RACHEL FAHLENKAMP WARAPIUS

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family WACO, TX NPI 1356094072

General Payments — all program years on this page

$264.42

  • Category: General Payments
  • Program years: PY2022–2024
  • Record count: 16
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $197.29 across 12 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 $197.2912

By paying entity

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

Paying entityAmountRecords
Lilly USA, LLC $79.645
Novo Nordisk AS $60.614
Astellas Pharma US Inc $37.542
Acella Pharmaceuticals, LLC $19.501

By program year

Program yearAmountRecords
2022 $29.072
2023 $38.062
2024 $197.2912

Records — PY2024 (12)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1100285846 Novo Nordisk Inc $14.47 08/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100332647 Novo Nordisk Inc $16.03 11/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100582780 Novo Nordisk Inc $13.60 05/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100648063 Novo Nordisk Inc $16.51 09/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1126638410 Acella Pharmaceuticals, LLC $19.50 10/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135855756 Lilly USA, LLC $16.04 10/31/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135879354 Lilly USA, LLC $18.61 07/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135899562 Lilly USA, LLC $17.60 06/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135924122 Lilly USA, LLC $14.06 09/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135929298 Lilly USA, LLC $13.33 08/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139485936 Astellas Pharma US Inc $19.32 01/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139514097 Astellas Pharma US Inc $18.22 05/23/2024 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.