Megan Kain, PA
Physician Assistant · Raleigh, NCNPI 1780153239
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $11,112 of the $12,827 with a category attached, or 86.6%. It is spread thinly across 28 manufacturers, the largest accounting for just 19.3% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $3,719, 5.2 times the $718 reported in 2021. Among physician assistant clinicians in NC 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 547 payments — averaging $23.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Johnson & Johnson$2K
- Sun Pharmaceutical Industries Inc.$2K
- Incyte Corporation$999
- Sanofi$757
- Lilly USA, LLC$562
- plus $4K from 22 others
What the payments were for
- Consulting fees$1,1259%
- Food & beverage$11,11287%
- Education$5915%
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 | 135 | $2,470 |
| Johnson & Johnson | 55 | $2,290 |
| Sun Pharmaceutical Industries Inc. | 49 | $1,767 |
| Incyte Corporation | 47 | $999 |
| Sanofi | 19 | $757 |
| Lilly USA, LLC | 33 | $562 |
| E.r. Squibb & Sons, L.L.C. | 44 | $537 |
| LEO Pharma Inc. | 32 | $525 |
| Regeneron Healthcare Solutions, Inc. | 17 | $495 |
| Pfizer | 27 | $443 |
| Novartis | 18 | $372 |
| UCB, Inc. | 24 | $351 |
| Galderma Laboratories, L.p. | 12 | $332 |
| Arcutis Biotherapeutics, Inc. | 8 | $203 |
| Amgen | 6 | $174 |
| Journey Medical Corporation | 2 | $104 |
| Janssen Scientific Affairs, LLC | 1 | $101 |
| VYNE Pharmaceuticals Inc. | 2 | $80 |
| Paratek Pharmaceuticals, Inc. | 4 | $57 |
| Almirall LLC | 2 | $33 |
| Merz North America, Inc. | 2 | $33 |
| Biofrontera Inc. | 2 | $33 |
| Genentech USA, Inc. | 1 | $22 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $20 |
| Botanix SB Inc | 1 | $20 |
| EPI Health, LLC | 1 | $18 |
| Dermavant Sciences, Inc. | 1 | $16 |
| Strata Skin Sciences, Inc. | 1 | $14 |
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
$12,827 in reported general payments places this provider in the 95th percentile of 7,441 physician assistant providers in North Carolina.
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 |
|---|---|---|
| Mometasone Furoate | 31 | $497 |
| Doxycycline Hyclate | 15 | $358 |
| Triamcinolone Acetonide | 14 | $236 |
| Finasteride | 12 | $118 |
| Hydrocortisone | 19 | $80 |
| Prednisone | 11 | $16 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Raleigh
- Jessica CainRaleigh$77K
- Carrie McGroartyRaleigh$69K
- Jaime BullRaleigh$25K
- Kristina KohuthRaleigh$24K
- Jo HughesGreensboro$814K
- Rachel HolzhauerCharlotte$739K
- Amber BlairCharlotte$551K
- Benjamin EpsteinDavidson$447K
- Rebecca KrausDavidson$425K
- Brooke JonesGoldsboro$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.