Dustin Letcher, PA
Physician Assistant · Sioux Falls, SDNPI 1396037180
Payments from drug & device makers
Across 29 payments — averaging $21.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Genentech USA, Inc.$243
- Regeneron Healthcare Solutions, Inc.$137
- Sanofi$71
- AstraZeneca$48
- Octapharma USA, Inc.$44
- Biocryst US Sales Co., LLC$43
- plus $36 from 1 others
What the payments were for
- Food & beverage$61098%
- Education$132%
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 |
|---|---|---|
| Genentech USA, Inc. | 11 | $243 |
| Regeneron Healthcare Solutions, Inc. | 8 | $137 |
| Sanofi | 3 | $71 |
| AstraZeneca | 2 | $48 |
| Octapharma USA, Inc. | 1 | $44 |
| Biocryst US Sales Co., LLC | 2 | $43 |
| Amgen | 2 | $36 |
How this compares
$623 in reported general payments places this provider in the 70th percentile of 548 physician assistant providers in South Dakota.
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 PenDupilumab | 14 | $52,303 |
| Dupixent SyringeDupilumab | 13 | $47,681 |
| Breo ElliptaFluticasone/Vilanterol | 13 | $8,233 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 11 | $6,811 |
| Ipratropium Bromide | 36 | $1,214 |
| Azelastine Hcl | 53 | $1,163 |
| Levocetirizine Dihydrochloride | 22 | $319 |
| Fluticasone Propionate | 31 | $317 |
| Gabapentin | 14 | $182 |
| Azithromycin | 13 | $105 |
| Montelukast Sodium | 15 | $33 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Sioux Falls
- Kimberly NelsonSioux Falls$11K
- Christina PekoskeSioux Falls$9K
- Rachel HotvetSioux Falls$8K
- Gabriel PenaredondoSioux Falls$7K
- Virginia LemmeSioux Falls$6K
- Kathrine JibbenSioux Falls$6K
- Austen FagerlandSioux Falls$6K
- Cheryle BrandtSioux Falls$6K
- Rachelle BroveleitSioux Falls$5K
- Stephanie SteltonSioux Falls$5K
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.