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

LYDIA C ALEXANDER

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1578717237
CMS profile
835141
Location
SAN FRANCISCO, CA

General Payments · PY2018–2024

$46,298.40

  • Reported across 61 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$34,140.65

43 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

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Lilly USA, LLC $21,928.57 33
Novo Nordisk AS $12,212.08 10

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $109.25 1
PY2019 $212.46 2
PY2020 $111.04 5
PY2021 $71.35 3
PY2022 $14.87 1
PY2023 $11,638.78 6
PY2024 $34,140.65 43

Payment records · PY2024 (43)

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

Program year 2024 201820192020202120222023 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
Lilly USA, LLC $2.79 01/12/2024 Food and Beverage Undisputed 01/23/2026 1135098636 CMS
Lilly USA, LLC $25.00 01/12/2024 Food and Beverage Undisputed 01/23/2026 1135136522 CMS
Lilly USA, LLC $55.00 01/12/2024 Food and Beverage Undisputed 01/23/2026 1135140871 CMS
Lilly USA, LLC $60.00 01/12/2024 Food and Beverage Undisputed 01/23/2026 1135140873 CMS
Lilly USA, LLC $25.00 01/12/2024 Food and Beverage Undisputed 01/23/2026 1135159165 CMS
Lilly USA, LLC $140.00 01/12/2024 Food and Beverage Undisputed 01/23/2026 1135159167 CMS
Lilly USA, LLC $303.35 01/12/2024 Travel and Lodging Undisputed 01/23/2026 1135161006 CMS
Lilly USA, LLC $78.72 01/12/2024 Food and Beverage Undisputed 01/23/2026 1135161008 CMS
Lilly USA, LLC $226.84 01/12/2024 Travel and Lodging Undisputed 01/23/2026 1135161010 CMS
Lilly USA, LLC $35.00 01/12/2024 Food and Beverage Undisputed 01/23/2026 1135161529 CMS
Lilly USA, LLC $1.00 01/12/2024 Food and Beverage Undisputed 01/23/2026 1135161531 CMS
Lilly USA, LLC $3,500.00 01/17/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135159163 CMS
Lilly USA, LLC $700.00 02/05/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135136524 CMS
Lilly USA, LLC $700.00 02/16/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135098638 CMS
Lilly USA, LLC $700.00 03/04/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135136526 CMS
Lilly USA, LLC $700.00 03/05/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135144157 CMS
Lilly USA, LLC $700.00 03/11/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135159169 CMS
Lilly USA, LLC $60.16 03/12/2024 Food and Beverage Undisputed 01/23/2026 1135144159 CMS
Lilly USA, LLC $700.00 03/13/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135161012 CMS
Lilly USA, LLC $1,400.00 03/15/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135140875 CMS
Lilly USA, LLC $700.00 03/15/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135151676 CMS
Lilly USA, LLC $1,225.00 03/15/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135151678 CMS
Lilly USA, LLC $700.00 03/20/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135161014 CMS
Lilly USA, LLC $90.71 04/25/2024 Food and Beverage Undisputed 01/23/2026 1135136528 CMS
Lilly USA, LLC $700.00 05/17/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135159171 CMS
Lilly USA, LLC $700.00 05/20/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135159173 CMS
Lilly USA, LLC $2,100.00 07/26/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135144155 CMS
Lilly USA, LLC $700.00 08/16/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135098640 CMS
Lilly USA, LLC $700.00 08/23/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135140877 CMS
Lilly USA, LLC $2,100.00 08/29/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135161533 CMS
Lilly USA, LLC $700.00 10/04/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135161535 CMS
Lilly USA, LLC $700.00 10/07/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135098642 CMS
Lilly USA, LLC $700.00 12/18/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135151674 CMS
Novo Nordisk Inc $121.50 04/30/2024 Food and Beverage Undisputed 01/23/2026 1097521453 CMS
Novo Nordisk Inc $9.59 06/27/2024 Food and Beverage Undisputed 01/23/2026 1096628963 CMS
Novo Nordisk Inc $93.62 09/18/2024 Food and Beverage Undisputed 01/23/2026 1096773550 CMS
Novo Nordisk Inc $675.00 09/24/2024 Consulting Fee Undisputed 01/23/2026 1096678257 CMS
Novo Nordisk Inc $914.90 09/25/2024 Travel and Lodging Undisputed 01/23/2026 1096657898 CMS
Novo Nordisk Inc $8,887.50 09/25/2024 Consulting Fee Undisputed 01/23/2026 1096716025 CMS
Novo Nordisk Inc $592.28 09/25/2024 Travel and Lodging Undisputed 01/23/2026 1096988685 CMS
Novo Nordisk Inc $511.21 09/25/2024 Food and Beverage Undisputed 01/23/2026 1097493898 CMS
Novo Nordisk Inc $294.08 09/25/2024 Travel and Lodging Undisputed 01/23/2026 1097497638 CMS
Novo Nordisk Inc $112.40 10/25/2024 Food and Beverage Undisputed 01/23/2026 1097428135 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
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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