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

LESLEE J GRAFF

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1902318710
CMS profile
10438723
Location
VERMILLION, SD

General Payments · PY2021–2024

$528.57

  • Reported across 28 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$284.02

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
Food and Beverage $284.02 11

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Astellas Pharma US Inc $153.76 3
Lilly USA, LLC $35.77 2
Mylan Specialty L.P. $33.62 2
Axsome Therapeutics, Inc. $32.66 2
Amgen Inc. $28.21 2

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $29.82 2
PY2022 $122.10 9
PY2023 $92.63 6
PY2024 $284.02 11

Payment records · PY2024 (11)

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. $14.76 03/26/2024 Food and Beverage Undisputed 01/23/2026 1117264641 CMS
Amgen Inc. $13.45 06/03/2024 Food and Beverage Undisputed 01/23/2026 1117264643 CMS
Astellas Pharma US Inc $15.16 01/16/2024 Food and Beverage Undisputed 01/23/2026 1139474578 CMS
Astellas Pharma US Inc $125.00 04/11/2024 Food and Beverage Undisputed 01/23/2026 1139524508 CMS
Astellas Pharma US Inc $13.60 04/30/2024 Food and Beverage Undisputed 01/23/2026 1139502693 CMS
Axsome Therapeutics, Inc. $18.89 05/20/2024 Food and Beverage Undisputed 01/23/2026 1148384045 CMS
Axsome Therapeutics, Inc. $13.77 06/10/2024 Food and Beverage Undisputed 01/23/2026 1148384047 CMS
Lilly USA, LLC $21.86 04/23/2024 Food and Beverage Undisputed 01/23/2026 1135752185 CMS
Lilly USA, LLC $13.91 08/26/2024 Food and Beverage Undisputed 01/23/2026 1135814037 CMS
Mylan Specialty L.P. $13.77 02/27/2024 Food and Beverage Undisputed 01/23/2026 1147284918 CMS
Mylan Specialty L.P. $19.85 07/15/2024 Food and Beverage Undisputed 01/23/2026 1147291388 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

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.