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Alexa Naceanceno, PA

Physician Assistant · Saint Louis, MONPI 1952867731

Payments from drug & device makers

$8,625in general payments, 2019–2025

Across 559 payments — averaging $15.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Dexcom, Inc.$1K
  • Novo Nordisk$1K
  • Lilly USA, LLC$994
  • Abbott$657
  • Amgen$367
  • Bayer$304
  • plus $4K from 42 others

General payments by program year

21
22
23
24
25

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.

CompanyPaymentsTotal
Dexcom, Inc.122$1,129
Novo Nordisk65$1,065
Lilly USA, LLC67$994
Abbott39$657
Amgen24$367
Bayer17$304
Novartis15$287
Nevro Corp.16$279
IBSA Pharma Inc.16$276
Boehringer Ingelheim14$259
Xeris Pharmaceuticals, Inc.12$241
Antares Pharma, Inc.12$204
Recordati_rare_diseases_inc.8$200
Sanofi-aventis U.S. LLC8$183
Amarin Pharma, Inc.12$175
Esperion Therapeutics, Inc.9$152
Mannkind Corporation9$151
Corcept Therapeutics7$144
Amneal Pharmaceuticals LLC8$125
Madrigal Pharmaceuticals6$124
Amphastar Pharmaceuticals, Inc.6$119
Medtronic6$118
BETA Bionics, Inc.7$107
AstraZeneca6$101
Clarus Therapeutics Inc.4$83
Kowa Pharmaceuticals America, Inc.5$80
AbbVie4$65
Takeda Pharmaceuticals U.S.A., Inc.4$60
Merck4$56
Ascendis Pharma Endocrinology Inc2$50
E.r. Squibb & Sons, L.L.C.3$45
Globus Medical2$39
Biohaven Pharmaceuticals, Inc.2$35
Itamar Medical Inc1$35
Ascensia Diabetes Care US Inc.2$34
Averitas Pharma Inc.2$34
Optinose US, Inc.2$34
Sandoz1$31
Acella Pharmaceuticals, LLC1$23
Sequel Med Tech, LLC1$23
Kyowa Kirin, Inc.1$22
Radius Health, Inc.1$22
Embecta Corp.1$21
Halozyme Inc1$20
Astellas Pharma US Inc1$15
Qiagen, LLC1$15
Amryt Pharma Holdings Ltd1$14
Tandem Diabetes Care, Inc.1$10

How this compares

$8,625 in reported general payments places this provider in the 95th percentile of 1,380 physician assistant providers in Missouri.

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Medicare billing

Part B allowed, 2024
$4,644
Medicare patients
38
Services billed
55

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 physician assistant in Saint Louis

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Where these figures come from

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