Rosemary Lethbridge, PA
Physician Assistant · Fredericksburg, VANPI 1508166935
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 225 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 31 manufacturers, the largest accounting for just 21.5% — the pattern of someone who eats at a lot of different presentations. Among physician assistant clinicians in VA 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 225 payments — averaging $21.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Novo Nordisk$672
- AstraZeneca$541
- Abbott$497
- Lilly USA, LLC$257
- Esperion Therapeutics, Inc.$216
- plus $2K from 25 others
What the payments were for
- Food & beverage$4,746100%
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 | 52 | $1,020 |
| Novo Nordisk | 33 | $672 |
| AstraZeneca(2 entities) | 32 | $541 |
| Abbott | 23 | $497 |
| Lilly USA, LLC | 13 | $257 |
| Esperion Therapeutics, Inc. | 7 | $216 |
| Pfizer | 9 | $189 |
| Amgen | 10 | $183 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $157 |
| Johnson & Johnson | 1 | $126 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 6 | $106 |
| Exact Sciences | 4 | $93 |
| Baxter Healthcare | 3 | $86 |
| Mylan Specialty L.p. | 4 | $74 |
| Astellas Pharma US Inc | 3 | $58 |
| GSK | 3 | $56 |
| Novartis | 3 | $51 |
| Gilead | 1 | $43 |
| Philips North America LLC | 2 | $41 |
| Boston Scientific | 1 | $39 |
| Merck | 2 | $31 |
| Vanda Pharmaceuticals Inc. | 1 | $28 |
| Kyowa Kirin, Inc. | 1 | $28 |
| Dexcom, Inc. | 1 | $25 |
| Boehringer Ingelheim | 1 | $24 |
| Otsuka America Pharmaceutical, Inc. | 1 | $24 |
| Sanofi-aventis U.S. LLC | 1 | $23 |
| Bayer | 1 | $16 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $15 |
| Amarin Pharma, Inc. | 1 | $14 |
| Biohaven Pharmaceutical Holding Company Ltd. | 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
$4,746 in reported general payments places this provider in the 90th 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 | 16 | $23,285 |
| JardianceEmpagliflozin | 13 | $16,432 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 12 | $7,582 |
| Ezetimibe | 20 | $832 |
| Losartan Potassium | 48 | $827 |
| Levothyroxine Sodium | 59 | $788 |
| Gabapentin | 36 | $494 |
| Montelukast Sodium | 36 | $454 |
| Amlodipine Besylate | 52 | $350 |
| Atorvastatin Calcium | 29 | $330 |
| Bupropion XlBupropion Hcl | 12 | $289 |
| Celecoxib | 20 | $288 |
| Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide | 18 | $196 |
| Rosuvastatin Calcium | 23 | $174 |
| Alendronate Sodium | 11 | $166 |
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 | $672 | $23,28516 claims |
| Boehringer IngelheimJardiance | $24 | $16,43213 claims |
| GSKTrelegy Ellipta | $56 | $7,58212 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 3,376 physician assistant providers in Virginia.
Other physician assistant in Fredericksburg
- Jalal AlghabraFredericksburg$119K
- Leah WallerFredericksburg$18K
- Kaitlin GilbertFredericksburg$13K
- Denise HamiltonFredericksburg$12K
- Monica SpellmanFredericksburg$12K
- John DalessandroSalem$160K
- Jamie GiovanelliVirginia Beach$118K
- John CarterStaunton$90K
- Melissa AlcoxNorfolk$73K
- Lindsay TomReston$71K
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.