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

RACHAEL BIERSCHENK

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health

NPI
1972903169
CMS profile
10491822
Location
CUMMING, GA

General Payments · PY2021–2024

$2,539.69

  • Reported across 63 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,156.09

36 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 $1,156.09 36

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $107.90 2
PY2022 $473.82 12
PY2023 $801.88 13
PY2024 $1,156.09 36

Payment records · PY2024 (36)

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. $14.30 05/28/2024 Food and Beverage Undisputed 01/23/2026 1106756953 CMS
ABBVIE INC. $16.46 07/26/2024 Food and Beverage Undisputed 01/23/2026 1106756956 CMS
ABBVIE INC. $3.99 07/30/2024 Food and Beverage Undisputed 01/23/2026 1106756960 CMS
ABBVIE INC. $17.31 08/21/2024 Food and Beverage Undisputed 01/23/2026 1106756963 CMS
ABBVIE INC. $10.90 08/30/2024 Food and Beverage Undisputed 01/23/2026 1106756967 CMS
ABBVIE INC. $7.53 09/06/2024 Food and Beverage Undisputed 01/23/2026 1106756970 CMS
ABBVIE INC. $87.12 09/25/2024 Food and Beverage Undisputed 01/23/2026 1106756974 CMS
AIMMUNE THERAPEUTICS, INC. $87.23 05/23/2024 Food and Beverage Undisputed 01/23/2026 1146960583 CMS
Ardelyx, Inc. $18.04 07/19/2024 Food and Beverage Undisputed 01/23/2026 1146718833 CMS
Ardelyx, Inc. $23.59 08/29/2024 Food and Beverage Undisputed 01/23/2026 1146718835 CMS
Daiichi Sankyo Inc. $22.09 09/05/2024 Food and Beverage Undisputed 01/23/2026 1089400447 CMS
GENZYME CORPORATION $27.34 03/12/2024 Food and Beverage Undisputed 01/23/2026 1139808181 CMS
GENZYME CORPORATION $23.70 04/25/2024 Food and Beverage Undisputed 01/23/2026 1139808189 CMS
GENZYME CORPORATION $23.97 06/27/2024 Food and Beverage Undisputed 01/23/2026 1139808215 CMS
GENZYME CORPORATION $29.76 08/22/2024 Food and Beverage Undisputed 01/23/2026 1139808233 CMS
IRONWOOD PHARMACEUTICALS, INC $17.81 06/26/2024 Food and Beverage Undisputed 01/23/2026 1153719667 CMS
IRONWOOD PHARMACEUTICALS, INC $14.03 08/16/2024 Food and Beverage Undisputed 01/23/2026 1153728095 CMS
Janssen Biotech, Inc. $131.41 10/07/2024 Food and Beverage Undisputed 01/23/2026 1078533619 CMS
Janssen Biotech, Inc. $143.82 12/10/2024 Food and Beverage Undisputed 01/23/2026 1078534293 CMS
Janssen Biotech, Inc. $12.38 12/17/2024 Food and Beverage Undisputed 01/23/2026 1078534225 CMS
Organon Llc $23.85 01/19/2024 Food and Beverage Undisputed 01/23/2026 1136285211 CMS
Phathom Pharmaceuticals, Inc. $13.76 02/05/2024 Food and Beverage Undisputed 01/23/2026 1151149062 CMS
Phathom Pharmaceuticals, Inc. $6.37 02/26/2024 Food and Beverage Undisputed 01/23/2026 1151149064 CMS
Phathom Pharmaceuticals, Inc. $9.91 04/09/2024 Food and Beverage Undisputed 01/23/2026 1151149066 CMS
Phathom Pharmaceuticals, Inc. $116.88 04/18/2024 Food and Beverage Undisputed 01/23/2026 1151149068 CMS
Phathom Pharmaceuticals, Inc. $3.69 06/12/2024 Food and Beverage Undisputed 01/23/2026 1151149070 CMS
Phathom Pharmaceuticals, Inc. $6.07 09/05/2024 Food and Beverage Undisputed 01/23/2026 1151149072 CMS
Regeneron Healthcare Solutions, Inc. $26.78 01/31/2024 Food and Beverage Undisputed 01/23/2026 1114273291 CMS
Regeneron Healthcare Solutions, Inc. $31.38 04/11/2024 Food and Beverage Undisputed 01/23/2026 1114273293 CMS
Regeneron Healthcare Solutions, Inc. $31.25 05/06/2024 Food and Beverage Undisputed 01/23/2026 1114273295 CMS
Regeneron Healthcare Solutions, Inc. $29.34 07/19/2024 Food and Beverage Undisputed 01/23/2026 1114273297 CMS
Regeneron Healthcare Solutions, Inc. $29.85 08/14/2024 Food and Beverage Undisputed 01/23/2026 1114273299 CMS
Regeneron Healthcare Solutions, Inc. $31.25 09/16/2024 Food and Beverage Undisputed 01/23/2026 1114273301 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.33 05/20/2024 Food and Beverage Undisputed 01/23/2026 1153625413 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $22.30 07/09/2024 Food and Beverage Undisputed 01/23/2026 1153627369 CMS
Takeda Pharmaceuticals U.S.A., Inc. $21.30 04/23/2024 Food and Beverage Undisputed 01/23/2026 1137714121 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.

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.