Covered recipient · General Payments record

GRAHAM WAYNE RACHAL

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI: 1225456304
CMS profile: 10455869
Location: SHREVEPORT, LA

General Payments · PY2021–2024

$2,852.15

Reported across 163 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,460.74

80 records · 0 disputed

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

How these totals are 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

PY2024 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$1,460.74	80

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$285.80	13
Lilly USA, LLC	$210.93	12
GlaxoSmithKline, LLC.	$141.78	10
Phathom Pharmaceuticals, Inc.	$137.32	6
PFIZER INC.	$108.25	6
DEXCOM, INC.	$68.05	3
Novo Nordisk AS	$64.68	4
Boehringer Ingelheim Pharmaceuticals, Inc.	$62.01	4
Astellas Pharma US Inc	$50.39	3
Amgen Inc.	$44.84	3
IDORSIA PHARMACEUTICALS US INC	$40.01	2
Merck Sharp & Dohme Corporation	$35.33	2
Insulet Corporation	$34.77	2
ABBVIE INC.	$31.84	2
Antares Pharma, Inc.	$30.20	1
Bayer HealthCare Pharmaceuticals Inc.	$27.89	2
Itamar Medical Inc	$25.75	1
Abbott Laboratories	$18.20	1
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.26	1
SHIELD THERAPEUTICS INC	$13.96	1
Kowa Pharmaceuticals America, Inc.	$13.48	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$162.98	10
PY2022	$58.83	3
PY2023	$1,169.60	70
PY2024	$1,460.74	80

Payment records · PY2024 (80)

Sorted by paying entity, then date · as published by CMS

Program year 2024 2021 2022 2023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
Abbott Laboratories	$18.20	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1124910762	CMS
ABBVIE INC.	$14.57	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1108051877	CMS
ABBVIE INC.	$17.27	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1108051879	CMS
Amgen Inc.	$15.42	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1116035923	CMS
Amgen Inc.	$14.71	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1117660879	CMS
Amgen Inc.	$14.71	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1116035930	CMS
Antares Pharma, Inc.	$30.20	08/30/2024	Food and Beverage	Undisputed	01/23/2026	1146519826	CMS
Astellas Pharma US Inc	$17.86	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1139485158	CMS
Astellas Pharma US Inc	$19.29	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1139494936	CMS
Astellas Pharma US Inc	$13.24	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1139462782	CMS
AstraZeneca Pharmaceuticals LP	$18.21	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1105745782	CMS
AstraZeneca Pharmaceuticals LP	$19.03	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1105734379	CMS
AstraZeneca Pharmaceuticals LP	$16.24	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1104678891	CMS
AstraZeneca Pharmaceuticals LP	$46.34	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1105671265	CMS
AstraZeneca Pharmaceuticals LP	$14.17	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1105554186	CMS
AstraZeneca Pharmaceuticals LP	$20.79	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1104670359	CMS
AstraZeneca Pharmaceuticals LP	$15.21	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1105351288	CMS
AstraZeneca Pharmaceuticals LP	$19.60	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1105629732	CMS
AstraZeneca Pharmaceuticals LP	$23.34	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1104334462	CMS
AstraZeneca Pharmaceuticals LP	$18.24	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1104437897	CMS
AstraZeneca Pharmaceuticals LP	$32.10	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1105496981	CMS
AstraZeneca Pharmaceuticals LP	$16.03	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1105862136	CMS
AstraZeneca Pharmaceuticals LP	$26.50	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1105212105	CMS
Bayer Healthcare Pharmaceuticals Inc.	$14.00	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1086326828	CMS
Bayer Healthcare Pharmaceuticals Inc.	$13.89	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1086289720	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.25	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1117923912	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.12	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1117923914	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$15.00	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1117923910	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$13.64	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1117923908	CMS
Dexcom, Inc.	$23.47	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1153361832	CMS
Dexcom, Inc.	$23.47	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1153361834	CMS
Dexcom, Inc.	$21.11	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1153361836	CMS
GlaxoSmithKline, LLC.	$16.42	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1116276360	CMS
GlaxoSmithKline, LLC.	$4.41	02/10/2024	Food and Beverage	Undisputed	01/23/2026	1116346692	CMS
GlaxoSmithKline, LLC.	$16.16	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1116208872	CMS
GlaxoSmithKline, LLC.	$16.53	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1116522258	CMS
GlaxoSmithKline, LLC.	$16.26	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1115812028	CMS
GlaxoSmithKline, LLC.	$12.93	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1115768069	CMS
GlaxoSmithKline, LLC.	$12.76	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1116337719	CMS
GlaxoSmithKline, LLC.	$13.86	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1116685677	CMS
GlaxoSmithKline, LLC.	$17.44	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1116318066	CMS
GlaxoSmithKline, LLC.	$15.01	11/27/2024	Food and Beverage	Undisputed	01/23/2026	1115889577	CMS
IDORSIA PHARMACEUTICALS US INC	$21.14	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1146792014	CMS
IDORSIA PHARMACEUTICALS US INC	$18.87	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1146794181	CMS
Insulet Corporation	$16.94	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1116821526	CMS
Insulet Corporation	$17.83	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1116821508	CMS
Itamar Medical Inc	$25.75	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1154007180	CMS
Kowa Pharmaceuticals America, Inc.	$13.48	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1113474395	CMS
Lilly USA, LLC	$23.23	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1135692600	CMS
Lilly USA, LLC	$20.21	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1135684047	CMS
Lilly USA, LLC	$28.14	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1135676182	CMS
Lilly USA, LLC	$12.00	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1135676184	CMS
Lilly USA, LLC	$18.09	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1135661393	CMS
Lilly USA, LLC	$15.60	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1135672864	CMS
Lilly USA, LLC	$12.20	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1135684049	CMS
Lilly USA, LLC	$21.08	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1135672862	CMS
Lilly USA, LLC	$17.80	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1135674394	CMS
Lilly USA, LLC	$13.07	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1135684051	CMS
Lilly USA, LLC	$14.16	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1135661395	CMS
Lilly USA, LLC	$15.35	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1135639654	CMS
Merck Sharp & Dohme LLC	$20.45	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1141936801	CMS
Merck Sharp & Dohme LLC	$14.88	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1141744877	CMS
Novo Nordisk Inc	$16.04	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1100594045	CMS
Novo Nordisk Inc	$20.13	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1100654383	CMS
Novo Nordisk Inc	$13.52	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1100240078	CMS
Novo Nordisk Inc	$14.99	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1100392932	CMS
PFIZER INC.	$18.21	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1131545016	CMS
PFIZER INC.	$19.25	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1131586200	CMS
PFIZER INC.	$20.93	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1131661398	CMS
PFIZER INC.	$17.77	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1131690575	CMS
PFIZER INC.	$16.96	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1131764332	CMS
PFIZER INC.	$15.13	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1131863927	CMS
Phathom Pharmaceuticals, Inc.	$24.26	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1151198707	CMS
Phathom Pharmaceuticals, Inc.	$21.72	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1151198709	CMS
Phathom Pharmaceuticals, Inc.	$18.43	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1151198711	CMS
Phathom Pharmaceuticals, Inc.	$27.60	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1151198713	CMS
Phathom Pharmaceuticals, Inc.	$24.69	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1151198715	CMS
Phathom Pharmaceuticals, Inc.	$20.62	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1151198717	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.26	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1153612034	CMS
SHIELD THERAPEUTICS INC	$13.96	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1150151198	CMS

Source & provenance

Dataset: CMS Open Payments — General Payments
Publisher of source data: Centers for Medicare & Medicaid Services
CMS publication date: 2026-01-23
Program years on this page: 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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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.