Rachel Lafrance
Physician Assistant · Grand Rapids, MINPI 1396556619
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 73 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 20 manufacturers reported payments, led by E.r. Squibb & Sons, L.L.C. at 25.1% of the total.
Across 73 payments — averaging $17.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- E.r. Squibb & Sons, L.L.C.$321
- Novo Nordisk$151
- Novartis$100
- Pfizer$98
- Merck$90
- Alnylam Pharmaceuticals Inc.$78
- plus $440 from 14 others
What the payments were for
- Food & beverage$1,277100%
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.
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 |
|---|---|---|
| E.r. Squibb & Sons, L.L.C. | 25 | $321 |
| Novo Nordisk | 6 | $151 |
| Novartis | 6 | $100 |
| Pfizer | 5 | $98 |
| Merck | 5 | $90 |
| Alnylam Pharmaceuticals Inc. | 4 | $78 |
| Bridgebio Pharma, Inc. | 4 | $77 |
| Bayer | 3 | $74 |
| Amgen | 3 | $62 |
| Xeris Pharmaceuticals, Inc. | 2 | $45 |
| Actelion Pharmaceuticals US, Inc. | 1 | $25 |
| Boehringer Ingelheim | 1 | $24 |
| W. L. Gore & Associates, Inc. | 1 | $24 |
| Corcept Therapeutics | 1 | $22 |
| Abiomed | 1 | $19 |
| Esperion Therapeutics, Inc. | 1 | $17 |
| Philips North America LLC | 1 | $17 |
| Lilly USA, LLC | 1 | $16 |
| Vivaquant Inc, Dba Rhythm Express | 1 | $13 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $6 |
How this compares
$1,277 in reported general payments places this provider in the 75th percentile of 5,453 physician assistant providers in Michigan.
Other physician assistant in Grand Rapids
- Erin van DykeGrand Rapids$346K
- Melissa JosephGrand Rapids$82K
- Matthew SchultzGrand Rapids$49K
- Shannon ToddGrand Rapids$32K
- Patrick HandlinGrand Rapids$28K
- John MulderGrand Rapids$27K
- Ginger BiesbrockGrand Rapids$25K
- Matthew ZoetemanGrand Rapids$23K
- Aaron ZarnoskyGrand Rapids$22K
- Sarang PatelRoyal Oak$660K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.