Rhonda Cottino, PA
Physician Assistant · Winchester, VANPI 1447742291
Payments from drug & device makers
Across 46 payments — averaging $24.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$186
- Medtronic$157
- Radius Health, Inc.$142
- Sanofi-aventis U.S. LLC$105
- Amgen$87
- Dexcom, Inc.$86
- plus $386 from 12 others
What the payments were for
- Food & beverage$1,07694%
- Education$726%
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 |
|---|---|---|
| Novo Nordisk | 8 | $186 |
| Medtronic | 5 | $157 |
| Radius Health, Inc. | 5 | $142 |
| Sanofi-aventis U.S. LLC | 3 | $105 |
| Amgen | 4 | $87 |
| Dexcom, Inc. | 4 | $86 |
| Lilly USA, LLC | 5 | $83 |
| AstraZeneca | 1 | $73 |
| Boehringer Ingelheim | 1 | $32 |
| AbbVie | 2 | $30 |
| BETA Bionics, Inc. | 1 | $25 |
| Kyowa Kirin, Inc. | 1 | $25 |
| Tandem Diabetes Care, Inc. | 1 | $23 |
| Xeris Pharmaceuticals, Inc. | 1 | $23 |
| Madrigal Pharmaceuticals | 1 | $21 |
| IBSA Pharma Inc. | 1 | $18 |
| Abbott | 1 | $18 |
| Melinta Therapeutics, LLC | 1 | $17 |
How this compares
$1,148 in reported general payments places this provider in the 75th percentile of 3,376 physician assistant providers in Virginia.
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 | 140 | $277,101 |
| TrulicityDulaglutide | 102 | $178,522 |
| MounjaroTirzepatide | 102 | $147,696 |
| JardianceEmpagliflozin | 96 | $138,947 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 52 | $91,737 |
| Omnipod Dash Pods (Gen 4)Insulin Pump Cart,cont Inf,bt | 37 | $45,035 |
| Tresiba Flextouch U-100Insulin Degludec | 51 | $37,342 |
| Tresiba Flextouch U-200Insulin Degludec | 16 | $36,352 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 165 | $28,866 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 30 | $27,155 |
| Humalog Kwikpen U-100Insulin Lispro | 48 | $25,716 |
| FarxigaDapagliflozin Propanediol | 11 | $18,204 |
| Novolog FlexpenInsulin Aspart | 55 | $16,434 |
| Humulin R U-500Insulin Regular, Human | 11 | $14,511 |
| Fiasp FlextouchInsulin Aspart (Niacinamide) | 12 | $14,272 |
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 |
|---|---|---|
| Lilly USA, LLCTrulicity, Mounjaro, Baqsimi, Humalog | $83 | $340,088243 claims |
| Novo NordiskOzempic, Novolog | $186 | $288,881169 claims |
| Boehringer IngelheimJardiance | $32 | $138,94796 claims |
| AstraZenecaFarxiga | $73 | $18,20411 claims |
| AbbVieSynthroid | $30 | $2,15838 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 75th percentile of 3,376 physician assistant providers in Virginia.
Other physician assistant in Winchester
- John DalessandroSalem$160K
- Jalal AlghabraFredericksburg$119K
- Jamie GiovanelliVirginia Beach$118K
- John CarterStaunton$90K
- Melissa AlcoxNorfolk$73K
- Lindsay TomReston$71K
- Robert HigginsonRichmond$66K
- Jameka McElroy-BrooklynArlington$65K
- Hillary HartungNorfolk$62K
- Juliette BeristainVirginia Beach$54K
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.