Charles Rape, PA
Physician Assistant · Granbury, TXNPI 1932183464
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,070 of the $5,754 with a category attached, or 70.7%. It is spread thinly across 21 manufacturers, the largest accounting for just 19.4%. Reporting peaked in 2024 at $1,900 and has fallen 54.4% since, to $866 in 2025. Among physician assistant clinicians in TX 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 251 payments — averaging $22.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$1K
- Medtronic$968
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$955
- Nalu Medical, Inc.$873
- Collegium Pharmaceutical, Inc.$528
- Abbott$491
- plus $823 from 15 others
What the payments were for
- Travel & lodging$1,61828%
- Food & beverage$4,07071%
- Education$661%
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 |
|---|---|---|
| Boston Scientific | 19 | $1,116 |
| Medtronic | 14 | $968 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 126 | $955 |
| Nalu Medical, Inc. | 6 | $873 |
| Collegium Pharmaceutical, Inc. | 29 | $528 |
| Abbott | 30 | $491 |
| Averitas Pharma Inc. | 5 | $128 |
| Si-bone, Inc. | 1 | $127 |
| Nevro Corp. | 5 | $112 |
| Paratek Pharmaceuticals, Inc. | 1 | $104 |
| Scilex Pharmaceuticals Inc. | 3 | $64 |
| GE HealthCare | 1 | $50 |
| Vertex | 2 | $49 |
| Relievant Medsystems, Inc. | 2 | $34 |
| Tersera Therapeutics LLC | 1 | $29 |
| GRT US Holding, Inc. | 1 | $26 |
| Biotronik NRO, Inc. | 1 | $25 |
| Pfizer | 1 | $22 |
| Hikma Pharmaceuticals USA | 1 | $21 |
| SPR Therapeutics, Inc | 1 | $16 |
| Redhill Biopharma Inc. | 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.
- Nalu Neurostimulation System$799
- INTELLIS ADAPTIVESTIM$489
- iFuse Implant$127
- SYNCHROMEDII$126
- NUZYRA$104
How this compares
$5,754 in reported general payments places this provider in the 90th percentile of 8,308 physician assistant providers in Texas.
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 physician assistant in Granbury
- Cynthia TrickettDallas$1.3M
- Kristine KuceraMelissa$797K
- Selina SantosAustin$543K
- Matthew BrunoMcKinney$538K
- Brooke HodnickSouthlake$479K
- Holly GloverArlington$418K
- Kirk GautierAthens$416K
- Jaime RomanPlano$338K
- Michael WhiteDallas$276K
- Heidi JeffreysLubbock$259K
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.