jonna LoxDes Moines$256
- Jodi WilsonDes Moines$229
- Whitney HankenCedar Rapids$73K
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.