Mark Graham, MD
Hematology & Oncology · Cary, NCNPI 1760481667
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 90.8% of the total across 108 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 26 manufacturers, the largest accounting for just 21.2% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $788 and has fallen 96.7% since, to $26 in 2025.
Across 108 payments — averaging $20.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$480
- Pfizer$219
- AstraZeneca$164
- GE HealthCare$141
- Puma Biotechnology, Inc.$132
- Lilly USA, LLC$125
- plus $1K from 20 others
Across 74 payments — averaging $6450.95 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.
- Merck$303K
- Eli Lilly$128K
- Daiichi Sankyo Inc.$33K
- Genentech, Inc.$7K
- Pharmacyclics LLC, An Abbvie Company$5K
- Incyte Corporation$1K
- plus $1K from 2 others
What the payments were for
- Food & beverage$2,05691%
- Education$2109%
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 |
|---|---|---|
| Johnson & Johnson(3 entities) | 17 | $480 |
| Pfizer | 18 | $219 |
| AstraZeneca | 7 | $164 |
| GE HealthCare | 3 | $141 |
| Puma Biotechnology, Inc. | 9 | $132 |
| Lilly USA, LLC | 1 | $125 |
| Bristol Myers Squibb | 6 | $115 |
| Sanofi | 6 | $99 |
| Blue Earth Diagnostics | 1 | $98 |
| Incyte Corporation | 2 | $76 |
| E.r. Squibb & Sons, L.L.C. | 5 | $72 |
| Gilead(2 entities) | 4 | $67 |
| Regeneron Healthcare Solutions, Inc. | 1 | $62 |
| Tersera Therapeutics LLC | 4 | $61 |
| Merck | 3 | $52 |
| Genentech USA, Inc. | 4 | $51 |
| Novartis | 3 | $47 |
| Exelixis Inc. | 3 | $37 |
| Heron Therapeutics, Inc. | 2 | $36 |
| Amgen | 2 | $30 |
| Pharmacyclics LLC, An Abbvie Company | 2 | $27 |
| Epizyme, Inc. | 1 | $18 |
| Bard Peripheral Vascular, Inc. | 1 | $15 |
| Lexicon Pharmaceuticals, Inc. | 1 | $15 |
| Daiichi Sankyo Inc. | 1 | $15 |
| Seagen Inc. | 1 | $13 |
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.
- VERZENIO$125
- Certus 140$120
How this compares
$2,265 in reported general payments places this provider in the 55th percentile of 358 hematology & oncology providers in North Carolina.
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 |
|---|---|---|
| Lenalidomide | 111 | $1,263,194 |
| IbrancePalbociclib | 33 | $521,114 |
| TagrissoOsimertinib Mesylate | 29 | $416,528 |
| RevlimidLenalidomide | 16 | $279,155 |
| CalquenceAcalabrutinib Maleate | 21 | $261,436 |
| XtandiEnzalutamide | 18 | $258,950 |
| Everolimus | 20 | $208,785 |
| ImbruvicaIbrutinib | 20 | $178,358 |
| EliquisApixaban | 90 | $59,714 |
| XareltoRivaroxaban | 47 | $37,213 |
| Imatinib Mesylate | 36 | $29,893 |
| Abiraterone Acetate | 17 | $17,137 |
| Exemestane | 58 | $9,221 |
| Anastrozole | 277 | $6,759 |
| Tamoxifen Citrate | 198 | $6,185 |
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 |
|---|---|---|
| AstraZenecaTagrisso, Calquence | $164 | $677,96450 claims |
| PfizerIbrance, Eliquis | $219 | $580,828123 claims |
| Bristol Myers SquibbRevlimid | $115 | $279,15516 claims |
| Pharmacyclics LLC, An Abbvie CompanyImbruvica | $27 | $178,35820 claims |
| Johnson & JohnsonXarelto | $480 | $37,21347 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 358 hematology & oncology providers in North Carolina.
Other hematology & oncology in Cary
- Amit MehtaCary$4.3M
- Michael MorseDurham$2.6M
- Shelbi AtrashCharlotte$994K
- Phillip FebboDurham$749K
- Angela AlistarWinston Salem$509K
- Ravi PaluriWinston Salem$314K
- Matthew McKinneyDurham$277K
- Jared WeissChapel Hill$217K
- Joshua ZeidnerChapel Hill$208K
- Taewoong ChoiDurham$207K
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.