Thomas Striegel, DO
Emergency Medicine · Iowa City, IANPI 1578898615
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 8 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Every reported general payment came from a single manufacturer, Ceribell, Inc.. 2025 is the largest year on record at $142, 3.0 times the $48 reported in 2022. Among emergency 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 8 payments — averaging $33.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Ceribell, Inc.$269
Across 3 payments — averaging $72,789 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Ceribell, Inc.$218K
What the payments were for
- Food & beverage$269100%
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 |
|---|---|---|
| Ceribell, Inc. | 8 | $269 |
How this compares
$269 in reported general payments places this provider in the 90th percentile of 360 emergency medicine 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 |
|---|---|---|
| Cyclobenzaprine Hcl | 15 | $46 |
Paid to pharmacies, not to this prescriber.
Other emergency medicine in Iowa City
- David TalanIowa City$48K
- Philip SpanheimerIowa City$5K
- Mohammad KotobIowa City$3K
- Daniel RundeIowa City$2K
- Sarah MillerIowa City$729
- Evangelia AssimacopoulosIowa City$303
- Katie Stadheim-LynchIowa City$233
- Alyssa GingrichIowa City$233
- Alee Hueffmeier-KunshierIowa City$233
- Nicholas PashinaIowa City$233
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.