Noel Graham
Pediatrics · Lees Summit, MONPI 1457323149
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 133 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 20 manufacturers, the largest accounting for just 23.4% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $790, 4.0 times the $198 reported in 2019. Among pediatrics clinicians in MO with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 133 payments — averaging $18.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Tris Pharma Inc$587
- Corium, LLC$390
- Cranial Technologies, Inc$272
- Pfizer$262
- Supernus Pharmaceuticals, Inc.$255
- Ironshore Pharmaceuticals Inc.$146
- plus $594 from 14 others
What the payments were for
- Food & beverage$2,504100%
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 |
|---|---|---|
| Tris Pharma Inc | 10 | $587 |
| Corium, LLC | 19 | $390 |
| Cranial Technologies, Inc | 18 | $272 |
| Pfizer | 29 | $262 |
| Supernus Pharmaceuticals, Inc. | 16 | $255 |
| Ironshore Pharmaceuticals Inc. | 8 | $146 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $84 |
| GSK | 5 | $83 |
| Collegium Pharmaceutical, Inc. | 4 | $74 |
| Sanofi Pasteur Inc. | 3 | $60 |
| Merck | 3 | $55 |
| Teva Pharmaceuticals USA, Inc. | 3 | $44 |
| Seqirus USA Inc | 2 | $43 |
| Verrica Pharmaceuticals Inc. | 2 | $39 |
| Ultragenyx Pharmaceutical Inc. | 2 | $30 |
| Nestle Healthcare Nutrition Inc. | 1 | $18 |
| Azurity Pharmaceuticals, Inc. | 1 | $18 |
| Neos Therapeutics, LP | 1 | $17 |
| Vertical Pharmaceuticals, LLC | 1 | $16 |
| Novo Nordisk | 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.
- Dyanavel XR$343
How this compares
$2,504 in reported general payments places this provider in the 95th percentile of 1,306 pediatrics providers in Missouri.
Other pediatrics in Lees Summit
- Molly FiggemeierSaint Louis$74K
- Terri LuetjenKansas City$57K
- Alexander FaySaint Louis$53K
- Kevin MurphyFlorissant$52K
- Sharon HumistonKansas City$41K
- Nikita RajeKansas City$23K
- Natasha BurgertKansas City$20K
- John GalganiHazelwood$18K
- Natalie GoedekerSaint Louis$17K
- Jodi ShrobaKansas City$14K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.