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 GREFF

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1578182564
CMS profile
10591316
Location
SHILOH, IL

General Payments · PY2021–2024

$3,053.38

  • Reported across 189 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$942.82

56 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 $942.82 56

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Takeda Pharmaceuticals U.S.A., Inc. $409.27 36
Acerta Pharma LLC $181.09 4
GENZYME CORPORATION $84.50 4
CSL Behring $67.21 3
Grifols USA, LLC $46.84 2
GlaxoSmithKline, LLC. $34.30 2
CYCLE PHARMACEUTICALS INC $31.29 1
BioCryst US Sales Co., LLC $24.61 1
OptiNose US, Inc. $24.33 1
Amgen Inc. $20.60 1
Kaleo, Inc. $18.78 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $581.04 29
PY2022 $820.96 56
PY2023 $708.56 48
PY2024 $942.82 56

Payment records · PY2024 (56)

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. $20.60 06/18/2024 Food and Beverage Undisputed 01/23/2026 1115679679 CMS
AstraZeneca Pharmaceuticals LP $19.08 02/21/2024 Food and Beverage Undisputed 01/23/2026 1105569113 CMS
AstraZeneca Pharmaceuticals LP $41.54 03/26/2024 Food and Beverage Undisputed 01/23/2026 1105519241 CMS
AstraZeneca Pharmaceuticals LP $104.05 11/06/2024 Food and Beverage Undisputed 01/23/2026 1105797472 CMS
AstraZeneca Pharmaceuticals LP $16.42 11/22/2024 Food and Beverage Undisputed 01/23/2026 1105420101 CMS
BioCryst US Sales Co., LLC $24.61 07/24/2024 Food and Beverage Undisputed 01/23/2026 1117479690 CMS
CSL Behring $33.52 07/30/2024 Food and Beverage Undisputed 01/23/2026 1134606119 CMS
CSL Behring $16.43 10/23/2024 Food and Beverage Undisputed 01/23/2026 1134606139 CMS
CSL Behring $17.26 11/21/2024 Food and Beverage Undisputed 01/23/2026 1134606153 CMS
Cycle Pharmaceuticals Inc $31.29 11/18/2024 Food and Beverage Undisputed 01/23/2026 1154919556 CMS
GENZYME CORPORATION $20.98 01/08/2024 Food and Beverage Undisputed 01/23/2026 1139585254 CMS
GENZYME CORPORATION $25.66 03/05/2024 Food and Beverage Undisputed 01/23/2026 1139585288 CMS
GENZYME CORPORATION $16.68 05/21/2024 Food and Beverage Undisputed 01/23/2026 1139585294 CMS
GENZYME CORPORATION $21.18 06/03/2024 Food and Beverage Undisputed 01/23/2026 1139585296 CMS
GlaxoSmithKline, LLC. $17.25 04/25/2024 Food and Beverage Undisputed 01/23/2026 1115747992 CMS
GlaxoSmithKline, LLC. $17.05 07/17/2024 Food and Beverage Undisputed 01/23/2026 1115823238 CMS
Grifols USA, LLC $23.33 05/14/2024 Food and Beverage Undisputed 01/23/2026 1124732579 CMS
Grifols USA, LLC $23.51 11/04/2024 Food and Beverage Undisputed 01/23/2026 1124732577 CMS
kaleo, Inc. $18.78 09/26/2024 Food and Beverage Undisputed 01/23/2026 1126631446 CMS
Optinose US, Inc. $24.33 10/14/2024 Food and Beverage Undisputed 01/23/2026 1142178602 CMS
Takeda Pharmaceuticals U.S.A., Inc. $12.46 01/03/2024 Food and Beverage Undisputed 01/23/2026 1137756080 CMS
Takeda Pharmaceuticals U.S.A., Inc. $20.04 01/10/2024 Food and Beverage Undisputed 01/23/2026 1137756082 CMS
Takeda Pharmaceuticals U.S.A., Inc. $2.62 01/10/2024 Food and Beverage Undisputed 01/23/2026 1137756084 CMS
Takeda Pharmaceuticals U.S.A., Inc. $3.77 02/06/2024 Food and Beverage Undisputed 01/23/2026 1137756086 CMS
Takeda Pharmaceuticals U.S.A., Inc. $5.10 02/06/2024 Food and Beverage Undisputed 01/23/2026 1137756088 CMS
Takeda Pharmaceuticals U.S.A., Inc. $1.80 02/06/2024 Food and Beverage Undisputed 01/23/2026 1137756090 CMS
Takeda Pharmaceuticals U.S.A., Inc. $6.01 02/06/2024 Food and Beverage Undisputed 01/23/2026 1137756092 CMS
Takeda Pharmaceuticals U.S.A., Inc. $2.96 02/13/2024 Food and Beverage Undisputed 01/23/2026 1137756094 CMS
Takeda Pharmaceuticals U.S.A., Inc. $7.42 02/13/2024 Food and Beverage Undisputed 01/23/2026 1137756096 CMS
Takeda Pharmaceuticals U.S.A., Inc. $25.31 02/13/2024 Food and Beverage Undisputed 01/23/2026 1137756098 CMS
Takeda Pharmaceuticals U.S.A., Inc. $6.00 03/06/2024 Food and Beverage Undisputed 01/23/2026 1137756100 CMS
Takeda Pharmaceuticals U.S.A., Inc. $10.22 03/06/2024 Food and Beverage Undisputed 01/23/2026 1137756102 CMS
Takeda Pharmaceuticals U.S.A., Inc. $20.58 03/12/2024 Food and Beverage Undisputed 01/23/2026 1137756104 CMS
Takeda Pharmaceuticals U.S.A., Inc. $1.31 03/12/2024 Food and Beverage Undisputed 01/23/2026 1137756106 CMS
Takeda Pharmaceuticals U.S.A., Inc. $19.50 05/07/2024 Food and Beverage Undisputed 01/23/2026 1137756108 CMS
Takeda Pharmaceuticals U.S.A., Inc. $22.66 05/30/2024 Food and Beverage Undisputed 01/23/2026 1137756110 CMS
Takeda Pharmaceuticals U.S.A., Inc. $2.60 05/30/2024 Food and Beverage Undisputed 01/23/2026 1137756112 CMS
Takeda Pharmaceuticals U.S.A., Inc. $5.58 06/24/2024 Food and Beverage Undisputed 01/23/2026 1137756114 CMS
Takeda Pharmaceuticals U.S.A., Inc. $5.35 06/24/2024 Food and Beverage Undisputed 01/23/2026 1137756116 CMS
Takeda Pharmaceuticals U.S.A., Inc. $18.68 07/03/2024 Food and Beverage Undisputed 01/23/2026 1137756118 CMS
Takeda Pharmaceuticals U.S.A., Inc. $23.58 07/10/2024 Food and Beverage Undisputed 01/23/2026 1137756120 CMS
Takeda Pharmaceuticals U.S.A., Inc. $52.95 07/18/2024 Food and Beverage Undisputed 01/23/2026 1137756122 CMS
Takeda Pharmaceuticals U.S.A., Inc. $11.29 07/30/2024 Food and Beverage Undisputed 01/23/2026 1137756124 CMS
Takeda Pharmaceuticals U.S.A., Inc. $5.49 07/30/2024 Food and Beverage Undisputed 01/23/2026 1137756126 CMS
Takeda Pharmaceuticals U.S.A., Inc. $9.13 08/27/2024 Food and Beverage Undisputed 01/23/2026 1137756128 CMS
Takeda Pharmaceuticals U.S.A., Inc. $3.11 08/27/2024 Food and Beverage Undisputed 01/23/2026 1137756130 CMS
Takeda Pharmaceuticals U.S.A., Inc. $1.21 08/27/2024 Food and Beverage Undisputed 01/23/2026 1137756132 CMS
Takeda Pharmaceuticals U.S.A., Inc. $1.24 08/27/2024 Food and Beverage Undisputed 01/23/2026 1137756134 CMS
Takeda Pharmaceuticals U.S.A., Inc. $4.03 08/27/2024 Food and Beverage Undisputed 01/23/2026 1137756136 CMS
Takeda Pharmaceuticals U.S.A., Inc. $9.36 10/01/2024 Food and Beverage Undisputed 01/23/2026 1137756138 CMS
Takeda Pharmaceuticals U.S.A., Inc. $1.32 10/01/2024 Food and Beverage Undisputed 01/23/2026 1137756140 CMS
Takeda Pharmaceuticals U.S.A., Inc. $1.30 10/01/2024 Food and Beverage Undisputed 01/23/2026 1137756142 CMS
Takeda Pharmaceuticals U.S.A., Inc. $25.25 10/22/2024 Food and Beverage Undisputed 01/23/2026 1137756144 CMS
Takeda Pharmaceuticals U.S.A., Inc. $33.15 11/21/2024 Food and Beverage Undisputed 01/23/2026 1137756146 CMS
Takeda Pharmaceuticals U.S.A., Inc. $8.24 12/20/2024 Food and Beverage Undisputed 01/23/2026 1137756148 CMS
Takeda Pharmaceuticals U.S.A., Inc. $18.65 12/20/2024 Food and Beverage Undisputed 01/23/2026 1137756150 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

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