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

ALEXANDER JAMES DOWNEY

Allopathic & Osteopathic Physicians Family Medicine

NPI
1104557826
CMS profile
11323585
Location
SAINT LOUIS, MO

General Payments · PY2022–2024

$2,974.00

  • Reported across 43 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,166.62

21 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 $1,166.62 21

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
ABBVIE INC. $266.78 7
Amgen Inc. $256.16 4
Abbott Laboratories $131.69 1
Axsome Therapeutics, Inc. $121.81 1
Lilly USA, LLC $118.41 2
Neurocrine BioSciences, Inc. $116.62 2
Phathom Pharmaceuticals, Inc. $103.61 1
Organon LLC $21.69 1
DEXCOM, INC. $15.07 1
Elite Orthopedics, LLC $14.78 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $458.44 5
PY2023 $1,348.94 17
PY2024 $1,166.62 21

Payment records · PY2024 (21)

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

Program year 2024 20222023 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
Abbott Laboratories $131.69 10/26/2024 Food and Beverage Undisputed 01/23/2026 1124847488 CMS
ABBVIE INC. $86.43 05/21/2024 Food and Beverage Undisputed 01/23/2026 1103657500 CMS
ABBVIE INC. $19.85 06/24/2024 Food and Beverage Undisputed 01/23/2026 1103657502 CMS
ABBVIE INC. $12.99 07/01/2024 Food and Beverage Undisputed 01/23/2026 1103657504 CMS
ABBVIE INC. $17.46 07/19/2024 Food and Beverage Undisputed 01/23/2026 1103657506 CMS
ABBVIE INC. $17.14 08/13/2024 Food and Beverage Undisputed 01/23/2026 1103657508 CMS
ABBVIE INC. $109.85 09/05/2024 Food and Beverage Undisputed 01/23/2026 1103657510 CMS
ABBVIE INC. $3.06 09/23/2024 Food and Beverage Undisputed 01/23/2026 1103657512 CMS
Amgen Inc. $6.22 01/24/2024 Food and Beverage Undisputed 01/23/2026 1117241753 CMS
Amgen Inc. $130.79 07/09/2024 Food and Beverage Undisputed 01/23/2026 1117241757 CMS
Amgen Inc. $110.82 08/13/2024 Food and Beverage Undisputed 01/23/2026 1111565739 CMS
Amgen Inc. $8.33 08/26/2024 Food and Beverage Undisputed 01/23/2026 1117241755 CMS
Axsome Therapeutics, Inc. $121.81 04/09/2024 Food and Beverage Undisputed 01/23/2026 1148262541 CMS
Dexcom, Inc. $15.07 01/25/2024 Food and Beverage Undisputed 01/23/2026 1153277502 CMS
Elite Orthopedics, Llc $14.78 03/23/2024 Food and Beverage Undisputed 01/23/2026 1150024441 CMS
Lilly USA, LLC $25.21 03/14/2024 Food and Beverage Undisputed 01/23/2026 1136017521 CMS
Lilly USA, LLC $93.20 04/10/2024 Food and Beverage Undisputed 01/23/2026 1136021060 CMS
Neurocrine Biosciences, Inc. $18.32 05/16/2024 Food and Beverage Undisputed 01/23/2026 1150864483 CMS
Neurocrine Biosciences, Inc. $98.30 12/10/2024 Food and Beverage Undisputed 01/23/2026 1150812227 CMS
Organon Llc $21.69 08/06/2024 Food and Beverage Undisputed 01/23/2026 1136299178 CMS
Phathom Pharmaceuticals, Inc. $103.61 10/08/2024 Food and Beverage Undisputed 01/23/2026 1151056749 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
2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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