Dr. Alexander Grand, MD
What this data tells you about Dr. Grand
Dr. Alexander Grand is an ophthalmology specialist in Sacramento, CA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Grand performed 13,106 Medicare services across 2,360 unique beneficiaries.
Between the years covered by Open Payments, Dr. Grand received a total of $4,447 from 21 pharmaceutical and/or device companies across 242 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Grand is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
Medicare Practice Summary
Medicare Utilization ↗Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
10,000 | $5 | $12 |
| Comprehensive eye exam, established patient A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider. |
855 | $94 | $140 |
| Eye exam, established patient, focused A limited examination of the visual system for an existing patient. The provider focuses on a specific eye-related concern or symptom. |
650 | $73 | $100 |
| Tear duct plug insertion A procedure to insert a small plug into the tear duct opening to help retain tears on the eye surface. |
356 | $84 | $280 |
| Optic nerve imaging (OCT scan) Imaging of the optic nerve. |
327 | $28 | $125 |
| Eye photography Photographic imaging of the interior structures of the eye. |
139 | $18 | $130 |
| Visual field test, intermediate A test that measures your side vision to check for blind spots or other vision changes. |
118 | $36 | $80 |
| Visual field test, extended A test that maps your complete field of vision to detect blind spots or peripheral vision loss. Extended testing provides a more detailed assessment than a standard visual field exam. |
113 | $52 | $90 |
| Comprehensive eye exam, new patient A comprehensive examination of the visual system performed for a new patient. |
96 | $112 | $165 |
| Chemical nerve block for facial paralysis Injection of a chemical agent to paralyze specific nerves or muscles on the side of the face. |
76 | $149 | $550 |
| Insertion of probe into nasal tear duct | 75 | $155 | $752 |
| Removal of excessive skin and fat of upper eyelid | 67 | $691 | $2,069 |
| Eyelid growth removal A procedure to remove a growth from the eyelid. |
52 | $248 | $587 |
| New patient eye exam, problem focused A focused examination of the visual system performed during a new patient visit. |
36 | $75 | $95 |
| Eyelid biopsy A procedure to remove a small sample of tissue from the eyelid for laboratory examination. |
27 | $155 | $407 |
| Laser removal of recurring cataract A laser procedure to remove a recurring cataract within the lens capsule. |
25 | $290 | $530 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
20 | $69 | $100 |
| Skin graft repair of eyelid, nose, ear, or lip, 10 sq cm or less A surgical procedure to repair a wound on the eyelid, nose, ear, or lip by transferring a small piece of skin. The transferred skin covers an area of 10 square centimeters or less. |
16 | $434 | $1,300 |
| Retinal imaging (OCT scan) This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye. |
16 | $33 | $125 |
| Eyelid margin removal and repair, over 1/4 Surgical removal of more than one-quarter of the eyelid margin followed by repair of the eyelid. |
15 | $733 | $1,600 |
| Removal of chronic eyelid growth This procedure involves the surgical removal of a long-standing growth on the eyelid. |
14 | $99 | $250 |
| Full thickness skin graft to nose, ears, eyelids, or lips, 20 sq cm or less A surgical procedure where a full layer of skin is taken from a donor site and transplanted to the nose, ears, eyelids, or lips. The graft covers an area of 20 square centimeters or less. |
13 | $722 | $900 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
All-time payments by company (2018-2024) ›
Associated products mentioned in payments ›
Most payments (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Grand is a mixed practice specialist, with above-average Medicare volume (top 8% in CA), with low-engagement industry engagement, with 18 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
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All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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