Alexandre Vinaud Hirayama, MD
Hematology & Oncology · Seattle, WANPI 1164966883
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $2,130 of the $2,402 with a category attached, or 88.7%. E.r. Squibb & Sons, L.L.C. accounts for 88.7% of it on its own, with 1 other manufacturer making up the rest.
Across 3 payments — averaging $800.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- E.r. Squibb & Sons, L.L.C.$2K
- ADC Therapeutics America, Inc.$272
Across 21 payments — averaging $70,282 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.
- Bristol Myers Squibb$1.2M
- E.r. Squibb & Sons, L.L.C.$283K
What the payments were for
- Consulting fees$2,13089%
- Food & beverage$27211%
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. | 1 | $2,130 |
| ADC Therapeutics America, Inc. | 2 | $272 |
How this compares
$2,402 in reported general payments places this provider in the 60th percentile of 349 hematology & oncology providers in Washington.
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.
Other hematology & oncology in Seattle
- John PesandoSeattle$15.7M
- Jill JohnsenSeattle$991K
- Fengting YanSeattle$841K
- John PagelSeattle$725K
- Lawrence FongSeattle$546K
- Langdon MillerSeattle$457K
- Mazyar ShadmanSeattle$226K
- Catherine LeeSeattle$199K
- Celestia HiganoSeattle$164K
- Ryan CassadaySeattle$151K
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.