Stephanie Burger, MD
Otolaryngology · Sioux City, IANPI 1992099402
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 49 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 17 manufacturers, the largest accounting for just 17.9% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $333, 6.9 times the $48 reported in 2019.
Across 49 payments — averaging $26.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$232
- Sanofi$154
- Inspire Medical Systems, Inc.$150
- Acclarent, Inc$126
- Regeneron Healthcare Solutions, Inc.$123
- Intersect ENT, Inc.$118
- plus $392 from 11 others
What the payments were for
- Food & beverage$1,295100%
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 |
|---|---|---|
| Stryker | 4 | $232 |
| Sanofi | 8 | $154 |
| Inspire Medical Systems, Inc. | 1 | $150 |
| Acclarent, Inc | 3 | $126 |
| Regeneron Healthcare Solutions, Inc. | 5 | $123 |
| Intersect ENT, Inc. | 7 | $118 |
| Smith+Nephew | 5 | $118 |
| Novartis | 3 | $55 |
| GSK | 3 | $48 |
| Hologic Sales And Service, LLC | 1 | $35 |
| AstraZeneca | 2 | $32 |
| Integra Lifesciences Corporation | 1 | $21 |
| Aerin Medical Inc. | 2 | $20 |
| Optinose US, Inc. | 1 | $18 |
| Merck | 1 | $17 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $16 |
| Amgen | 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.
- MEDLINE INDUSTRIES, INC.$171
- Inspire$150
How this compares
$1,295 in reported general payments places this provider in the 55th percentile of 103 otolaryngology 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 |
|---|---|---|
| Azelastine Hcl | 48 | $1,241 |
| Fluticasone Propionate | 84 | $856 |
| Dexamethasone Sodium Phosphate | 18 | $717 |
| Ipratropium Bromide | 33 | $710 |
| Ciprofloxacin Hcl | 34 | $387 |
| Omeprazole | 72 | $337 |
| Nortriptyline Hcl | 18 | $148 |
| Mupirocin | 11 | $128 |
| Montelukast Sodium | 34 | $119 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 16 | $115 |
| Levothyroxine Sodium | 25 | $103 |
| Pantoprazole Sodium | 31 | $93 |
| Prednisone | 27 | $24 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Sioux City
- David WagnerSioux City$4K
- Thomas HeinemanCedar Rapids$373K
- Bruce GantzIowa City$170K
- Nancy BaumanIowa City$31K
- Simon WrightWest Des Moines$21K
- Robert PettisOskaloosa$10K
- Brian AndrewsIowa City$9K
- Douglas HoisingtonWest Des Moines$8K
- Joseph WhitmanGrinnell$7K
- Douglas BennionIowa City$6K
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.