Rachele Gibson
Pulmonary Disease · Covington, LANPI 1932344116
Payments from drug & device makers
What this record shows
This record is dominated by education: $19,518 of the $24,078 with a category attached, or 81.1%. Intuitive Surgical accounts for 86.7% of it on its own, with 23 other manufacturers making up the rest. Reporting peaked in 2023 at $13,757 and has fallen 80.2% since, to $2,727 in 2025. Among pulmonary disease clinicians in LA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 118 payments — averaging $204.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$21K
- GSK$605
- AstraZeneca$376
- Boehringer Ingelheim$295
- United Therapeutics Corporation$251
- Sanofi$239
- plus $1K from 18 others
What the payments were for
- Travel & lodging$9354%
- Food & beverage$3,62415%
- Education$19,51881%
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 |
|---|---|---|
| Intuitive Surgical | 20 | $20,873 |
| GSK | 35 | $605 |
| AstraZeneca | 10 | $376 |
| Boehringer Ingelheim | 5 | $295 |
| United Therapeutics Corporation | 3 | $251 |
| Sanofi | 12 | $239 |
| Actelion Pharmaceuticals US, Inc. | 5 | $237 |
| Merck | 4 | $174 |
| Viatris Specialty LLC | 4 | $171 |
| Amgen | 2 | $152 |
| Inari Medical, Inc. | 1 | $138 |
| Johnson & Johnson | 1 | $133 |
| Abiomed | 1 | $131 |
| Advanced Respiratory, Inc | 4 | $77 |
| Grifols USA, LLC | 1 | $34 |
| ANI Pharmaceuticals, Inc. | 1 | $30 |
| Genentech USA, Inc. | 2 | $26 |
| Baxter Healthcare | 1 | $24 |
| Tempus AI, Inc | 1 | $22 |
| Mylan Specialty L.p. | 1 | $22 |
| Vifor Pharma, Inc. | 1 | $19 |
| Insmed, Inc. | 1 | $18 |
| Inogen, Inc. | 1 | $16 |
| Lilly USA, LLC | 1 | $15 |
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.
- Da Vinci Surgical System$20,444
- FLOWTRIEVER CATHETER, S$138
- CT THROMBECTOMY SYSTEM KIT$138
- Tavneos$135
- Monarch Platform$133
- Impella$131
- FASENRA$124
- UPTRAVI$122
- OPSUMIT$122
- OFEV$120
- WINREVAIR$118
- TRELEGY ELLIPTA$117
- TEZSPIRE$116
- Yupelri$109
How this compares
$24,078 in reported general payments places this provider in the 90th percentile of 189 pulmonary disease providers in Louisiana.
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 408 | $305,067 |
| OfevNintedanib Esylate | 19 | $261,424 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 95 | $72,812 |
| Breo ElliptaFluticasone/Vilanterol | 117 | $55,018 |
| Spiriva RespimatTiotropium Bromide | 33 | $30,224 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 49 | $28,478 |
| DuleraMometasone/Formoterol | 27 | $13,637 |
| Advair HfaFluticasone Propion/Salmeterol | 26 | $10,639 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 322 | $9,829 |
| SymbicortBudesonide/Formoterol Fumarate | 33 | $9,655 |
| Combivent RespimatIpratropium/Albuterol Sulfate | 15 | $7,184 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 14 | $6,636 |
| Tiotropium Bromide | 13 | $5,337 |
| Arnuity ElliptaFluticasone Furoate | 19 | $4,507 |
| Fluticasone-VilanterolFluticasone/Vilanterol | 11 | $3,455 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Arnuity Ellipta | $605 | $371,229558 claims |
| Boehringer IngelheimOfev, Spiriva Respimat, Stiolto Respimat, Combivent Respimat | $295 | $327,309116 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $376 | $82,467128 claims |
| MerckDulera | $174 | $13,63727 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 90th percentile of 189 pulmonary disease providers in Louisiana.
Other pulmonary disease in Covington
- Ricardo BlancoCovington$17K
- Richard CaseyCovington$11K
- David CressyCovington$10K
- Andrea EspinozaHouma$655K
- Joseph LaskyNew Orleans$447K
- Hollis O NealBaton Rouge$418K
- Ramsy AbdelghaniNew Orleans$308K
- Juzar AliNew Orleans$216K
- Warren BotnickNatchitoches$213K
- Nicole LapinelNew Orleans$140K
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.