Rachel Malish
Adult Health · Austin, TXNPI 1235252990
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.8% of the total across 299 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 26 manufacturers, the largest accounting for just 16.4% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2022 at $2,867 and has fallen 87.7% since, to $354 in 2025. Among adult health clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 299 payments — averaging $21.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$1K
- Lilly USA, LLC$642
- Insulet Corporation$517
- AstraZeneca$506
- Sanofi-aventis U.S. LLC$495
- Boehringer Ingelheim$401
- plus $3K from 20 others
What the payments were for
- Food & beverage$6,19698%
- Education$190%
- Gifts$1192%
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 |
|---|---|---|
| Novo Nordisk | 66 | $1,041 |
| Lilly USA, LLC | 38 | $642 |
| Insulet Corporation | 23 | $517 |
| AstraZeneca | 13 | $506 |
| Sanofi-aventis U.S. LLC | 21 | $495 |
| Boehringer Ingelheim | 19 | $401 |
| Dexcom, Inc. | 7 | $384 |
| Bayer | 18 | $384 |
| AbbVie | 16 | $207 |
| Amarin Pharma, Inc. | 17 | $207 |
| Amgen | 11 | $199 |
| Mannkind Corporation | 7 | $193 |
| Tandem Diabetes Care, Inc. | 4 | $160 |
| Nevro Corp. | 2 | $152 |
| Intuity Medical Inc | 3 | $139 |
| Amneal Pharmaceuticals LLC | 10 | $133 |
| Xeris Pharmaceuticals, Inc. | 7 | $117 |
| Bigfoot Biomedical Inc | 1 | $113 |
| Sequel Med Tech, LLC | 2 | $100 |
| Medtronic | 5 | $85 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $41 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $33 |
| Inspire Medical Systems, Inc. | 1 | $31 |
| Zealand Pharma US, Inc. | 1 | $25 |
| Vistapharm, Inc. | 1 | $15 |
| IBSA Pharma Inc. | 1 | $13 |
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.
How this compares
$6,334 in reported general payments places this provider in the 90th percentile of 933 adult health providers in Texas.
Other adult health in Austin
- Elizabeth Wedberg SivamAustin$71K
- Yulia LyuboslavskyAustin$36K
- Meghan MurphyAustin$29K
- Nicole BuschAustin$28K
- Marni MartinezAustin$14K
- Melani DayalAustin$13K
- Laura CalaisAustin$12K
- Shane ConcepcionAustin$10K
- Dorothy DarbyAustin$9K
- Lauren KissockAustin$9K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.