Rachel Montileaux, PA
Physician Assistant · Watertown, SDNPI 1588329585
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 154 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 24 manufacturers, the largest accounting for just 16.4% — the pattern of someone who eats at a lot of different presentations.
Across 154 payments — averaging $15.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$381
- Lilly USA, LLC$376
- Pfizer$302
- Grifols USA, LLC$233
- Amgen$181
- Shockwave Medical, Inc$160
- plus $694 from 18 others
What the payments were for
- Food & beverage$2,326100%
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 | 20 | $381 |
| Lilly USA, LLC | 25 | $376 |
| Pfizer | 30 | $302 |
| Grifols USA, LLC | 12 | $233 |
| Amgen | 12 | $181 |
| Shockwave Medical, Inc | 10 | $160 |
| Bayer | 6 | $110 |
| Daiichi Sankyo Inc. | 6 | $87 |
| Boehringer Ingelheim | 6 | $84 |
| Biohaven Pharmaceutical Holding Company Ltd. | 5 | $67 |
| Johnson & Johnson | 4 | $53 |
| Astellas Pharma US Inc | 2 | $45 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $36 |
| Abiomed | 1 | $27 |
| Amarin Pharma, Inc. | 2 | $26 |
| Medtronic | 2 | $25 |
| Novo Nordisk | 2 | $24 |
| Novartis | 1 | $21 |
| Dexcom, Inc. | 1 | $17 |
| Biogen | 1 | $16 |
| E.r. Squibb & Sons, L.L.C. | 1 | $16 |
| Exact Sciences | 1 | $16 |
| Otsuka America Pharmaceutical, Inc. | 1 | $15 |
| Organon | 1 | $8 |
How this compares
$2,326 in reported general payments places this provider in the 85th percentile of 548 physician assistant providers in South Dakota.
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 |
|---|---|---|
| Doxycycline Hyclate | 47 | $356 |
| Cephalexin | 42 | $183 |
| Tramadol Hcl | 23 | $157 |
| Oxycodone Hcl | 19 | $146 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 17 | $126 |
| Prednisone | 50 | $83 |
| Fluconazole | 11 | $83 |
| Ciprofloxacin Hcl | 19 | $65 |
| Azithromycin | 17 | $46 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Watertown
- Kimberly NelsonSioux Falls$11K
- Jordan HeinsRapid City$10K
- Ryanne WaageAberdeen$9K
- Christina PekoskeSioux Falls$9K
- Rachel HotvetSioux Falls$8K
- Jarrett FowlerRapid City$7K
- Jerome WenningerRapid City$7K
- Alyssa MrsnyDakota Dunes$7K
- Gabriel PenaredondoSioux Falls$7K
- David KingNorth Sioux City$6K
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.