Rachel Misch
Physician Assistant · Sarasota, FLNPI 1356088330
Payments from drug & device makers
Across 200 payments — averaging $30.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Regeneron Healthcare Solutions, Inc.$414
- Lilly USA, LLC$375
- Novartis$356
- Johnson & Johnson$296
- Sun Pharmaceutical Industries Inc.$269
- plus $2K from 19 others
What the payments were for
- Food & beverage$5,73894%
- Education$3956%
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 |
|---|---|---|
| AbbVie | 72 | $1,989 |
| Regeneron Healthcare Solutions, Inc. | 14 | $414 |
| Lilly USA, LLC | 7 | $375 |
| Novartis | 12 | $356 |
| Johnson & Johnson | 10 | $296 |
| Sun Pharmaceutical Industries Inc. | 13 | $269 |
| E.r. Squibb & Sons, L.L.C. | 5 | $262 |
| Amgen | 11 | $256 |
| Merz North America, Inc. | 6 | $255 |
| Galderma Laboratories, L.p. | 7 | $233 |
| UCB, Inc. | 4 | $218 |
| Biofrontera Inc. | 5 | $214 |
| Incyte Corporation | 6 | $188 |
| Dermavant Sciences, Inc. | 7 | $181 |
| Revance Therapeutics, Inc. | 1 | $130 |
| Pfizer | 4 | $100 |
| Boehringer Ingelheim | 4 | $99 |
| Sanofi | 3 | $96 |
| LEO Pharma Inc. | 2 | $53 |
| Organon | 1 | $32 |
| Arcutis Biotherapeutics, Inc. | 2 | $32 |
| Botanix SB Inc | 1 | $27 |
| Almirall LLC | 1 | $24 |
| Journey Medical Corporation | 1 | $20 |
| Genentech USA, Inc. | 1 | $14 |
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
$6,133 in reported general payments places this provider in the 90th percentile of 8,062 physician assistant providers in Florida.
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 |
|---|---|---|
| Fluorouracil | 57 | $4,299 |
| Imiquimod | 70 | $1,759 |
| Tacrolimus | 11 | $1,659 |
| Ketoconazole | 147 | $1,627 |
| Tretinoin | 15 | $1,604 |
| Clobetasol Propionate | 31 | $1,558 |
| Triamcinolone Acetonide | 181 | $1,404 |
| Metronidazole | 32 | $1,382 |
| Doxycycline Hyclate | 71 | $933 |
| Ammonium Lactate | 42 | $863 |
| Finasteride | 69 | $660 |
| Betamethasone Dipropionate | 21 | $563 |
| Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc | 42 | $363 |
| Mupirocin | 49 | $358 |
| Mometasone Furoate | 12 | $343 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Sarasota
- Daniel SellersSarasota$120K
- Sonja BaerSarasota$82K
- Richard MarshallPort Orange$988K
- Audrey BeckerSt Augustine$689K
- Kevin WilliamsTampa$647K
- Brian BonomoLecanto$559K
- Melissa SingletonOcala$482K
- Reeli ReinuMaitland$427K
- Jeanelle KingMiami$424K
- Risha BellomoOrlando$397K
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.