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 GIER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1518453836
CMS profile
11194834
Location
HILLSDALE, MI

General Payments · PY2021–2022

$600.29

  • Reported across 41 records
  • CMS publication 2026-01-23

Latest program year · PY2022

$169.45

11 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

PY2022 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $169.45 11

By paying entity

PY2022 · sorted by reported total

Paying entityAmountRecords
Lilly USA, LLC $57.19 4
NESTLE HEALTHCARE NUTRITION INC. $34.21 2
ITI, Inc. $24.39 2
Axsome Therapeutics, Inc. $22.42 1
Novo Nordisk AS $17.60 1
GlaxoSmithKline, LLC. $13.64 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $430.84 30
PY2022 $169.45 11

Payment records · PY2022 (11)

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

Program year 2022 2021 Record-level detail is published for PY2022; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Axsome Therapeutics, Inc. $22.42 12/07/2022 Food and Beverage Undisputed 01/23/2026 918027715 CMS
GlaxoSmithKline, LLC. $13.64 08/24/2022 Food and Beverage Undisputed 01/23/2026 944669397 CMS
ITI, Inc. $12.10 07/13/2022 Food and Beverage Undisputed 01/23/2026 945823003 CMS
ITI, Inc. $12.29 10/19/2022 Food and Beverage Undisputed 01/23/2026 945823007 CMS
Lilly USA, LLC $14.06 05/04/2022 Food and Beverage Undisputed 01/23/2026 918702659 CMS
Lilly USA, LLC $14.74 05/26/2022 Food and Beverage Undisputed 01/23/2026 918702663 CMS
Lilly USA, LLC $15.00 06/16/2022 Food and Beverage Undisputed 01/23/2026 918592127 CMS
Lilly USA, LLC $13.39 08/26/2022 Food and Beverage Undisputed 01/23/2026 918592129 CMS
Nestle HealthCare Nutrition Inc. $21.59 02/25/2022 Food and Beverage Undisputed 01/23/2026 902811781 CMS
Nestle HealthCare Nutrition Inc. $12.62 05/17/2022 Food and Beverage Undisputed 01/23/2026 902811783 CMS
Novo Nordisk Inc $17.60 03/17/2022 Food and Beverage Undisputed 01/23/2026 899438703 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
Source files
Dataset page · Bulk file · PY2021 , PY2022
Generated from
OP_DTL_GNRL_PGYR2022_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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