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

Andrew Alexander

Infectious Disease Lexington, KY Medical Doctor

NPI 1942566807 CMS profile 1401147

1720 Nicholasville Rd Ste 602, Lexington, KY 40503

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General payments

$7,462

371 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, Andrew Alexander of Lexington, KY is reported in the CMS Open Payments database as having received $7,462 across 371 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 85th percentile of Infectious Disease 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 $1,724 80
2024 General $1,489 67
2023 General $1,524 82
2022 General $1,094 50
2021 General $590 28
2020 General $156 11
2019 General $884 53

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Andrew Alexander
  • Infectious Disease median
  • Middle half of Infectious Disease
  • National median

In program year 2025, general payments to Andrew Alexander were reported at $1,724. Among 3,905 Infectious Disease profiles paid that year, the median was $188 and the middle half received between $57 and $766.

Show as a table
Year Andrew Alexander Infectious Disease median Middle half National median
2019 $884 $190 $60–$862 $163
2020 $156 $124 $32–$606 $114
2021 $590 $148 $38–$905 $132
2022 $1,094 $166 $50–$834 $149
2023 $1,524 $171 $57–$787 $160
2024 $1,489 $176 $52–$752 $164
2025 $1,724 $188 $57–$766 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Gilead Sciences, Inc. $1,901 86 payments
  2. Insmed, Inc. $882 42 payments
  3. Shionogi Inc $874 29 payments
  4. ViiV Healthcare Company $803 40 payments
  5. Merck Sharp & Dohme Corporation $612 42 payments
  6. Melinta Therapeutics, Inc. $523 29 payments
  7. Astellas Pharma US Inc $418 24 payments
  8. Paratek Pharmaceuticals, Inc. $344 21 payments
  9. La Jolla Pharmaceutical Company $273 13 payments
  10. Aimmune Therapeutics, Inc. $196 10 payments
  11. Other $637 35 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $7,362 360 payments
  2. Education $99 11 payments
Products named General payments · program years 2019–2025
  1. Arikayce $882 42 payments
  2. Fetroja $874 29 payments
  3. DOVATO $547 25 payments
  4. Orbactiv $468 24 payments
  5. Kimyrsa $440 22 payments
  6. DIFICID $370 24 payments
  7. Rezzayo $362 18 payments
  8. ZERBAXA $360 23 payments
  9. NUZYRA $344 21 payments
  10. Vabomere $317 18 payments
  11. Other $3,305 181 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 · 20 drugs

Part D claims

447

Median for Infectious Disease: 268

Drug cost

$407,755

Median for Infectious Disease: $217,595

Branded share of claims

26.2%

Median for Infectious Disease: 45.5%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Arikayce Amikacin Liposomal/Neb.Accessr Brand 20 $309,685
Daptomycin Generic 71 $64,802
Ertapenem Ertapenem Sodium Brand 14 $10,662
Cefepime Hcl Generic 20 $6,588
Ceftriaxone Ceftriaxone Sodium Brand 53 $3,115
Ceftazidime Generic 13 $2,765
Epinephrine Generic 14 $2,611
Fosfomycin Tromethamine Generic 11 $1,900
Doxycycline Hyclate Generic 39 $1,138
Sodium Chloride 0.9 % Sodium Chloride Brand 13 $984

The 10 drugs with the highest cost, of 20 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 5,546 Part D prescribers listed as Infectious Disease; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 32 billing codes

Paid by Medicare

$142,175

Of which drugs: $12,464

Medicare patients

326

Average age 74

Services billed

48,291

167 women, 159 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%
Arthritis 70%
Diabetes 51%
Ischemic heart disease 50%
Depression 45%
Chronic kidney disease 44%
Heart failure 39%
Atrial fibrillation 39%
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, daptomycin, 1 mg J0878 Office 28 43,299 $2,429
Injection, ertapenem sodium, 500 mg J1335 Office 25 107 $942
Injection, ceftriaxone sodium, per 250 mg J0696 Office 37 829 $296

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 25 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
Fetroja
  • Shionogi Inc $270
$270 — —
Arikayce
  • Insmed, Inc. $187
$187 20 —
Cresemba
  • Astellas Pharma US Inc $93
$93 — —
XERAVA
  • La Jolla Pharmaceutical Company $91
$91 — —
NUZYRA
  • Paratek Pharmaceuticals, Inc. $59
$59 — —

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.

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Records

371 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.

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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