Rachel Lagaly, PA
Physician Assistant · Tomball, TXNPI 1114190055
Payments from drug & device makers
Across 27 payments — averaging $34.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acclarent, Inc$352
- Aerin Medical Inc.$152
- Hikma Pharmaceuticals USA$132
- Medtronic$81
- Inspire Medical Systems, Inc.$57
- Stryker$51
- plus $102 from 4 others
What the payments were for
- Food & beverage$927100%
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 |
|---|---|---|
| Acclarent, Inc | 9 | $352 |
| Aerin Medical Inc. | 3 | $152 |
| Hikma Pharmaceuticals USA | 6 | $132 |
| Medtronic | 2 | $81 |
| Inspire Medical Systems, Inc. | 2 | $57 |
| Stryker | 1 | $51 |
| Sanofi | 1 | $44 |
| Regeneron Healthcare Solutions, Inc. | 1 | $21 |
| Merck | 1 | $19 |
| AstraZeneca | 1 | $18 |
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.
- TruDi Nav Cable$123
- Relieva Spinplus$123
How this compares
$927 in reported general payments places this provider in the 60th percentile of 8,308 physician assistant providers in Texas.
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 |
|---|---|---|
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 33 | $3,790 |
| Ipratropium Bromide | 63 | $2,083 |
| Azelastine-FluticasoneAzelastine/Fluticasone | 16 | $1,941 |
| Fluticasone Propionate | 163 | $1,816 |
| Fluocinolone Acetonide Oil | 45 | $1,746 |
| Tobramycin-DexamethasoneTobramycin/Dexamethasone | 28 | $1,283 |
| Azelastine Hcl | 68 | $1,266 |
| Montelukast Sodium | 36 | $273 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 15 | $165 |
| Pantoprazole Sodium | 12 | $101 |
| Tramadol Hcl | 22 | $65 |
| Methylprednisolone | 15 | $65 |
| Ondansetron OdtOndansetron | 13 | $51 |
| Prednisone | 14 | $31 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Tomball
- Cynthia TrickettDallas$1.3M
- Kristine KuceraMelissa$797K
- Selina SantosAustin$543K
- Matthew BrunoMcKinney$538K
- Anthony DerenciusSan Antonio$507K
- Brooke HodnickSouthlake$479K
- Holly GloverArlington$418K
- Kirk GautierAthens$416K
- Jaime RomanPlano$338K
- Michael WhiteDallas$276K
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.