Stefan Gravenstein
Geriatric Medicine · Norfolk, VANPI 1447224191
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (51.6%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. It is spread thinly across 16 manufacturers, the largest accounting for just 22.9%. Among geriatric medicine clinicians in VA 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 180 payments — averaging $1698.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi Pasteur Inc.$70K
- Janssen Research & Development, LLC$47K
- Modernatx, Inc.$41K
- Pfizer$33K
- Janssen Global Services, LLC$26K
- GSK$16K
- plus $73K from 10 others
Across 1,228 payments — averaging $27,405 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.
- Sanofi Pasteur Inc.$25.4M
- Genentech, Inc.$6.3M
- GSK$1.4M
- Pfizer$533K
What the payments were for
- Consulting fees$157,63752%
- Speaking & faculty fees$69,79223%
- Grants$5,0002%
- Travel & lodging$68,67822%
- Food & beverage$4,5611%
- Education$500%
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 |
|---|---|---|
| Sanofi Pasteur Inc. | 25 | $70,153 |
| Janssen Research & Development, LLC | 3 | $47,270 |
| Modernatx, Inc. | 31 | $41,280 |
| Pfizer(2 entities) | 15 | $32,997 |
| Janssen Global Services, LLC | 7 | $25,527 |
| GSK | 25 | $15,541 |
| Novavax Inc | 13 | $13,512 |
| Janssen Scientific Affairs, LLC | 7 | $13,421 |
| F. Hoffmann-la Roche AG | 6 | $12,222 |
| AstraZeneca | 8 | $8,379 |
| Johnson & Johnson | 13 | $6,475 |
| Janssen Products, LP | 11 | $5,068 |
| Shionogi Inc | 3 | $4,558 |
| Genentech, Inc. | 9 | $4,130 |
| Seqirus USA Inc | 1 | $3,405 |
| Merck | 3 | $1,780 |
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.
- Moderna Covid-19 Vaccine$22,676
- Xofluza$16,110
- NOVAVAX COVID-19 VACCINE, ADJUVANTED$13,345
- COMIRNATY$11,878
- FLUZONE QUADRIVALENT NORTHERN HEMISPHERE$9,452
- FLUZONE QUADRIVALENT$7,866
- S-217622$4,410
- ZOSTAVAX$1,700
- PAXLOVID$1,400
- FLUZONE HIGH-DOSE$703
- Fetroja$148
How this compares
$305,718 in reported general payments places this provider in the 95th percentile of 90 geriatric medicine providers in Virginia.
Other geriatric medicine in Norfolk
- Kevin MurrayNorfolk$958
- Thomas GrantNorfolk$182
- Hamid OkhraviNorfolk$174
- Marissa Galicia CastilloNorfolk$140
- Richard HatchNorfolk$35
- Robert PalmerNorfolk$15
- Cara RavagliRoanoke$103K
- Jennifer JonkersAbingdon$8K
- Vijay ChadhaReston$7K
- Jiho ChoiAnnandale$5K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.