Terry Graber
Family Medicine · Custer, SDNPI 1063465995
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.8% of the total across 376 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 13.0% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $1,687 and has fallen 95.0% since, to $85 in 2025. Among family medicine clinicians in SD 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 376 payments — averaging $14.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$730
- Novo Nordisk$614
- AstraZeneca$453
- Johnson & Johnson$447
- Lilly USA, LLC$370
- Boehringer Ingelheim$353
- plus $3K from 20 others
What the payments were for
- Food & beverage$5,619100%
- Education$140%
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 |
|---|---|---|
| Amgen | 45 | $730 |
| Novo Nordisk | 47 | $614 |
| AstraZeneca | 22 | $453 |
| Johnson & Johnson | 46 | $447 |
| Lilly USA, LLC | 20 | $370 |
| Boehringer Ingelheim | 30 | $353 |
| E.r. Squibb & Sons, L.L.C. | 14 | $301 |
| Pfizer | 27 | $299 |
| Novartis | 19 | $289 |
| Merck | 26 | $248 |
| Sanofi-aventis U.S. LLC | 7 | $221 |
| Medtronic | 7 | $211 |
| Avanir Pharmaceuticals, Inc. | 7 | $174 |
| Takeda Pharmaceuticals U.S.A., Inc. | 13 | $148 |
| GSK | 9 | $131 |
| AbbVie(2 entities) | 8 | $131 |
| Amarin Pharma, Inc. | 6 | $85 |
| Organogenesis Inc. | 1 | $76 |
| Grifols USA, LLC | 5 | $73 |
| Exact Sciences | 4 | $71 |
| Bayer | 4 | $71 |
| Biohaven Pharmaceutical Holding Company Ltd. | 4 | $66 |
| Astellas Pharma US Inc | 2 | $23 |
| Lundbeck LLC | 1 | $18 |
| Eisai Inc. | 1 | $15 |
| Daiichi Sankyo Inc. | 1 | $14 |
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.
How this compares
$5,632 in reported general payments places this provider in the 95th percentile of 408 family medicine providers in South Dakota.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Tamsulosin Hcl | 26 | $656 |
| Atorvastatin Calcium | 49 | $584 |
| Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide | 16 | $369 |
| Lisinopril | 33 | $291 |
| Metoprolol Succinate | 18 | $242 |
| Metformin Hcl ErMetformin Hcl | 18 | $225 |
| Levothyroxine Sodium | 24 | $220 |
| Losartan Potassium | 23 | $210 |
| Pravastatin Sodium | 12 | $170 |
| Omeprazole | 11 | $135 |
| Amlodipine Besylate | 18 | $80 |
Paid to pharmacies, not to this prescriber.
Other family medicine in Custer
- Brandyn TarapCuster$3K
- Joy FalkenburgCuster$3K
- Monaleze SainiCuster$2K
- Lisa BrownCuster$2K
- Louise HalbleibCuster$1K
- Kyla Helm-SwansonRapid City$22K
- Andrew BurchettSioux Falls$13K
- Lornell HansenSioux Falls$11K
- Michael GerlachMitchell$9K
- Jeffry MeyerSioux Falls$8K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.