Donna Graham, MD
Allergy & Immunology · Little Rock, ARNPI 1003896580
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.4% of the total across 61 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 14 manufacturers reported payments, led by AstraZeneca at 33.0% of the total. 2025 is the largest year on record at $398, 2.5 times the $156 reported in 2019. That places this record below the midpoint for allergy & immunology clinicians in AR, where the typical reported total is $3,878.
Across 61 payments — averaging $22.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$448
- GSK$179
- Kaleo, Inc.$150
- Sanofi$140
- Pfizer$121
- Novartis$65
- plus $254 from 8 others
What the payments were for
- Food & beverage$1,32297%
- Education$353%
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 |
|---|---|---|
| AstraZeneca | 16 | $448 |
| GSK | 11 | $179 |
| Kaleo, Inc. | 7 | $150 |
| Sanofi | 3 | $140 |
| Pfizer | 7 | $121 |
| Novartis | 3 | $65 |
| ARS Pharmaceuticals Operations, Inc. | 3 | $55 |
| Regeneron Healthcare Solutions, Inc. | 3 | $54 |
| Merck | 2 | $39 |
| Hikma Pharmaceuticals USA | 2 | $32 |
| Alk-abello, Inc | 1 | $22 |
| Boehringer Ingelheim | 1 | $21 |
| Lilly USA, LLC | 1 | $16 |
| Genentech USA, Inc. | 1 | $15 |
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.
- TEZSPIRE$126
How this compares
$1,357 in reported general payments places this provider in the 15th percentile of 26 allergy & immunology providers in Arkansas.
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 87 | $66,172 |
| Dupixent SyringeDupilumab | 12 | $44,370 |
| Advair HfaFluticasone Propion/Salmeterol | 79 | $31,668 |
| SymbicortBudesonide/Formoterol Fumarate | 71 | $19,373 |
| Azelastine Hcl | 185 | $5,502 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 27 | $3,833 |
| Epinephrine | 11 | $3,099 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 29 | $3,084 |
| Montelukast Sodium | 297 | $3,011 |
| Fluticasone Propionate | 179 | $2,260 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 48 | $1,149 |
| Ventolin HfaAlbuterol Sulfate | 14 | $989 |
| Omeprazole | 37 | $489 |
| Prednisone | 30 | $132 |
| Famotidine | 13 | $48 |
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 | $179 | $66,17287 claims |
| AstraZenecaSymbicort | $448 | $19,37371 claims |
| Hikma Pharmaceuticals USAEpinephrine | $32 | $3,09911 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 15th percentile of 26 allergy & immunology providers in Arkansas.
Other allergy & immunology in Little Rock
- Blake ScheerLittle Rock$81K
- Jim IngramLittle Rock$62K
- Karl SitzLittle Rock$19K
- Stacy GriffinLittle Rock$10K
- Ashley StonerLittle Rock$7K
- Kim JacksonLittle Rock$6K
- Adam PriceLittle Rock$4K
- Lori KagyLittle Rock$4K
- Gene FranceLittle Rock$2K
- Joshua KennedyLittle Rock$2K
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.