Andrew Rackham, PA
Surgical · Henderson, NVNPI 1831556190
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $26,268 of the $34,205 with a category attached, or 76.8%. It is spread thinly across 34 manufacturers, the largest accounting for just 17.7% — the pattern of someone who eats at a lot of different presentations. Among surgical clinicians in NV 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 1,042 payments — averaging $32.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$6K
- Incyte Corporation$4K
- Johnson & Johnson$4K
- UCB, Inc.$3K
- Galderma Laboratories, L.p.$2K
- Lilly USA, LLC$2K
- plus $14K from 28 others
What the payments were for
- Consulting fees$6,26018%
- Speaking & faculty fees$8753%
- Food & beverage$26,26877%
- Education$8022%
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 | 205 | $6,045 |
| Incyte Corporation | 22 | $4,102 |
| Johnson & Johnson | 79 | $3,576 |
| UCB, Inc. | 67 | $2,906 |
| Galderma Laboratories, L.p. | 61 | $2,271 |
| Lilly USA, LLC | 38 | $1,575 |
| Sanofi | 52 | $1,392 |
| Mayne Pharma Commercial LLC | 4 | $1,358 |
| Novartis | 51 | $1,131 |
| Arcutis Biotherapeutics, Inc. | 71 | $1,078 |
| Pfizer | 59 | $1,065 |
| Amgen | 49 | $972 |
| Sun Pharmaceutical Industries Inc. | 49 | $963 |
| Regeneron Healthcare Solutions, Inc. | 26 | $933 |
| Dermavant Sciences, Inc. | 26 | $932 |
| E.r. Squibb & Sons, L.L.C. | 81 | $832 |
| LEO Pharma Inc. | 36 | $827 |
| Journey Medical Corporation | 20 | $740 |
| Janssen Scientific Affairs, LLC | 3 | $264 |
| Almirall LLC | 6 | $252 |
| Medimetriks Pharmaceuticals, Inc. | 1 | $212 |
| Biofrontera Inc. | 11 | $188 |
| Boehringer Ingelheim | 5 | $134 |
| Helsinn Therapeutics (U.S.), Inc. | 3 | $95 |
| Dermira, Inc. | 3 | $62 |
| VYNE Pharmaceuticals Inc. | 2 | $59 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 3 | $45 |
| Genentech USA, Inc. | 2 | $44 |
| Botanix SB Inc | 2 | $42 |
| Verrica Pharmaceuticals Inc. | 1 | $27 |
| Sanofi-aventis U.S. LLC | 1 | $25 |
| Mimedx Group, Inc. | 1 | $24 |
| EPI Health, LLC | 1 | $18 |
| Organon | 1 | $16 |
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
$34,205 in reported general payments places this provider in the 95th percentile of 91 surgical providers in Nevada.
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 |
|---|---|---|
| Dupixent SyringeDupilumab | 13 | $49,981 |
| Ketoconazole | 89 | $1,512 |
| Clobetasol Propionate | 33 | $1,385 |
| Fluorouracil | 14 | $977 |
| Glycopyrrolate | 13 | $877 |
| Triamcinolone Acetonide | 103 | $720 |
| Doxycycline Monohydrate | 43 | $720 |
| Doxycycline Hyclate | 22 | $479 |
| Hydrocortisone | 60 | $283 |
| Ciclopirox | 14 | $263 |
| Methylprednisolone | 23 | $131 |
| Mupirocin | 20 | $121 |
Paid to pharmacies, not to this prescriber.
Other surgical in Henderson
- Lee PhanHenderson$8K
- Matthew WardHenderson$6K
- Lonnie ParsonsHenderson$4K
- Jason ZarnHenderson$3K
- Bryce NelsonHenderson$943
- Heather RohrerLas Vegas$253K
- Andrea EghterafiLas Vegas$11K
- Kellie KoppReno$10K
- Kasie PalmerLas Vegas$8K
- Jeffrey HaynesLas Vegas$8K
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.