Alexander Greiner, MD
Allergy & Immunology · San Diego, CANPI 1609801299
Payments from drug & device makers
Across 870 payments — averaging $5471.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$1.9M
- Aimmune Therapeutics, Inc.$599K
- Teva Pharmaceuticals USA, Inc.$588K
- Amphastar Pharmaceuticals, Inc.$391K
- Cipla USA Inc.$311K
- Hikma Pharmaceuticals USA$231K
- plus $733K from 33 others
What the payments were for
- Consulting fees$2,9106%
- Speaking & faculty fees$40,47379%
- Travel & lodging$2,5345%
- Food & beverage$5,44011%
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.
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
$4,760,342 in reported general payments places this provider in the 95th percentile of 426 allergy & immunology providers in California.
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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Dupixent PenDupilumab | 24 | $113,042 |
| Dupixent SyringeDupilumab | 12 | $45,445 |
| XolairOmalizumab | 13 | $34,965 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 23 | $22,513 |
| Advair HfaFluticasone Propion/Salmeterol | 11 | $7,665 |
| Breo ElliptaFluticasone/Vilanterol | 14 | $7,046 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 14 | $3,128 |
| Arnuity ElliptaFluticasone Furoate | 14 | $3,117 |
| Theophylline ErTheophylline Anhydrous | 13 | $822 |
| Ipratropium Bromide | 19 | $785 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 23 | $689 |
| Fluticasone Propionate | 23 | $387 |
| Montelukast Sodium | 18 | $208 |
| Famotidine | 14 | $208 |
| Prednisone | 11 | $84 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta, Arnuity Ellipta | $89,793 | $32,67651 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 95th percentile of 426 allergy & immunology providers in California.
Other allergy & immunology in San Diego
- Purvi MehraSan Diego$6.3M
- Bob GengSan Diego$6M
- Andrew WhiteSan Diego$1.2M
- Marc RiedlSan Diego$903K
- Bruce PrennerSan Diego$772K
- Katharine WoessnerSan Diego$581K
- Bruce ZurawSan Diego$232K
- Seema AcevesSan Diego$227K
- Stephanie LeonardSan Diego$209K
- Tukisa SmithSan Diego$154K
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.