Rachel Nejem
Adult Health · Lawrenceville, GANPI 1992045462
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $24,610 of the $31,472 with a category attached, or 78.2%. Dexcom, Inc. accounts for 75.5% of it on its own, with 27 other manufacturers making up the rest. Reporting peaked in 2021 at $20,968 and has fallen 99.9% since, to $14 in 2025. Among adult health clinicians in GA 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 177 payments — averaging $177.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Dexcom, Inc.$24K
- Novo Nordisk$6K
- IBSA Pharma Inc.$514
- Amgen$345
- Bigfoot Biomedical Inc$212
- Mannkind Corporation$155
- plus $890 from 22 others
What the payments were for
- Consulting fees$1,4004%
- Speaking & faculty fees$24,61078%
- Travel & lodging$2,0807%
- Food & beverage$3,38111%
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 |
|---|---|---|
| Dexcom, Inc. | 68 | $23,761 |
| Novo Nordisk | 29 | $5,596 |
| IBSA Pharma Inc. | 2 | $514 |
| Amgen(2 entities) | 7 | $345 |
| Bigfoot Biomedical Inc | 4 | $212 |
| Mannkind Corporation | 10 | $155 |
| Sanofi-aventis U.S. LLC | 9 | $136 |
| AstraZeneca | 7 | $92 |
| Xeris Pharmaceuticals, Inc. | 4 | $84 |
| Abbott | 5 | $83 |
| Corcept Therapeutics | 3 | $45 |
| Insulet Corporation | 2 | $44 |
| Lilly USA, LLC | 3 | $43 |
| AbbVie | 3 | $36 |
| Bayer | 2 | $35 |
| Lifescan, Inc. | 2 | $35 |
| BD | 2 | $35 |
| Amarin Pharma, Inc. | 2 | $34 |
| Radius Health, Inc. | 2 | $34 |
| Tandem Diabetes Care, Inc. | 2 | $29 |
| Medtronic | 2 | $22 |
| Novartis | 1 | $18 |
| Currax Pharmaceuticals LLC | 1 | $15 |
| Vivus LLC | 1 | $15 |
| Roche Diabetes Care, Inc. | 1 | $14 |
| Antares Pharma, Inc. | 1 | $14 |
| Esperion Therapeutics, Inc. | 1 | $14 |
| Amneal Pharmaceuticals LLC | 1 | $12 |
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.
- DEXCOM G6 TRANSMITTER$19,956
- RYBELSUS$3,917
- DEXCOM G7 GSS (161)$3,019
- Ozempic$1,360
- Licart$500
- FLECTOR$500
- TEPEZZA$274
- UNITY DIABETES MANAGEMENT SYSTEM$153
How this compares
$31,472 in reported general payments places this provider in the 95th percentile of 577 adult health providers in Georgia.
Other adult health in Lawrenceville
- Kristen CopelandLawrenceville$9K
- Patricia KeeganAtlanta$224K
- Diane WirthAtlanta$132K
- Barbara WeberAtlanta$74K
- Terry HackworthAtlanta$49K
- Jenny DicksonCumming$39K
- Melissa BaughcumAthens$23K
- Kristine AdamsMarietta$21K
- Jenina LagascaAtlanta$17K
- Jennifer SheldonMacon$17K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.