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

ALEXANDRA NOEL GRACE

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Pediatrics

NPI
1295291938
CMS profile
10758430
Location
SAN ANTONIO, TX

General Payments · PY2021–2024

$13,147.09

  • Reported across 40 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$5,419.78

13 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
Consulting Fee $3,648.00 1
Food and Beverage $900.80 8
Travel and Lodging $870.98 4

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
GENZYME CORPORATION $5,113.20 10
BioMarin Pharmaceutical Inc. $181.58 2
Amgen Inc. $125.00 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $11.92 1
PY2022 $3,939.85 18
PY2023 $3,775.54 8
PY2024 $5,419.78 13

Payment records · PY2024 (13)

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
Amgen Inc. $125.00 09/18/2024 Food and Beverage Undisputed 01/23/2026 1115675355 CMS
BioMarin Pharmaceutical Inc. $57.83 09/17/2024 Food and Beverage Undisputed 01/23/2026 1127059097 CMS
BioMarin Pharmaceutical Inc. $123.75 09/19/2024 Food and Beverage Undisputed 01/23/2026 1127058897 CMS
GENZYME CORPORATION $136.92 02/08/2024 Food and Beverage Undisputed 01/23/2026 1140000947 CMS
GENZYME CORPORATION $9.86 09/16/2024 Food and Beverage Undisputed 01/23/2026 1140000957 CMS
GENZYME CORPORATION $133.29 09/17/2024 Food and Beverage Undisputed 01/23/2026 1140000987 CMS
GENZYME CORPORATION $466.19 09/17/2024 Travel and Lodging Undisputed 01/23/2026 1140000995 CMS
GENZYME CORPORATION $3,648.00 09/17/2024 Consulting Fee Undisputed 01/23/2026 1140000997 CMS
GENZYME CORPORATION $306.49 09/17/2024 Food and Beverage Undisputed 01/23/2026 1140000999 CMS
GENZYME CORPORATION $7.66 09/17/2024 Food and Beverage Undisputed 01/23/2026 1140001001 CMS
GENZYME CORPORATION $146.33 09/17/2024 Travel and Lodging Undisputed 01/23/2026 1140001003 CMS
GENZYME CORPORATION $37.99 09/17/2024 Travel and Lodging Undisputed 01/23/2026 1140001005 CMS
GENZYME CORPORATION $220.47 09/17/2024 Travel and Lodging Undisputed 01/23/2026 1140001007 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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