Alexandre Tungesvik, MD
Hematology & Oncology · Columbia, MONPI 1538691381
Payments from drug & device makers
Across 274 payments — averaging $18.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- E.r. Squibb & Sons, L.L.C.$745
- Bristol Myers Squibb$476
- AbbVie$431
- Novartis$419
- Gilead$366
- Pfizer$297
- plus $2K from 30 others
What the payments were for
- Food & beverage$4,88795%
- Education$2785%
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 |
|---|---|---|
| E.r. Squibb & Sons, L.L.C. | 55 | $745 |
| Bristol Myers Squibb | 35 | $476 |
| AbbVie | 18 | $431 |
| Novartis | 22 | $419 |
| Gilead(2 entities) | 15 | $366 |
| Pfizer | 17 | $297 |
| Daiichi Sankyo Inc. | 11 | $282 |
| AstraZeneca | 14 | $279 |
| Merck | 10 | $231 |
| Genentech USA, Inc. | 9 | $163 |
| EMD Serono, Inc. | 7 | $143 |
| Johnson & Johnson | 6 | $134 |
| GSK | 6 | $129 |
| Exelixis Inc. | 4 | $107 |
| Sobi, Inc | 1 | $99 |
| Array Biopharma Inc | 7 | $89 |
| Seagen Inc. | 1 | $85 |
| Sanofi | 5 | $83 |
| Beone Medicines USA, Inc. | 3 | $71 |
| Eisai Inc. | 3 | $70 |
| Springworks Therapeutics, Inc. | 3 | $66 |
| Incyte Corporation | 3 | $62 |
| Regeneron Healthcare Solutions, Inc. | 2 | $48 |
| Stemline Therapeutics Inc. | 2 | $41 |
| Rigel Pharmaceuticals, Inc. | 2 | $31 |
| Astellas Pharma US Inc | 2 | $28 |
| Fennec Pharmaceuticals, Inc. | 2 | $24 |
| Jazz Pharmaceuticals Inc. | 1 | $23 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $23 |
| Puma Biotechnology, Inc. | 1 | $20 |
| Genmab U.S., Inc. | 1 | $20 |
| Immunogen, Inc. | 1 | $18 |
| Pharmacosmos Therapeutics Inc. | 1 | $18 |
| ADC Therapeutics America, Inc. | 1 | $17 |
| Blueprint Medicines Corporation | 1 | $15 |
| Amgen | 1 | $14 |
How this compares
$5,165 in reported general payments places this provider in the 55th percentile of 211 hematology & oncology providers in Missouri.
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 |
|---|---|---|
| RevlimidLenalidomide | 18 | $302,827 |
| ImbruvicaIbrutinib | 12 | $196,915 |
| BrukinsaZanubrutinib | 12 | $178,463 |
| EliquisApixaban | 50 | $33,877 |
| CreonLipase/Protease/Amylase | 11 | $13,756 |
| Fentanyl | 41 | $3,537 |
| Anastrozole | 173 | $2,320 |
| Abiraterone Acetate | 11 | $1,433 |
| Dexamethasone | 86 | $1,338 |
| Prochlorperazine Maleate | 97 | $1,076 |
| Ondansetron Hcl | 65 | $1,046 |
| Oxycodone Hcl | 66 | $936 |
| Ondansetron OdtOndansetron | 25 | $622 |
| Tamoxifen Citrate | 27 | $563 |
| Diphenoxylate-AtropineDiphenoxylate Hcl/Atropine | 22 | $384 |
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 |
|---|---|---|
| Bristol Myers SquibbRevlimid | $476 | $302,82718 claims |
| PfizerEliquis | $297 | $33,87750 claims |
| AbbVieCreon | $431 | $13,75611 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 55th percentile of 211 hematology & oncology providers in Missouri.
Other hematology & oncology in Columbia
- Gerhard HildebrandtColumbia$1.6M
- David SchlossmanColumbia$1.2M
- Jaffar HilliColumbia$128K
- Vipul BhanderiColumbia$81K
- Cherian VergheseColumbia$47K
- Ruo Bing XueColumbia$46K
- Umasankar RamadossColumbia$45K
- Liana MakarianColumbia$44K
- Michael TrendleColumbia$38K
- Maxwell KremColumbia$38K
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.