Rachel Ratzlaff, PA
Physician Assistant · Aurora, CONPI 1275218612
Payments from drug & device makers
Across 356 payments — averaging $21.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$1K
- AbbVie$908
- Lilly USA, LLC$841
- Amgen$614
- Bayer$536
- Novo Nordisk$447
- plus $3K from 31 others
What the payments were for
- Food & beverage$7,511100%
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 |
|---|---|---|
| AstraZeneca | 55 | $1,301 |
| AbbVie | 34 | $908 |
| Lilly USA, LLC | 37 | $841 |
| Amgen | 43 | $614 |
| Bayer | 27 | $536 |
| Novo Nordisk | 28 | $447 |
| Pfizer | 17 | $348 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 16 | $322 |
| Madrigal Pharmaceuticals | 9 | $259 |
| Astellas Pharma US Inc | 12 | $248 |
| Novartis | 11 | $241 |
| Otsuka America Pharmaceutical, Inc. | 11 | $229 |
| Boehringer Ingelheim | 8 | $167 |
| Abiomed | 1 | $116 |
| Sanofi-aventis U.S. LLC | 5 | $110 |
| Exact Sciences | 5 | $86 |
| GSK | 5 | $78 |
| Aimmune Therapeutics, Inc. | 4 | $73 |
| Viiv Healthcare Company | 1 | $61 |
| Gilead | 4 | $61 |
| Abbott | 2 | $48 |
| Sumitomo Pharma America, Inc. | 3 | $47 |
| Corcept Therapeutics | 2 | $43 |
| Jazz Pharmaceuticals Inc. | 1 | $36 |
| Indivior Inc. | 2 | $36 |
| Esperion Therapeutics, Inc. | 2 | $33 |
| Boston Scientific | 1 | $29 |
| Xeris Pharmaceuticals, Inc. | 1 | $24 |
| Johnson & Johnson | 1 | $23 |
| Lundbeck LLC | 1 | $22 |
| Phathom Pharmaceuticals, Inc. | 1 | $21 |
| ANI Pharmaceuticals, Inc. | 1 | $21 |
| Dexcom, Inc. | 1 | $19 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $18 |
| Teva Pharmaceuticals USA, Inc. | 1 | $17 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $15 |
| Mannkind Corporation | 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
$7,511 in reported general payments places this provider in the 95th percentile of 2,849 physician assistant providers in Colorado.
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 |
|---|---|---|
| OzempicSemaglutide | 14 | $15,252 |
| TrulicityDulaglutide | 11 | $12,466 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 12 | $6,540 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 34 | $1,262 |
| Levothyroxine Sodium | 71 | $706 |
| Omeprazole | 39 | $646 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 21 | $527 |
| Duloxetine Hcl | 16 | $524 |
| Atorvastatin Calcium | 68 | $478 |
| Gabapentin | 28 | $459 |
| Hydroxyzine Hcl | 22 | $438 |
| Montelukast Sodium | 24 | $413 |
| Verapamil ErVerapamil Hcl | 14 | $308 |
| Methocarbamol | 13 | $300 |
| Cyclobenzaprine Hcl | 20 | $297 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Novo NordiskOzempic | $447 | $15,25214 claims |
| Lilly USA, LLCTrulicity | $841 | $12,46611 claims |
| GSKAnoro Ellipta | $78 | $6,54012 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 2,849 physician assistant providers in Colorado.
Other physician assistant in Aurora
- Scott PearsonAurora$32K
- Rachel EdwardsAurora$23K
- Joyce GibbonsAurora$23K
- Jane PahudAurora$12K
- Joseph ShanklandAurora$11K
- Alexandria GassmannAurora$10K
- Donald MooreEnglewood$246K
- Neekan AeiniGreenwood Village$234K
- Korby HowellCortez$182K
- Heather FinlaysonLittleton$180K
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.