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

ALEX M LOWER

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

NPI
1205406865
CMS profile
11271142
Location
LYNCHBURG, VA

General Payments · PY2022–2024

$3,141.59

  • Reported across 140 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$692.10

28 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 $692.10 28

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $384.36 19
PY2023 $2,065.13 93
PY2024 $692.10 28

Payment records · PY2024 (28)

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
Actelion Pharmaceuticals US, Inc. $32.74 05/17/2024 Food and Beverage Undisputed 01/23/2026 1078922193 CMS
Amgen Inc. $22.99 01/25/2024 Food and Beverage Undisputed 01/23/2026 1115883991 CMS
AstraZeneca Pharmaceuticals LP $14.39 01/05/2024 Food and Beverage Undisputed 01/23/2026 1104518316 CMS
AstraZeneca Pharmaceuticals LP $21.16 01/30/2024 Food and Beverage Undisputed 01/23/2026 1104554114 CMS
AstraZeneca Pharmaceuticals LP $14.70 02/06/2024 Food and Beverage Undisputed 01/23/2026 1105781226 CMS
AstraZeneca Pharmaceuticals LP $14.52 02/07/2024 Food and Beverage Undisputed 01/23/2026 1105675427 CMS
AstraZeneca Pharmaceuticals LP $16.48 05/15/2024 Food and Beverage Undisputed 01/23/2026 1104530304 CMS
Avadel CNS Pharmaceuticals, LLC $28.72 05/21/2024 Food and Beverage Undisputed 01/23/2026 1123393800 CMS
Axsome Therapeutics, Inc. $19.98 05/14/2024 Food and Beverage Undisputed 01/23/2026 1148330697 CMS
Baxter Healthcare $19.71 07/24/2024 Food and Beverage Undisputed 01/23/2026 1120670791 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $23.78 06/04/2024 Food and Beverage Undisputed 01/23/2026 1117914675 CMS
GENZYME CORPORATION $24.00 01/03/2024 Food and Beverage Undisputed 01/23/2026 1139718192 CMS
GENZYME CORPORATION $33.46 05/08/2024 Food and Beverage Undisputed 01/23/2026 1139718222 CMS
GlaxoSmithKline, LLC. $18.42 01/23/2024 Food and Beverage Undisputed 01/23/2026 1116198741 CMS
GlaxoSmithKline, LLC. $15.68 05/21/2024 Food and Beverage Undisputed 01/23/2026 1116334861 CMS
GlaxoSmithKline, LLC. $16.31 05/28/2024 Food and Beverage Undisputed 01/23/2026 1116704152 CMS
HARMONY BIOSCIENCES LLC $40.48 01/19/2024 Food and Beverage Undisputed 01/23/2026 1126093728 CMS
HARMONY BIOSCIENCES LLC $23.02 01/25/2024 Food and Beverage Undisputed 01/23/2026 1126093732 CMS
HARMONY BIOSCIENCES LLC $25.97 05/22/2024 Food and Beverage Undisputed 01/23/2026 1126093730 CMS
Inspire Medical Systems, Inc. $29.61 12/10/2024 Food and Beverage Undisputed 01/23/2026 1148160977 CMS
Inspire Medical Systems, Inc. $74.04 12/10/2024 Food and Beverage Undisputed 01/23/2026 1148160979 CMS
Mallinckrodt Hospital Products Inc. $26.71 01/18/2024 Food and Beverage Undisputed 01/23/2026 1145177018 CMS
Merck Sharp & Dohme LLC $30.48 06/05/2024 Food and Beverage Undisputed 01/23/2026 1141894149 CMS
Novartis Pharmaceuticals Corporation $28.47 01/31/2024 Food and Beverage Undisputed 01/23/2026 1087022826 CMS
PFIZER INC. $18.34 05/20/2024 Food and Beverage Undisputed 01/23/2026 1131569924 CMS
Takeda Pharmaceuticals U.S.A., Inc. $21.93 01/26/2024 Food and Beverage Undisputed 01/23/2026 1137783918 CMS
Takeda Pharmaceuticals U.S.A., Inc. $22.22 05/07/2024 Food and Beverage Undisputed 01/23/2026 1137783920 CMS
United Therapeutics Corporation $13.79 01/19/2024 Food and Beverage Undisputed 01/23/2026 1149450593 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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