RACHAEL J WINSTON

Allopathic & Osteopathic Physicians|Family Medicine SPRINGFIELD, MO NPI 1205010022

General Payments — all program years on this page

$4,351.94

  • Category: General Payments
  • Program years: PY2018–2024
  • Record count: 177
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $767.59 across 24 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $767.5924

By paying entity

Latest program year (PY2024) · sorted by reported total.

By program year

Program yearAmountRecords
2018 $549.0321
2019 $1,006.3643
2020 $139.4710
2021 $641.5825
2022 $832.8734
2023 $415.0420
2024 $767.5924

Records — PY2024 (24)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1078062146 Janssen Pharmaceuticals, Inc $19.80 07/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1112768604 ViiV Healthcare Company $11.33 05/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1112778258 ViiV Healthcare Company $14.45 02/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1112782788 ViiV Healthcare Company $16.01 03/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1112803843 ViiV Healthcare Company $15.76 03/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1112810243 ViiV Healthcare Company $107.23 07/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1112812659 ViiV Healthcare Company $17.78 04/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1112812903 ViiV Healthcare Company $125.00 10/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1112824819 ViiV Healthcare Company $22.52 06/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120221531 EMD Serono, Inc. $22.41 04/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120621910 Alkermes, Inc. $23.16 04/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120621912 Alkermes, Inc. $18.24 10/28/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1124732321 Grifols USA, LLC $20.00 03/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1133744427 Gilead Sciences, Inc. $27.87 05/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1133744429 Gilead Sciences, Inc. $123.80 06/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135303152 Lilly USA, LLC $18.75 03/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1143346203 ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $19.16 04/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1143346207 ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $20.64 09/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1150827128 Neurocrine Biosciences, Inc. $29.43 10/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1150831722 Neurocrine Biosciences, Inc. $27.81 02/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1150853937 Neurocrine Biosciences, Inc. $21.23 06/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151685088 Teva Pharmaceuticals USA, Inc. $16.28 03/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151685175 Teva Pharmaceuticals USA, Inc. $15.67 05/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151685204 Teva Pharmaceuticals USA, Inc. $13.26 06/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.