Alex Vrable, DO
General Practice · Youngstown, OHNPI 1710923040
Payments from drug & device makers
Across 682 payments — averaging $15.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boehringer Ingelheim$1K
- AstraZeneca$1K
- AbbVie$926
- Johnson & Johnson$801
- Pfizer$771
- Merck$679
- plus $4K from 26 others
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Boehringer Ingelheim | 106 | $1,480 |
| AstraZeneca | 67 | $1,379 |
| AbbVie(2 entities) | 65 | $926 |
| Johnson & Johnson | 44 | $801 |
| Pfizer | 61 | $771 |
| Merck | 55 | $679 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 51 | $640 |
| Lilly USA, LLC | 25 | $470 |
| GSK | 32 | $468 |
| Takeda Pharmaceuticals U.S.A., Inc. | 26 | $379 |
| Novartis | 25 | $346 |
| Mylan Specialty L.p. | 19 | $298 |
| Novo Nordisk | 19 | $287 |
| Arbor Pharmaceuticals, Inc. | 16 | $247 |
| Abbott | 13 | $223 |
| E.r. Squibb & Sons, L.L.C. | 10 | $167 |
| Astellas Pharma US Inc | 7 | $112 |
| Amarin Pharma, Inc. | 7 | $95 |
| Exact Sciences | 4 | $94 |
| Esperion Therapeutics, Inc. | 5 | $80 |
| Biohaven Pharmaceuticals, Inc. | 4 | $63 |
| Hikma Pharmaceuticals USA | 3 | $55 |
| Sumitomo Pharma America, Inc. | 2 | $54 |
| Azurity Pharmaceuticals, Inc. | 3 | $48 |
| Amgen | 3 | $43 |
| Harmony Biosciences LLC | 2 | $35 |
| Supernus Pharmaceuticals, Inc. | 2 | $31 |
| Nevro Corp. | 2 | $29 |
| Teva Pharmaceuticals USA, Inc. | 1 | $21 |
| Axsome Therapeutics, Inc. | 1 | $18 |
| Lifescan, Inc. | 1 | $14 |
| Sebela Pharmaceuticals Inc. | 1 | $14 |
How this compares
$10,367 in reported general payments places this provider in the 95th percentile of 2,933 general practice providers in Ohio.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Other general practice in Youngstown
- Corey RaymondSalem$288K
- Luiz MeirellesColumbus$229K
- Heather PetroffBroadview Heights$170K
- William HuntzingerSylvania$102K
- Megan WeisenbergerCincinnati$81K
- Lundon AlbrechtMentor$77K
- Daniel WardColumbus$68K
- Ankur GuptaNorth Ridgeville$67K
- Maria Bermudez-FresseOakwood$65K
- Jill BartonCanfield$48K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.