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 GRAL

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1659848455
CMS profile
10422131
Location
GILBERT, AZ

General Payments · PY2021–2024

$9,905.75

  • Reported across 202 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$2,176.21

57 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 $2,176.21 57

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $2,783.52 68
PY2022 $3,882.08 56
PY2023 $1,063.94 21
PY2024 $2,176.21 57

Payment records · PY2024 (57)

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
Abbott Laboratories $17.78 06/12/2024 Food and Beverage Undisputed 01/23/2026 1125177441 CMS
Abbott Laboratories $17.32 06/17/2024 Food and Beverage Undisputed 01/23/2026 1125177443 CMS
Abbott Laboratories $5.70 07/08/2024 Food and Beverage Undisputed 01/23/2026 1125177445 CMS
Abbott Laboratories $22.37 07/08/2024 Food and Beverage Undisputed 01/23/2026 1125177447 CMS
Abbott Laboratories $127.28 07/11/2024 Food and Beverage Undisputed 01/23/2026 1125177449 CMS
Abbott Laboratories $7.52 07/11/2024 Food and Beverage Undisputed 01/23/2026 1125177451 CMS
Abbott Laboratories $18.11 09/17/2024 Food and Beverage Undisputed 01/23/2026 1125177453 CMS
Abbott Laboratories $10.96 09/26/2024 Food and Beverage Undisputed 01/23/2026 1125177455 CMS
Abbott Laboratories $9.85 09/26/2024 Food and Beverage Undisputed 01/23/2026 1125177457 CMS
Abbott Laboratories $134.36 10/09/2024 Food and Beverage Undisputed 01/23/2026 1125177459 CMS
Abbott Laboratories $8.89 12/31/2024 Food and Beverage Undisputed 01/23/2026 1125177461 CMS
ABBVIE INC. $26.79 10/10/2024 Food and Beverage Undisputed 01/23/2026 1107243851 CMS
BIOTRONIK NRO, Inc. $150.00 10/03/2024 Food and Beverage Undisputed 01/23/2026 1153866899 CMS
BIOTRONIK NRO, Inc. $91.71 10/03/2024 Food and Beverage Undisputed 01/23/2026 1153866901 CMS
BIOTRONIK NRO, Inc. $35.15 10/03/2024 Food and Beverage Undisputed 01/23/2026 1153866935 CMS
BIOTRONIK NRO, Inc. $79.43 10/04/2024 Food and Beverage Undisputed 01/23/2026 1153866903 CMS
BIOTRONIK NRO, Inc. $117.79 10/04/2024 Food and Beverage Undisputed 01/23/2026 1153866905 CMS
BIOTRONIK NRO, Inc. $238.87 10/10/2024 Food and Beverage Undisputed 01/23/2026 1153866933 CMS
Collegium Pharmaceutical, Inc. $8.34 04/03/2024 Food and Beverage Undisputed 01/23/2026 1135236092 CMS
Collegium Pharmaceutical, Inc. $14.11 04/22/2024 Food and Beverage Undisputed 01/23/2026 1135243787 CMS
Collegium Pharmaceutical, Inc. $7.04 04/25/2024 Food and Beverage Undisputed 01/23/2026 1135245934 CMS
Collegium Pharmaceutical, Inc. $6.44 06/18/2024 Food and Beverage Undisputed 01/23/2026 1135267385 CMS
Collegium Pharmaceutical, Inc. $6.92 06/26/2024 Food and Beverage Undisputed 01/23/2026 1135270236 CMS
Collegium Pharmaceutical, Inc. $7.56 07/08/2024 Food and Beverage Undisputed 01/23/2026 1135273372 CMS
Collegium Pharmaceutical, Inc. $8.73 07/25/2024 Food and Beverage Undisputed 01/23/2026 1135280640 CMS
Collegium Pharmaceutical, Inc. $14.17 08/05/2024 Food and Beverage Undisputed 01/23/2026 1135284635 CMS
Collegium Pharmaceutical, Inc. $6.63 08/13/2024 Food and Beverage Undisputed 01/23/2026 1135288133 CMS
Collegium Pharmaceutical, Inc. $9.15 08/28/2024 Food and Beverage Undisputed 01/23/2026 1135294934 CMS
Collegium Pharmaceutical, Inc. $9.41 09/11/2024 Food and Beverage Undisputed 01/23/2026 1135299199 CMS
Collegium Pharmaceutical, Inc. $8.36 09/19/2024 Food and Beverage Undisputed 01/23/2026 1135301905 CMS
Collegium Pharmaceutical, Inc. $13.69 10/01/2024 Food and Beverage Undisputed 01/23/2026 1135306429 CMS
Collegium Pharmaceutical, Inc. $19.59 10/15/2024 Food and Beverage Undisputed 01/23/2026 1135312168 CMS
Collegium Pharmaceutical, Inc. $7.58 10/28/2024 Food and Beverage Undisputed 01/23/2026 1135317978 CMS
Collegium Pharmaceutical, Inc. $6.13 11/06/2024 Food and Beverage Undisputed 01/23/2026 1135322494 CMS
Collegium Pharmaceutical, Inc. $7.52 11/18/2024 Food and Beverage Undisputed 01/23/2026 1135327076 CMS
Collegium Pharmaceutical, Inc. $7.86 12/03/2024 Food and Beverage Undisputed 01/23/2026 1135332201 CMS
Collegium Pharmaceutical, Inc. $15.88 12/10/2024 Food and Beverage Undisputed 01/23/2026 1135335455 CMS
Medtronic, Inc. $36.67 11/13/2024 Food and Beverage Undisputed 01/23/2026 1116975059 CMS
Nalu Medical, Inc. $75.26 07/18/2024 Food and Beverage Undisputed 01/23/2026 1133982957 CMS
Nalu Medical, Inc. $15.42 10/21/2024 Food and Beverage Undisputed 01/23/2026 1133982955 CMS
PROTEGA PHARMACEUTIALS INC $23.86 04/23/2024 Food and Beverage Undisputed 01/23/2026 1147554402 CMS
PROTEGA PHARMACEUTIALS INC $40.12 07/25/2024 Food and Beverage Undisputed 01/23/2026 1147555304 CMS
Spinal Simplicity, LLC $12.23 09/03/2024 Food and Beverage Undisputed 01/23/2026 1144047683 CMS
Spinal Simplicity, LLC $82.16 09/18/2024 Food and Beverage Undisputed 01/23/2026 1144047685 CMS
Spinal Simplicity, LLC $17.83 09/19/2024 Food and Beverage Undisputed 01/23/2026 1144047687 CMS
Spinal Simplicity, LLC $58.77 09/20/2024 Food and Beverage Undisputed 01/23/2026 1144047689 CMS
Spinal Simplicity, LLC $86.87 10/03/2024 Food and Beverage Undisputed 01/23/2026 1144047691 CMS
Spinal Simplicity, LLC $33.85 10/03/2024 Food and Beverage Undisputed 01/23/2026 1144047693 CMS
Spinal Simplicity, LLC $50.78 10/04/2024 Food and Beverage Undisputed 01/23/2026 1144047695 CMS
Spinal Simplicity, LLC $42.40 10/04/2024 Food and Beverage Undisputed 01/23/2026 1144047697 CMS
Spinal Simplicity, LLC $35.64 10/04/2024 Food and Beverage Undisputed 01/23/2026 1144047699 CMS
Spinal Simplicity, LLC $13.08 11/07/2024 Food and Beverage Undisputed 01/23/2026 1144047701 CMS
Spinal Simplicity, LLC $6.14 11/20/2024 Food and Beverage Undisputed 01/23/2026 1144047703 CMS
SPR Therapeutics, Inc $62.74 10/05/2024 Food and Beverage Undisputed 01/23/2026 1104955904 CMS
Stryker Corporation $144.59 11/14/2024 Food and Beverage Undisputed 01/23/2026 1144314989 CMS
Valinor Pharma, LLC $16.12 05/01/2024 Food and Beverage Undisputed 01/23/2026 1130831089 CMS
Vertos Medical, Inc. $16.69 03/26/2024 Food and Beverage Undisputed 01/23/2026 1133350010 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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