Alexander Downey
Family Medicine · Saint Louis, MONPI 1104557826
Payments from drug & device makers
Across 83 payments — averaging $52.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Amgen$731
- AstraZeneca$226
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$223
- Abbott$165
- Organon$147
- plus $2K from 20 others
What the payments were for
- Food & beverage$4,353100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| AbbVie | 34 | $1,289 |
| Amgen | 11 | $731 |
| AstraZeneca | 2 | $226 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 3 | $223 |
| Abbott | 3 | $165 |
| Organon | 3 | $147 |
| Sumitomo Pharma America, Inc. | 2 | $138 |
| Nevro Corp. | 1 | $127 |
| Bayer | 2 | $122 |
| Axsome Therapeutics, Inc. | 1 | $122 |
| Lilly USA, LLC | 2 | $118 |
| Neurocrine Biosciences, Inc. | 2 | $117 |
| Boehringer Ingelheim | 1 | $110 |
| Alkermes, Inc. | 1 | $109 |
| Phathom Pharmaceuticals, Inc. | 1 | $104 |
| Novo Nordisk | 1 | $103 |
| Otsuka America Pharmaceutical, Inc. | 1 | $102 |
| Stryker | 1 | $94 |
| Pfizer | 4 | $82 |
| Lundbeck LLC | 1 | $20 |
| Celltrion USA Inc. | 1 | $20 |
| Exact Sciences | 1 | $19 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $19 |
| Neurelis, Inc. | 1 | $15 |
| Dexcom, Inc. | 1 | $15 |
| Elite Orthopedics, LLC | 1 | $15 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$4,353 in reported general payments places this provider in the 85th percentile of 2,203 family medicine providers in Missouri.
Other family medicine in Saint Louis
- Rupal TrivediSaint Louis$10.6M
- Emily DoucetteSaint Louis$155K
- Michael DonovanSaint Louis$78K
- Jarad SchwartzSaint Louis$36K
- Christina RobinsSaint Louis$27K
- Michael SpeziaSaint Louis$26K
- Amanda BooneSaint Louis$17K
- David GlickSaint Louis$17K
- Timothy JenningsMaryland Heights$30.2M
- William HowittSpringfield$19.9M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.