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 MICHAEL RALSTON

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1639691256
CMS profile
2998224
Location
OWOSSO, MI

General Payments · PY2021–2022

$144.38

  • Reported across 30 records
  • CMS publication 2026-01-23

Latest program year · PY2022

$127.40

29 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

PY2022 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $127.40 29

By paying entity

PY2022 · sorted by reported total

Paying entityAmountRecords
Horizon Pharma plc $127.40 29

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $16.98 1
PY2022 $127.40 29

Payment records · PY2022 (29)

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

Program year 2022 2021 Record-level detail is published for PY2022; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Horizon Therapeutics plc $5.45 01/07/2022 Food and Beverage Undisputed 01/23/2026 937737965 CMS
Horizon Therapeutics plc $3.59 01/28/2022 Food and Beverage Undisputed 01/23/2026 937737967 CMS
Horizon Therapeutics plc $6.02 02/09/2022 Food and Beverage Undisputed 01/23/2026 937737969 CMS
Horizon Therapeutics plc $3.06 03/07/2022 Food and Beverage Undisputed 01/23/2026 937737971 CMS
Horizon Therapeutics plc $3.05 03/25/2022 Food and Beverage Undisputed 01/23/2026 937737973 CMS
Horizon Therapeutics plc $6.86 04/06/2022 Food and Beverage Undisputed 01/23/2026 937737975 CMS
Horizon Therapeutics plc $5.88 04/06/2022 Food and Beverage Undisputed 01/23/2026 937737977 CMS
Horizon Therapeutics plc $7.36 04/21/2022 Food and Beverage Undisputed 01/23/2026 937737979 CMS
Horizon Therapeutics plc $3.90 05/09/2022 Food and Beverage Undisputed 01/23/2026 937737981 CMS
Horizon Therapeutics plc $2.98 05/09/2022 Food and Beverage Undisputed 01/23/2026 937737983 CMS
Horizon Therapeutics plc $0.49 05/09/2022 Food and Beverage Undisputed 01/23/2026 937737985 CMS
Horizon Therapeutics plc $2.86 05/09/2022 Food and Beverage Undisputed 01/23/2026 937737987 CMS
Horizon Therapeutics plc $5.75 05/20/2022 Food and Beverage Undisputed 01/23/2026 937737989 CMS
Horizon Therapeutics plc $2.31 05/20/2022 Food and Beverage Undisputed 01/23/2026 937737991 CMS
Horizon Therapeutics plc $2.52 06/06/2022 Food and Beverage Undisputed 01/23/2026 937737993 CMS
Horizon Therapeutics plc $3.21 06/06/2022 Food and Beverage Undisputed 01/23/2026 937737995 CMS
Horizon Therapeutics plc $4.71 06/06/2022 Food and Beverage Undisputed 01/23/2026 937737997 CMS
Horizon Therapeutics plc $3.73 06/22/2022 Food and Beverage Undisputed 01/23/2026 937737999 CMS
Horizon Therapeutics plc $3.07 06/22/2022 Food and Beverage Undisputed 01/23/2026 937738001 CMS
Horizon Therapeutics plc $5.99 07/11/2022 Food and Beverage Undisputed 01/23/2026 937738003 CMS
Horizon Therapeutics plc $5.38 07/11/2022 Food and Beverage Undisputed 01/23/2026 937738005 CMS
Horizon Therapeutics plc $4.07 07/11/2022 Food and Beverage Undisputed 01/23/2026 937738007 CMS
Horizon Therapeutics plc $5.31 07/22/2022 Food and Beverage Undisputed 01/23/2026 937738009 CMS
Horizon Therapeutics plc $4.17 07/27/2022 Food and Beverage Undisputed 01/23/2026 937738011 CMS
Horizon Therapeutics plc $6.85 07/27/2022 Food and Beverage Undisputed 01/23/2026 937738013 CMS
Horizon Therapeutics plc $4.08 08/05/2022 Food and Beverage Undisputed 01/23/2026 937738015 CMS
Horizon Therapeutics plc $7.69 09/08/2022 Food and Beverage Undisputed 01/23/2026 937738017 CMS
Horizon Therapeutics plc $4.44 09/14/2022 Food and Beverage Undisputed 01/23/2026 937738019 CMS
Horizon Therapeutics plc $2.62 09/14/2022 Food and Beverage Undisputed 01/23/2026 937738021 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
Source files
Dataset page · Bulk file · PY2021 , PY2022
Generated from
OP_DTL_GNRL_PGYR2022_P01232026_01102026.csv

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