Alexander Fay
Pediatrics · Saint Louis, MONPI 1760794424
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $35,585 of the $53,128 with a category attached, or 67.0%. Sarepta Therapeutics, Inc. accounts for 73.5% of it on its own, with 16 other manufacturers making up the rest. Among pediatrics clinicians in MO with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 137 payments — averaging $387.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sarepta Therapeutics, Inc.$39K
- Catalyst Pharmaceuticals, Inc.$7K
- Novartis$3K
- ITF Therapeutics LLC$3K
- Jazz Pharmaceuticals Inc.$341
- Neurelis, Inc.$220
- plus $770 from 11 others
Across 4 payments — averaging $16,216 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Novartis$65K
What the payments were for
- Consulting fees$35,58567%
- Speaking & faculty fees$6,85513%
- Travel & lodging$7,41914%
- Food & beverage$3,2686%
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 |
|---|---|---|
| Sarepta Therapeutics, Inc. | 53 | $39,024 |
| Catalyst Pharmaceuticals, Inc. | 17 | $6,743 |
| Novartis | 2 | $3,476 |
| ITF Therapeutics LLC | 5 | $2,554 |
| Jazz Pharmaceuticals Inc. | 24 | $341 |
| Neurelis, Inc. | 8 | $220 |
| Ipsen Biopharmaceuticals, Inc | 6 | $159 |
| Novartis Gene Therapies, Inc. (fka Avexis, Inc.) | 3 | $141 |
| UCB, Inc. | 5 | $136 |
| SK Life Science, Inc. | 4 | $89 |
| Biogen | 2 | $87 |
| Piramal Critical Care | 3 | $66 |
| Greenwich Biosciences, Inc. | 1 | $30 |
| Immedica Pharma US, Inc. | 1 | $18 |
| Zogenix Inc. | 1 | $17 |
| Biomarin Pharmaceutical Inc. | 1 | $15 |
| Sumitomo Pharma America, Inc. | 1 | $10 |
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
$53,128 in reported general payments places this provider in the 95th percentile of 1,306 pediatrics providers in Missouri.
Other pediatrics in Saint Louis
- Molly FiggemeierSaint Louis$74K
- Natalie GoedekerSaint Louis$17K
- Gita MalurSaint Louis$12K
- Laura KuenstingSaint Louis$9K
- Scott TrailSaint Louis$8K
- Donna ManleySaint Louis$6K
- Mark LevinSaint Louis$5K
- Ann HennesseySaint Louis$5K
- Prapti SinghSaint Louis$4K
- Jerome OneilSaint Louis$4K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.