Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Alex David

Nephrology Little Rock, AR Medical Doctor

NPI 1437140373 CMS profile 631716

8907 Kanis Rd Ste 330, Little Rock, AR 72205

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General payments

$6,051

316 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Alex David of Little Rock, AR is reported in the CMS Open Payments database as having received $6,051 across 316 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 83rd percentile of Nephrology profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $1,019 46
2024 General $918 49
2023 General $1,008 52
2022 General $1,081 53
2021 General $939 47
2020 General $440 29
2019 General $647 40

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Alex David
  • Nephrology median
  • Middle half of Nephrology
  • National median

In program year 2025, general payments to Alex David were reported at $1,019. Among 8,186 Nephrology profiles paid that year, the median was $310 and the middle half received between $104 and $880.

Show as a table
Year Alex David Nephrology median Middle half National median
2019 $647 $236 $90–$588 $163
2020 $440 $135 $46–$364 $114
2021 $939 $202 $67–$551 $132
2022 $1,081 $242 $77–$695 $149
2023 $1,008 $254 $84–$766 $160
2024 $918 $300 $99–$852 $164
2025 $1,019 $310 $104–$880 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Amgen Inc. $1,027 46 payments
  2. Horizon Therapeutics plc $735 47 payments
  3. Fresenius USA Marketing, Inc. $517 25 payments
  4. Retrophin, Inc. $436 32 payments
  5. AstraZeneca Pharmaceuticals LP $433 24 payments
  6. Mallinckrodt Hospital Products Inc. $421 14 payments
  7. Relypsa, Inc. $363 21 payments
  8. GlaxoSmithKline, LLC. $329 19 payments
  9. Novartis Pharmaceuticals Corporation $293 13 payments
  10. Bayer HealthCare Pharmaceuticals Inc. $215 12 payments
  11. Other $1,282 63 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $5,629 281 payments
  2. Education $422 35 payments
Products named General payments · program years 2019–2025
  1. KRYSTEXXA Krystexxa $709 46 payments
  2. KRYSTEXXA Inflammation/Rare Disease $683 28 payments
  3. Velphoro $517 25 payments
  4. ACTHAR $397 13 payments
  5. BENLYSTA $329 19 payments
  6. LOKELMA $262 15 payments
  7. Veltassa $249 16 payments
  8. Kerendia $215 12 payments
  9. LUPKYNIS $202 10 payments
  10. TAVNEOS $173 9 payments
  11. Other $1,506 75 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 49 drugs

Part D claims

1,848

Median for Nephrology: 954

Drug cost

$216,682

Median for Nephrology: $127,050

Branded share of claims

24%

Median for Nephrology: 17.9%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Farxiga Dapagliflozin Propanediol Brand 81 $59,131
Jardiance Empagliflozin Brand 31 $33,811
Prosol Parenteral Amino Acid 20% No.1 Brand 139 $26,664
Nulojix Belatacept Brand 11 $21,452
Kerendia Finerenone Brand 17 $13,402
Lokelma Sodium Zirconium Cyclosilicate Brand 13 $10,386
Sevelamer Carbonate Generic 52 $10,339
Ambien Zolpidem Tartrate Brand 12 $7,608
Eliquis Apixaban Brand 12 $6,773
Carvedilol Er Carvedilol Phosphate Brand 12 $5,571

The 10 drugs with the highest cost, of 49 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 9,003 Part D prescribers listed as Nephrology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 27 billing codes

Paid by Medicare

$285,815

Of which drugs: $4,373

Medicare patients

800

Average age 74

Services billed

4,130

358 women, 442 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Chronic kidney disease 75%
Ischemic heart disease 62%
Diabetes 59%
Heart failure 54%
Arthritis 50%
Atrial fibrillation 41%
Depression 33%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Injection, epoetin alfa, biosimilar, (retacrit) (for non-esrd use), 1000 units Q5106 Office 11 580 $3,033

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 10 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
KRYSTEXXA
  • Amgen Inc. $233
$233 — —
TAVNEOS
  • Amgen Inc. $96
$96 — —
Velphoro
  • Fresenius USA Marketing, Inc. $91
$91 — —
LUPKYNIS
  • Aurinia Pharma U.S., Inc. $56
$56 — —
ACTHAR
  • Mallinckrodt Hospital Products Inc. $54
$54 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

See all 10 in the dashboard with a free account

Records

316 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Nephrology in Arkansas

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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