Rachel Snell
Women's Health · Saint Paul, MNNPI 1972930345
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 19 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 10 manufacturers reported payments, led by Exeltis, USA Inc. at 28.6% of the total.
Across 19 payments — averaging $17.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Exeltis, USA Inc.$94
- AbbVie$70
- Exact Sciences$43
- Baxter Healthcare$26
- Amgen$25
- Agile Therapeutics, Inc.$21
- plus $49 from 4 others
What the payments were for
- Food & beverage$327100%
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 |
|---|---|---|
| Exeltis, USA Inc. | 6 | $94 |
| AbbVie | 4 | $70 |
| Exact Sciences | 2 | $43 |
| Baxter Healthcare | 1 | $26 |
| Amgen | 1 | $25 |
| Agile Therapeutics, Inc. | 1 | $21 |
| Shield Therapeutics Inc | 1 | $13 |
| Myovant Sciences Inc. | 1 | $12 |
| Axonics, Inc. | 1 | $12 |
| Bayer | 1 | $11 |
How this compares
$327 in reported general payments places this provider in the 75th percentile of 75 women's health providers in Minnesota.
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 |
|---|---|---|
| Estradiol (Twice Weekly)Estradiol | 69 | $4,309 |
| ProgesteroneProgesterone, Micronized | 89 | $3,846 |
| Estradiol | 34 | $2,357 |
| DottiEstradiol | 13 | $1,389 |
| Spironolactone | 20 | $239 |
| Fluoxetine Hcl | 17 | $200 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 11 | $185 |
| Fluconazole | 13 | $78 |
Paid to pharmacies, not to this prescriber.
Other women's health in Saint Paul
- Rachel VerbySaint Paul$874
- Michelle DonovanSaint Paul$409
- Kelly KillianMinneapolis$245K
- Akia SmithCoon Rapids$2K
- June FranzenBarrett$2K
- Jennifer LafondMaple Grove$2K
- Wendy LovaasCoon Rapids$1K
- Becky DelucaNew Prague$1K
- Bethany KennyMinneapolis$1K
- Rachel TankRochester$975
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.