Rachel Lethorn, PA
Physician Assistant · Brighton, MINPI 1285601518
Payments from drug & device makers
Across 307 payments — averaging $16.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$572
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$494
- AbbVie$446
- GSK$418
- AstraZeneca$414
- Biohaven Pharmaceutical Holding Company Ltd.$322
- plus $2K from 25 others
What the payments were for
- Food & beverage$5,001100%
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 |
|---|---|---|
| Pfizer | 28 | $572 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 46 | $494 |
| AbbVie | 24 | $446 |
| GSK | 28 | $418 |
| AstraZeneca(2 entities) | 21 | $414 |
| Biohaven Pharmaceutical Holding Company Ltd. | 24 | $322 |
| Biohaven Pharmaceuticals, Inc. | 16 | $292 |
| Lilly USA, LLC | 17 | $287 |
| Exact Sciences | 10 | $212 |
| Novo Nordisk | 10 | $205 |
| Otsuka America Pharmaceutical, Inc. | 18 | $171 |
| Vanda Pharmaceuticals Inc. | 12 | $170 |
| Orexo US, Inc. | 6 | $116 |
| Amgen | 5 | $94 |
| Verona Pharma, Inc. | 4 | $90 |
| Alkermes, Inc. | 4 | $90 |
| Indivior Inc. | 4 | $84 |
| Collegium Pharmaceutical, Inc. | 4 | $78 |
| Boehringer Ingelheim | 5 | $72 |
| Braeburn Inc. | 3 | $56 |
| Acella Pharmaceuticals, LLC | 3 | $51 |
| Axsome Therapeutics, Inc. | 2 | $44 |
| Abbott | 2 | $33 |
| Medtronic | 2 | $31 |
| Virtus Pharmaceuticals LLC | 2 | $31 |
| Bioventus LLC | 1 | $29 |
| Shield Therapeutics Inc | 1 | $28 |
| USWM, LLC | 2 | $25 |
| Hikma Pharmaceuticals USA | 1 | $17 |
| Vivaquant Inc, Dba Rhythm Express | 1 | $16 |
| Impel Pharmaceuticals Inc. | 1 | $14 |
How this compares
$5,001 in reported general payments places this provider in the 90th percentile of 5,453 physician assistant providers in Michigan.
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 73 | $57,685 |
| TrulicityDulaglutide | 32 | $36,672 |
| Nurtec OdtRimegepant Sulfate | 18 | $24,285 |
| MounjaroTirzepatide | 15 | $22,653 |
| SublocadeBuprenorphine | 11 | $22,622 |
| SymproicNaldemedine Tosylate | 13 | $13,595 |
| BelbucaBuprenorphine Hcl | 15 | $12,808 |
| Diclofenac Sodium | 25 | $12,062 |
| SuboxoneBuprenorphine Hcl/Naloxone Hcl | 12 | $8,137 |
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 30 | $4,870 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 77 | $3,072 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 18 | $3,002 |
| Armour ThyroidThyroid,pork | 21 | $2,172 |
| Ventolin HfaAlbuterol Sulfate | 18 | $977 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 39 | $895 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Lilly USA, LLCTrulicity, Mounjaro | $287 | $59,32547 claims |
| GSKTrelegy Ellipta | $418 | $57,68573 claims |
| Indivior Inc.Sublocade, Suboxone | $84 | $30,75923 claims |
| PfizerNurtec Odt | $572 | $24,28518 claims |
| Collegium Pharmaceutical, Inc.Belbuca | $78 | $12,80815 claims |
| Hikma Pharmaceuticals USABuprenorphine-Naloxone | $17 | $4,87030 claims |
| AbbVieArmour Thyroid | $446 | $2,17221 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 5,453 physician assistant providers in Michigan.
Other physician assistant in Brighton
- Courtney CalkinsBrighton$14K
- Sarang PatelRoyal Oak$660K
- Beth SweneyAda$617K
- Zainab JishiCanton$596K
- Taylor HennrickAdrian$430K
- Erin van DykeGrand Rapids$346K
- Ashley AldridgeAnn Arbor$298K
- Derek SusallaRochester Hills$242K
- Gabrielle DamoreRoyal Oak$200K
- Melissa MickelsonKalamazoo$168K
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.