RxDoctor Payments Data

Alexander Flecker, PA

Physician Assistant · Fayetteville, NCNPI 1700419041

Payments from drug & device makers

$366in general payments, 2019–2025

Across 21 payments — averaging $17.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Pfizer$61
  • Lilly USA, LLC$49
  • Novo Nordisk$45
  • AstraZeneca$42
  • Boston Scientific$35
  • Daiichi Sankyo Inc.$21
  • plus $113 from 7 others

What the payments were for

  • Food & beverage$35296%
  • Education$144%

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

22
23
24

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.

How this compares

$366 in reported general payments places this provider in the 50th percentile of 7,441 physician assistant providers in North Carolina.

See all physician assistant providers in North Carolina

Medicare billing

Part B allowed, 2024
$22,651
Medicare patients
162
Services billed
288

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.

Most prescribed under Part D

DrugClaimsCost to plans & patients
RybelsusSemaglutide18$37,819
EliquisApixaban26$19,419
Fluticasone-SalmeterolFluticasone Propion/Salmeterol11$1,601
Albuterol Sulfate HfaAlbuterol Sulfate43$1,489
Atorvastatin Calcium99$1,328
Metoprolol Succinate52$1,226
Lisinopril113$847
Tamsulosin Hcl24$638
Levothyroxine Sodium51$636
Famotidine42$606
Rosuvastatin Calcium40$590
Fluticasone Propionate29$573
Omeprazole30$545
Duloxetine Hcl23$491
Metformin Hcl38$388

Paid to pharmacies, not to this prescriber.

Companies that both paid and supply prescribed drugs

These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.

CompanyPaid to this providerPart D cost of their drugs
Novo NordiskRybelsus$45$37,81918 claims
PfizerEliquis$61$19,41926 claims

Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 50th percentile of 7,441 physician assistant providers in North Carolina.

Other physician assistant in Fayetteville

See the full list for North Carolina

Where these figures come from

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