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 A RAMM

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1689830440
CMS profile
11157924
Location
ELKHORN, NE

General Payments · PY2021–2024

$2,915.46

  • Reported across 131 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,014.82

42 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 $1,014.82 42

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $117.29 6
PY2022 $1,118.04 49
PY2023 $665.31 34
PY2024 $1,014.82 42

Payment records · PY2024 (42)

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. $16.12 05/21/2024 Food and Beverage Undisputed 01/23/2026 1108057225 CMS
ABBVIE INC. $20.79 08/15/2024 Food and Beverage Undisputed 01/23/2026 1108057227 CMS
Astellas Pharma Global Development $122.05 04/09/2024 Food and Beverage Undisputed 01/23/2026 1132965643 CMS
Astellas Pharma US Inc $22.63 01/16/2024 Food and Beverage Undisputed 01/23/2026 1139477292 CMS
Astellas Pharma US Inc $23.29 03/12/2024 Food and Beverage Undisputed 01/23/2026 1139481960 CMS
Astellas Pharma US Inc $12.95 03/26/2024 Food and Beverage Undisputed 01/23/2026 1139484848 CMS
Astellas Pharma US Inc $19.16 04/18/2024 Food and Beverage Undisputed 01/23/2026 1139496606 CMS
Astellas Pharma US Inc $16.26 05/15/2024 Food and Beverage Undisputed 01/23/2026 1139499792 CMS
Astellas Pharma US Inc $17.27 06/27/2024 Food and Beverage Undisputed 01/23/2026 1139518935 CMS
Astellas Pharma US Inc $12.27 08/28/2024 Food and Beverage Undisputed 01/23/2026 1139527808 CMS
Astellas Pharma US Inc $15.04 09/23/2024 Food and Beverage Undisputed 01/23/2026 1139534248 CMS
Astellas Pharma US Inc $19.57 10/22/2024 Food and Beverage Undisputed 01/23/2026 1139543742 CMS
Astellas Pharma US Inc $120.14 11/04/2024 Food and Beverage Undisputed 01/23/2026 1139559967 CMS
Astellas Pharma US Inc $16.52 11/11/2024 Food and Beverage Undisputed 01/23/2026 1139548721 CMS
Astellas Pharma US Inc $21.33 12/03/2024 Food and Beverage Undisputed 01/23/2026 1139554581 CMS
Bayer Healthcare Pharmaceuticals Inc. $18.87 05/02/2024 Food and Beverage Undisputed 01/23/2026 1086333169 CMS
Biogen, Inc. $21.62 02/19/2024 Food and Beverage Undisputed 01/23/2026 1104818184 CMS
Biogen, Inc. $16.09 05/14/2024 Food and Beverage Undisputed 01/23/2026 1104861880 CMS
Biogen, Inc. $28.90 06/11/2024 Food and Beverage Undisputed 01/23/2026 1104845760 CMS
Biogen, Inc. $25.30 08/14/2024 Food and Beverage Undisputed 01/23/2026 1104858302 CMS
Biogen, Inc. $18.85 09/25/2024 Food and Beverage Undisputed 01/23/2026 1104831742 CMS
Biogen, Inc. $20.49 10/16/2024 Food and Beverage Undisputed 01/23/2026 1104874394 CMS
Daiichi Sankyo Inc. $18.09 06/20/2024 Food and Beverage Undisputed 01/23/2026 1089472315 CMS
Daiichi Sankyo Inc. $20.62 08/01/2024 Food and Beverage Undisputed 01/23/2026 1089472317 CMS
Hologic Sales and Service, LLC $17.22 04/09/2024 Food and Beverage Undisputed 01/23/2026 1084908642 CMS
MAYNE PHARMA COMMERCIAL LLC $15.31 02/21/2024 Food and Beverage Undisputed 01/23/2026 1154674541 CMS
MAYNE PHARMA COMMERCIAL LLC $22.10 09/18/2024 Food and Beverage Undisputed 01/23/2026 1154712169 CMS
MAYNE PHARMA COMMERCIAL LLC $3.10 09/18/2024 Food and Beverage Undisputed 01/23/2026 1154712171 CMS
MAYNE PHARMA COMMERCIAL LLC $25.39 11/13/2024 Food and Beverage Undisputed 01/23/2026 1154712167 CMS
MAYNE PHARMA COMMERCIAL LLC $24.59 12/11/2024 Food and Beverage Undisputed 01/23/2026 1154712163 CMS
MEDICEM INC. $23.21 08/26/2024 Food and Beverage Undisputed 01/23/2026 1085613334 CMS
MEDICEM INC. $22.68 08/27/2024 Food and Beverage Undisputed 01/23/2026 1085613336 CMS
Merck Sharp & Dohme LLC $16.55 04/11/2024 Food and Beverage Undisputed 01/23/2026 1141625785 CMS
Olympus America Inc. $19.02 09/24/2024 Food and Beverage Undisputed 01/23/2026 1108484534 CMS
Organon Llc $15.03 03/19/2024 Food and Beverage Undisputed 01/23/2026 1136249294 CMS
Organon Llc $14.33 06/17/2024 Food and Beverage Undisputed 01/23/2026 1136194544 CMS
Organon Llc $18.77 07/31/2024 Food and Beverage Undisputed 01/23/2026 1136194546 CMS
SANOFI PASTEUR INC. $31.28 08/07/2024 Food and Beverage Undisputed 01/23/2026 1128753849 CMS
Sumitomo Pharma America, Inc. $22.82 02/08/2024 Food and Beverage Undisputed 01/23/2026 1148989618 CMS
Sumitomo Pharma America, Inc. $22.71 04/02/2024 Food and Beverage Undisputed 01/23/2026 1148989620 CMS
Sumitomo Pharma America, Inc. $17.11 05/20/2024 Food and Beverage Undisputed 01/23/2026 1148989622 CMS
Sumitomo Pharma America, Inc. $19.38 07/22/2024 Food and Beverage Undisputed 01/23/2026 1148989624 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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