Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

RACHEL M KOSTER

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1437469830
CMS profile
11049793
Location
SPRING, TX

General Payments · PY2021–2024

$1,508.13

  • Reported across 77 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$492.39

22 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 paymentAmountRecords
Food and Beverage $492.39 22

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Acerta Pharma LLC $190.21 7
Lilly USA, LLC $75.72 4
PFIZER INC. $63.20 3
Astellas Pharma US Inc $53.17 2
Novo Nordisk AS $30.40 2
Boehringer Ingelheim Pharmaceuticals, Inc. $29.23 1
ABBVIE INC. $20.04 1
GlaxoSmithKline, LLC. $16.23 1
Amgen Inc. $14.19 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $226.34 14
PY2022 $255.14 14
PY2023 $534.26 27
PY2024 $492.39 22

Payment records · PY2024 (22)

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

Program year 2024 202120222023 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
ABBVIE INC. $20.04 06/06/2024 Food and Beverage Undisputed 01/23/2026 1107483067 CMS
Amgen Inc. $14.19 05/31/2024 Food and Beverage Undisputed 01/23/2026 1117601855 CMS
Astellas Pharma US Inc $21.01 10/01/2024 Food and Beverage Undisputed 01/23/2026 1139536072 CMS
Astellas Pharma US Inc $32.16 12/11/2024 Food and Beverage Undisputed 01/23/2026 1139556791 CMS
AstraZeneca Pharmaceuticals LP $16.73 01/19/2024 Food and Beverage Undisputed 01/23/2026 1104606896 CMS
AstraZeneca Pharmaceuticals LP $84.66 01/29/2024 Food and Beverage Undisputed 01/23/2026 1105784800 CMS
AstraZeneca Pharmaceuticals LP $20.57 03/20/2024 Food and Beverage Undisputed 01/23/2026 1104232133 CMS
AstraZeneca Pharmaceuticals LP $14.88 04/26/2024 Food and Beverage Undisputed 01/23/2026 1104550096 CMS
AstraZeneca Pharmaceuticals LP $17.78 06/26/2024 Food and Beverage Undisputed 01/23/2026 1104739797 CMS
AstraZeneca Pharmaceuticals LP $19.05 10/24/2024 Food and Beverage Undisputed 01/23/2026 1105593210 CMS
AstraZeneca Pharmaceuticals LP $16.54 10/30/2024 Food and Beverage Undisputed 01/23/2026 1104695278 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $29.23 12/11/2024 Food and Beverage Undisputed 01/23/2026 1118009473 CMS
GlaxoSmithKline, LLC. $16.23 06/04/2024 Food and Beverage Undisputed 01/23/2026 1116575846 CMS
Lilly USA, LLC $19.02 02/08/2024 Food and Beverage Undisputed 01/23/2026 1135924546 CMS
Lilly USA, LLC $20.87 02/21/2024 Food and Beverage Undisputed 01/23/2026 1135929348 CMS
Lilly USA, LLC $18.93 09/19/2024 Food and Beverage Undisputed 01/23/2026 1135946145 CMS
Lilly USA, LLC $16.90 10/28/2024 Food and Beverage Undisputed 01/23/2026 1135899594 CMS
Novo Nordisk Inc $16.08 02/16/2024 Food and Beverage Undisputed 01/23/2026 1100455224 CMS
Novo Nordisk Inc $14.32 09/27/2024 Food and Beverage Undisputed 01/23/2026 1100580936 CMS
PFIZER INC. $18.59 03/19/2024 Food and Beverage Undisputed 01/23/2026 1131257196 CMS
PFIZER INC. $29.62 07/11/2024 Food and Beverage Undisputed 01/23/2026 1131769770 CMS
PFIZER INC. $14.99 10/30/2024 Food and Beverage Undisputed 01/23/2026 1130890153 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

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

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