Rachel Lytle, NP
Family · Carmel, INNPI 1891293353
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (42.6%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. Abbott accounts for 75.5% of it on its own, with 4 other manufacturers making up the rest. 2025 is the largest year on record at $7,633, 8.5 times the $900 reported in 2021. Among family clinicians in IN 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 178 payments — averaging $71.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$10K
- Saluda Medical Americas, Inc.$3K
- AstraZeneca$93
- Boston Scientific$57
- SPR Therapeutics, Inc$27
What the payments were for
- Speaking & faculty fees$4,01331%
- Travel & lodging$5,44043%
- Food & beverage$3,32526%
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 |
|---|---|---|
| Abbott | 142 | $9,642 |
| Saluda Medical Americas, Inc. | 30 | $2,958 |
| AstraZeneca | 1 | $93 |
| Boston Scientific | 3 | $57 |
| SPR Therapeutics, Inc | 2 | $27 |
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.
- PROCLAIM$6,922
- Evoke$2,419
- Axium INS DRG IPG$606
- Proclaim IPG$148
How this compares
$12,777 in reported general payments places this provider in the 95th percentile of 4,392 family providers in Indiana.
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 |
|---|---|---|
| Pregabalin | 16 | $258 |
| Gabapentin | 18 | $87 |
| Methylprednisolone | 12 | $72 |
| Diazepam | 69 | $46 |
Paid to pharmacies, not to this prescriber.
Other family in Carmel
- Tina SizemoreIndianapolis$888K
- Kathalene Keller RineyEvansville$383K
- Robin AndersonPortage$333K
- Marla MosesIndianapolis$142K
- Justin BrownFort Wayne$142K
- Lacey MatheisEvansville$139K
- Myra SikwataHobart$131K
- Elizabeth JohnsonEvansville$108K
- Beverly MaugerFt Wayne$94K
- Nancy ArndtPortage$91K
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.