Rachel Smith
Physician Assistant · Longview, TXNPI 1851323919
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.0% of the total across 436 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 29 manufacturers reported payments, led by AbbVie at 24.1% of the total. 2025 is the largest year on record at $2,764, 2.8 times the $976 reported in 2021. Among physician assistant clinicians in TX 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 436 payments — averaging $19.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Sanofi$758
- Lilly USA, LLC$748
- Regeneron Healthcare Solutions, Inc.$727
- Novartis$538
- Johnson & Johnson$477
- plus $3K from 23 others
What the payments were for
- Food & beverage$8,00695%
- Education$4215%
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 | 142 | $2,030 |
| Sanofi | 31 | $758 |
| Lilly USA, LLC | 47 | $748 |
| Regeneron Healthcare Solutions, Inc. | 26 | $727 |
| Novartis | 28 | $538 |
| Johnson & Johnson | 20 | $477 |
| Sun Pharmaceutical Industries Inc. | 14 | $417 |
| E.r. Squibb & Sons, L.L.C. | 24 | $389 |
| Medtronic | 8 | $317 |
| Galderma Laboratories, L.p. | 18 | $279 |
| Amgen | 10 | $227 |
| LEO Pharma Inc. | 8 | $217 |
| UCB, Inc. | 11 | $216 |
| Pfizer | 14 | $210 |
| Incyte Corporation | 9 | $177 |
| Si-bone, Inc. | 2 | $138 |
| Sanofi-aventis U.S. LLC | 1 | $100 |
| Organon | 6 | $90 |
| Strata Skin Sciences, Inc. | 1 | $82 |
| Boehringer Ingelheim | 4 | $77 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 3 | $51 |
| Arcutis Biotherapeutics, Inc. | 2 | $43 |
| Novocure Inc. | 1 | $31 |
| Bausch Health US, LLC | 1 | $18 |
| Sandoz | 1 | $16 |
| Mayne Pharma Commercial LLC | 1 | $15 |
| AstraZeneca | 1 | $14 |
| Paratek Pharmaceuticals, Inc. | 1 | $14 |
| Biofrontera Inc. | 1 | $11 |
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.
- iFuse Implant$126
How this compares
$8,427 in reported general payments places this provider in the 95th percentile of 8,308 physician assistant providers in Texas.
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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 12 | $193,238 |
| Cosentyx Unoready PenSecukinumab | 20 | $157,486 |
| Taltz AutoinjectorIxekizumab | 14 | $116,019 |
| Minocycline Hcl | 100 | $3,755 |
| Betamethasone Dipropionate | 66 | $2,561 |
| Clobetasol Propionate | 77 | $2,505 |
| Mometasone Furoate | 106 | $2,333 |
| Metronidazole | 30 | $1,990 |
| MethotrexateMethotrexate Sodium | 101 | $1,913 |
| Ketoconazole | 110 | $1,683 |
| Triamcinolone Acetonide | 66 | $983 |
| Doxycycline Hyclate | 56 | $812 |
| Terbinafine Hcl | 21 | $408 |
| Hydrocortisone | 45 | $376 |
| ValacyclovirValacyclovir Hcl | 16 | $319 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Longview
- Cynthia TrickettDallas$1.3M
- Kristine KuceraMelissa$797K
- Selina SantosAustin$543K
- Matthew BrunoMcKinney$538K
- Brooke HodnickSouthlake$479K
- Holly GloverArlington$418K
- Kirk GautierAthens$416K
- Jaime RomanPlano$338K
- Michael WhiteDallas$276K
- Heidi JeffreysLubbock$259K
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.