Alexandra Gral
Family · Gilbert, AZNPI 1659848455
Payments from drug & device makers
Across 244 payments — averaging $46.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nevro Corp.$2K
- Abbott$1K
- Nalu Medical, Inc.$1K
- Spinal Simplicity, LLC$880
- Biotronik NRO, Inc.$854
- Boston Scientific$762
- plus $4K from 22 others
What the payments were for
- Travel & lodging$1,28511%
- Food & beverage$9,60484%
- Education$5004%
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 |
|---|---|---|
| Nevro Corp. | 35 | $2,457 |
| Abbott | 23 | $1,325 |
| Nalu Medical, Inc. | 19 | $1,228 |
| Spinal Simplicity, LLC | 20 | $880 |
| Biotronik NRO, Inc. | 7 | $854 |
| Boston Scientific | 17 | $762 |
| Vertos Medical, Inc. | 10 | $676 |
| Painteq LLC | 3 | $664 |
| Collegium Pharmaceutical, Inc. | 43 | $516 |
| Medtronic | 5 | $368 |
| AbbVie | 19 | $233 |
| Biodelivery Sciences International, Inc. | 12 | $193 |
| Redhill Biopharma Inc. | 3 | $190 |
| Protega Pharmaceutials Inc | 6 | $172 |
| Biohaven Pharmaceuticals, Inc. | 3 | $154 |
| Stryker | 1 | $145 |
| Electronic Waveform Lab, Inc. | 5 | $130 |
| Axonics, Inc. | 2 | $118 |
| Merz North America, Inc. | 1 | $67 |
| SPR Therapeutics, Inc | 1 | $63 |
| GRT US Holding, Inc. | 1 | $45 |
| Almatica Pharma LLC | 2 | $40 |
| Pacira Therapeutics, Inc. | 1 | $27 |
| Scilex Pharmaceuticals Inc. | 1 | $20 |
| IBSA Pharma Inc. | 1 | $19 |
| Valinor Pharma, LLC | 1 | $16 |
| Amgen | 1 | $16 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $12 |
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.
- Senza$1,205
- Nalu Neurostimulation System$700
- Prospera$647
- PAINTEQ$624
- PROCLAIM$555
- Omnia$541
- mild Device Kit$540
- SUPERION$350
- HA MINUTEMAN G3-R$316
- Proclaim IPG$297
- INTELLIS$159
- WaveWriter Alpha Prime 16$134
- ETERNA$127
- Axium$124
- NURTEC ODT$124
- INTELLIS ADAPTIVESTIM$116
- MOVANTIK$102
How this compares
$11,389 in reported general payments places this provider in the 95th percentile of 4,119 family providers in Arizona.
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 |
|---|---|---|
| BelbucaBuprenorphine Hcl | 153 | $113,733 |
| Buprenorphine | 81 | $22,773 |
| Xtampza ErOxycodone Myristate | 48 | $19,658 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 346 | $12,836 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 320 | $11,916 |
| MovantikNaloxegol Oxalate | 20 | $10,308 |
| Oxycodone Hcl | 610 | $9,946 |
| Gabapentin | 263 | $3,395 |
| Pregabalin | 159 | $2,946 |
| Tizanidine Hcl | 180 | $2,444 |
| Morphine Sulfate ErMorphine Sulfate | 83 | $1,508 |
| Metaxalone | 13 | $1,391 |
| Cyclobenzaprine Hcl | 71 | $1,095 |
| Methocarbamol | 62 | $1,030 |
| Morphine Sulfate | 43 | $984 |
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 |
|---|---|---|
| Collegium Pharmaceutical, Inc.Belbuca, Xtampza Er | $516 | $133,392201 claims |
| Redhill Biopharma Inc.Movantik | $190 | $10,30820 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 4,119 family providers in Arizona.
Other family in Gilbert
- Celeste FineGilbert$82K
- Rechelle TrejoGilbert$34K
- Jonathan HenriquezGilbert$26K
- Arin LamoureauxGilbert$17K
- Sharon MagalonaMesa$449K
- Angela GoldenMunds Park$378K
- Kimberly HallaPhoenix$332K
- Kaitlyn LouchheimScottsdale$208K
- Rebecca McCollaumMesa$149K
- Susan SarabiaSun City West$114K
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.