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

SERENE M ALEXANDER

Allopathic & Osteopathic Physicians Obstetrics & Gynecology

NPI
1841555109
CMS profile
586568
Location
MERCED, CA

General Payments · PY2019–2024

$1,809.70

  • Reported across 17 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,251.76

11 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
Travel and Lodging $936.30 3
Food and Beverage $315.46 8

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
INTUITIVE SURGICAL, INC. $1,045.73 6
Hologic Sales and Service, LLC $148.00 2
ABBVIE INC. $44.09 2
Exeltis, USA Inc. $13.94 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $105.99 1
PY2020 $381.13 2
PY2022 $25.35 1
PY2023 $45.47 2
PY2024 $1,251.76 11

Payment records · PY2024 (11)

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

Program year 2024 2019202020222023 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
ABBVIE INC. $23.20 04/23/2024 Food and Beverage Undisputed 01/23/2026 1103201251 CMS
ABBVIE INC. $20.89 09/10/2024 Food and Beverage Undisputed 01/23/2026 1103201253 CMS
Exeltis, USA Inc. $13.94 12/18/2024 Food and Beverage Undisputed 01/23/2026 1149984592 CMS
Hologic Sales and Service, LLC $38.89 08/20/2024 Food and Beverage Undisputed 01/23/2026 1084913822 CMS
Hologic Sales and Service, LLC $109.11 09/05/2024 Food and Beverage Undisputed 01/23/2026 1084913832 CMS
INTUITIVE SURGICAL, INC. $19.00 09/13/2024 Travel and Lodging Undisputed 01/23/2026 1137099726 CMS
INTUITIVE SURGICAL, INC. $707.32 09/13/2024 Travel and Lodging Undisputed 01/23/2026 1137261256 CMS
INTUITIVE SURGICAL, INC. $209.98 09/30/2024 Travel and Lodging Undisputed 01/23/2026 1137251369 CMS
INTUITIVE SURGICAL, INC. $80.44 11/05/2024 Food and Beverage Undisputed 01/23/2026 1137185691 CMS
INTUITIVE SURGICAL, INC. $10.55 11/05/2024 Food and Beverage Undisputed 01/23/2026 1137193133 CMS
INTUITIVE SURGICAL, INC. $18.44 11/05/2024 Food and Beverage Undisputed 01/23/2026 1137268916 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
2019, 2020, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2019 , PY2020 , 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.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.