Rachel Barr
Physician Assistant · Washington, DCNPI 1609487370
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 173 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 30 manufacturers, the largest accounting for just 20.1% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $1,519 and has fallen 91.2% since, to $134 in 2025. Among physician assistant clinicians in DC 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 173 payments — averaging $25.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$884
- Gilead$738
- Pfizer$410
- Lilly USA, LLC$362
- Novo Nordisk$270
- Amgen$269
- plus $1K from 24 others
What the payments were for
- Food & beverage$4,405100%
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 | 35 | $884 |
| Gilead | 18 | $738 |
| Pfizer | 18 | $410 |
| Lilly USA, LLC | 18 | $362 |
| Novo Nordisk | 15 | $270 |
| Amgen | 11 | $269 |
| Biohaven Pharmaceutical Holding Company Ltd. | 8 | $206 |
| E.r. Squibb & Sons, L.L.C. | 6 | $134 |
| Viiv Healthcare Company | 4 | $128 |
| Daiichi Sankyo Inc. | 1 | $124 |
| Abbott | 5 | $109 |
| Inspire Medical Systems, Inc. | 3 | $107 |
| Biohaven Pharmaceuticals, Inc. | 5 | $101 |
| Astellas Pharma US Inc | 4 | $66 |
| Esperion Therapeutics, Inc. | 2 | $61 |
| Boston Scientific | 1 | $56 |
| Lundbeck LLC | 2 | $49 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $42 |
| GSK | 2 | $35 |
| Exact Sciences | 2 | $35 |
| Merck | 2 | $29 |
| Upsher-smith Laboratories LLC | 1 | $27 |
| AstraZeneca | 1 | $27 |
| Supernus Pharmaceuticals, Inc. | 1 | $27 |
| Optinose US, Inc. | 1 | $20 |
| Otsuka America Pharmaceutical, Inc. | 1 | $19 |
| Sanofi Pasteur Inc. | 1 | $19 |
| Coopersurgical, Inc. | 1 | $19 |
| Avion Pharmaceuticals | 1 | $16 |
| Idorsia Pharmaceuticals US 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.
- Descovy$226
- QULIPTA$128
- INJECTAFER$124
How this compares
$4,405 in reported general payments places this provider in the 95th percentile of 372 physician assistant providers in District of Columbia.
See all physician assistant providers in District of Columbia →
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 |
|---|---|---|
| Amlodipine Besylate | 14 | $112 |
| Atorvastatin Calcium | 11 | $35 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Washington
- Shana PermanWashington$36K
- Keriann KupermanWashington$24K
- Harleen BathWashington$18K
- Dustin FronczakWashington$13K
- Irena CulicWashington$13K
- Catherine UgliettaWashington$9K
- Milajurine LindsayWashington$9K
- Joseph HudsonWashington$8K
- Sonia BahrooWashington$7K
- Ryan WierWashington$7K
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.