Jessica Rachetto, PA
Physician Assistant · Rapid City, SDNPI 1053459347
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 94.2% of the total across 114 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 21 manufacturers reported payments, led by AbbVie at 46.2% of the total. Among physician assistant clinicians in SD 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 114 payments — averaging $22.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Regeneron Healthcare Solutions, Inc.$254
- Sanofi$170
- Novartis$124
- Amgen$123
- E.r. Squibb & Sons, L.L.C.$120
- plus $612 from 15 others
What the payments were for
- Food & beverage$2,45894%
- Education$1536%
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(2 entities) | 49 | $1,207 |
| Regeneron Healthcare Solutions, Inc. | 11 | $254 |
| Sanofi | 7 | $170 |
| Novartis | 4 | $124 |
| Amgen | 5 | $123 |
| E.r. Squibb & Sons, L.L.C. | 7 | $120 |
| Johnson & Johnson | 5 | $93 |
| Sanofi-aventis U.S. LLC | 1 | $80 |
| Lilly USA, LLC | 5 | $77 |
| Boehringer Ingelheim | 4 | $73 |
| Arcutis Biotherapeutics, Inc. | 3 | $46 |
| Incyte Corporation | 2 | $45 |
| Kyowa Kirin, Inc. | 2 | $36 |
| Sun Pharmaceutical Industries Inc. | 2 | $36 |
| Dermavant Sciences, Inc. | 1 | $24 |
| UCB, Inc. | 1 | $20 |
| Pfizer | 1 | $17 |
| Galderma Laboratories, L.p. | 1 | $17 |
| Smith+Nephew | 1 | $16 |
| Organon | 1 | $16 |
| Merck | 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.
- BOTOX$145
How this compares
$2,611 in reported general payments places this provider in the 90th 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 | 13 | $49,699 |
| Metronidazole | 21 | $1,259 |
| Fluocinonide | 25 | $992 |
| Clobetasol Propionate | 23 | $897 |
| Triamcinolone Acetonide | 91 | $604 |
| ValacyclovirValacyclovir Hcl | 43 | $587 |
| Ketoconazole | 22 | $546 |
| Mupirocin | 24 | $190 |
| Doxycycline Hyclate | 12 | $157 |
| Spironolactone | 16 | $112 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Rapid City
- Jordan HeinsRapid City$10K
- Jarrett FowlerRapid City$7K
- Jerome WenningerRapid City$7K
- Kristi BrueningRapid City$5K
- Nicholas AlonzoRapid City$4K
- Kayla TollefsrudRapid City$4K
- Morgan SauvageRapid City$3K
- Paeton MoyleRapid City$3K
- Cassidy PetersonRapid City$3K
- Corey AndersonRapid City$3K
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.