Mrs. Rachel Kaye Shafer, MSN, APRN, AGNP-C

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

• Citizens Medical Center Hospital · Victoria, TX · listed as Citizens Medical Center County of Victoria
• De Tar Hospital Navarro Hospital · Victoria, TX · listed as Detar Hospital Navarro
• Pam Health At Home Home health agency · Buda, TX · listed as Be Healthy at Home
• Post Acute Medical at Victoria, LLC Long-term care hospital · Victoria, TX

Colleagues at Pam Physician Enterprise

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 33 clinicians in the practice; 12 are shown here.

• Dr. Kirill Alekseyev, MD, MBA Hospitalist Physician · Dover, DE
• Dr. Jeffrey Walter Anderson, DO Physical Medicine & Rehabilitation Physician · Salisbury, MD
• Dr. Jenee Lee Bowman, MD Critical Care Medicine (Internal Medicine) Physician · Rocky Mount, NC
• Mariam Chowdhry, DO Physical Medicine & Rehabilitation Physician · Saint Louis, MO
• Dr. Dolores Contreras Urby, MD Physical Medicine & Rehabilitation Physician · San Antonio, TX
• Abigail McLaughlin Physical Medicine & Rehabilitation Physician · Appleton, WI
• Cory Osborne, DO Physical Medicine & Rehabilitation Physician · San Antonio, TX
• Dr. Samuel Park III, MD Physical Medicine & Rehabilitation Physician · Dover, DE
• Dr. Maksim Shmargun, MD Hospitalist Physician · Sarasota, FL
• Dr. Perry Wallach, MD Physical Medicine & Rehabilitation Physician · Austin, TX
• Dr. Alexander Guy Watson, MD Physical Medicine & Rehabilitation Physician · Middletown, DE
• Dr. CHI Mei Wu, MD Physical Medicine & Rehabilitation Physician · Toms River, NJ