Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

FERNANDO S ALVARADO

Allopathic & Osteopathic Physicians Internal Medicine Infectious Disease

NPI
1073513958
CMS profile
320553
Location
ALTAMONTE SPRINGS, FL

General Payments · PY2018–2024

$14,978.55

  • Reported across 687 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$2,334.36

107 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,009.39 102
Education $324.97 5

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $811.54 37
PY2019 $1,857.26 102
PY2020 $1,094.97 78
PY2021 $2,985.33 137
PY2022 $3,749.08 125
PY2023 $2,146.01 101
PY2024 $2,334.36 107

Payment records · PY2024 (107)

Sorted by paying entity, then date · as published by CMS

Program year 2024 201820192020202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $25.14 05/09/2024 Food and Beverage Undisputed 01/23/2026 1103214489 CMS
Astellas Pharma US Inc $94.99 01/05/2024 Education Undisputed 01/23/2026 1139345584 CMS
Astellas Pharma US Inc $75.00 01/09/2024 Education Undisputed 01/23/2026 1139345312 CMS
Astellas Pharma US Inc $20.86 02/15/2024 Food and Beverage Undisputed 01/23/2026 1139270132 CMS
Astellas Pharma US Inc $31.40 04/03/2024 Food and Beverage Undisputed 01/23/2026 1139332068 CMS
Astellas Pharma US Inc $99.99 05/08/2024 Education Undisputed 01/23/2026 1139366429 CMS
Astellas Pharma US Inc $24.88 06/26/2024 Food and Beverage Undisputed 01/23/2026 1139372461 CMS
Astellas Pharma US Inc $34.99 07/16/2024 Education Undisputed 01/23/2026 1139381056 CMS
Astellas Pharma US Inc $24.08 08/20/2024 Food and Beverage Undisputed 01/23/2026 1139374655 CMS
Astellas Pharma US Inc $27.22 10/16/2024 Food and Beverage Undisputed 01/23/2026 1139429652 CMS
Astellas Pharma US Inc $28.68 10/30/2024 Food and Beverage Undisputed 01/23/2026 1139441612 CMS
Astellas Pharma US Inc $21.97 11/07/2024 Food and Beverage Undisputed 01/23/2026 1139441614 CMS
Astellas Pharma US Inc $34.53 12/04/2024 Food and Beverage Undisputed 01/23/2026 1139442898 CMS
CSL Behring $20.00 03/29/2024 Education Undisputed 01/23/2026 1134601171 CMS
Cumberland Pharmaceuticals, Inc. $13.68 09/25/2024 Food and Beverage Undisputed 01/23/2026 1146399266 CMS
Cumberland Pharmaceuticals, Inc. $13.80 11/14/2024 Food and Beverage Undisputed 01/23/2026 1146399268 CMS
Ferring Pharmaceuticals Inc. $13.73 02/29/2024 Food and Beverage Undisputed 01/23/2026 1137461032 CMS
Ferring Pharmaceuticals Inc. $16.36 06/14/2024 Food and Beverage Undisputed 01/23/2026 1137461036 CMS
Ferring Pharmaceuticals Inc. $16.87 08/08/2024 Food and Beverage Undisputed 01/23/2026 1137461040 CMS
Gilead Sciences, Inc. $25.41 12/17/2024 Food and Beverage Undisputed 01/23/2026 1133815367 CMS
Insmed, Inc. $18.40 01/08/2024 Food and Beverage Undisputed 01/23/2026 1089580836 CMS
Insmed, Inc. $19.50 01/24/2024 Food and Beverage Undisputed 01/23/2026 1089559140 CMS
Insmed, Inc. $18.01 02/06/2024 Food and Beverage Undisputed 01/23/2026 1089573090 CMS
Insmed, Inc. $16.27 02/21/2024 Food and Beverage Undisputed 01/23/2026 1089581512 CMS
Insmed, Inc. $20.33 03/27/2024 Food and Beverage Undisputed 01/23/2026 1089580664 CMS
Insmed, Inc. $23.08 04/29/2024 Food and Beverage Undisputed 01/23/2026 1089574032 CMS
Insmed, Inc. $22.52 05/16/2024 Food and Beverage Undisputed 01/23/2026 1089564436 CMS
Insmed, Inc. $20.03 05/29/2024 Food and Beverage Undisputed 01/23/2026 1089579430 CMS
Insmed, Inc. $21.79 06/25/2024 Food and Beverage Undisputed 01/23/2026 1089579408 CMS
Insmed, Inc. $18.58 07/11/2024 Food and Beverage Undisputed 01/23/2026 1089567075 CMS
Insmed, Inc. $22.24 08/06/2024 Food and Beverage Undisputed 01/23/2026 1089567019 CMS
Insmed, Inc. $22.16 08/22/2024 Food and Beverage Undisputed 01/23/2026 1089559824 CMS
Insmed, Inc. $16.99 08/26/2024 Food and Beverage Undisputed 01/23/2026 1089568183 CMS
Insmed, Inc. $20.86 09/10/2024 Food and Beverage Undisputed 01/23/2026 1089566097 CMS
Insmed, Inc. $21.62 09/18/2024 Food and Beverage Undisputed 01/23/2026 1089566689 CMS
Insmed, Inc. $20.14 10/21/2024 Food and Beverage Undisputed 01/23/2026 1089567425 CMS
Insmed, Inc. $19.02 11/27/2024 Food and Beverage Undisputed 01/23/2026 1089569812 CMS
Insmed, Inc. $19.93 12/02/2024 Food and Beverage Undisputed 01/23/2026 1089565867 CMS
Insmed, Inc. $16.17 12/03/2024 Food and Beverage Undisputed 01/23/2026 1089565509 CMS
Insmed, Inc. $0.81 12/19/2024 Food and Beverage Undisputed 01/23/2026 1089565757 CMS
Insmed, Inc. $22.83 12/19/2024 Food and Beverage Undisputed 01/23/2026 1089582196 CMS
La Jolla Pharmaceutical Company $17.03 01/09/2024 Food and Beverage Undisputed 01/23/2026 1154246926 CMS
La Jolla Pharmaceutical Company $15.87 02/06/2024 Food and Beverage Undisputed 01/23/2026 1154246928 CMS
La Jolla Pharmaceutical Company $14.72 02/20/2024 Food and Beverage Undisputed 01/23/2026 1154246930 CMS
La Jolla Pharmaceutical Company $16.83 04/24/2024 Food and Beverage Undisputed 01/23/2026 1154246932 CMS
La Jolla Pharmaceutical Company $15.49 05/28/2024 Food and Beverage Undisputed 01/23/2026 1154246934 CMS
La Jolla Pharmaceutical Company $23.82 05/28/2024 Food and Beverage Undisputed 01/23/2026 1154246936 CMS
La Jolla Pharmaceutical Company $17.88 06/10/2024 Food and Beverage Undisputed 01/23/2026 1154246938 CMS
La Jolla Pharmaceutical Company $16.68 06/25/2024 Food and Beverage Undisputed 01/23/2026 1154246940 CMS
La Jolla Pharmaceutical Company $17.73 08/01/2024 Food and Beverage Undisputed 01/23/2026 1154246942 CMS
La Jolla Pharmaceutical Company $13.34 08/13/2024 Food and Beverage Undisputed 01/23/2026 1154246944 CMS
La Jolla Pharmaceutical Company $18.51 09/05/2024 Food and Beverage Undisputed 01/23/2026 1154246946 CMS
La Jolla Pharmaceutical Company $26.35 09/24/2024 Food and Beverage Undisputed 01/23/2026 1154246948 CMS
La Jolla Pharmaceutical Company $14.77 09/24/2024 Food and Beverage Undisputed 01/23/2026 1154246950 CMS
La Jolla Pharmaceutical Company $15.80 10/29/2024 Food and Beverage Undisputed 01/23/2026 1154246952 CMS
La Jolla Pharmaceutical Company $15.31 11/11/2024 Food and Beverage Undisputed 01/23/2026 1154246954 CMS
La Jolla Pharmaceutical Company $21.27 11/12/2024 Food and Beverage Undisputed 01/23/2026 1154246956 CMS
La Jolla Pharmaceutical Company $14.61 11/19/2024 Food and Beverage Undisputed 01/23/2026 1154246958 CMS
Melinta Therapeutics, LLC $24.88 03/27/2024 Food and Beverage Undisputed 01/23/2026 1140484839 CMS
Melinta Therapeutics, LLC $22.83 06/04/2024 Food and Beverage Undisputed 01/23/2026 1140483914 CMS
Melinta Therapeutics, LLC $0.33 06/17/2024 Food and Beverage Undisputed 01/23/2026 1140478807 CMS
Melinta Therapeutics, LLC $25.59 06/18/2024 Food and Beverage Undisputed 01/23/2026 1140485089 CMS
Melinta Therapeutics, LLC $23.56 08/27/2024 Food and Beverage Undisputed 01/23/2026 1140484309 CMS
Melinta Therapeutics, LLC $19.72 09/19/2024 Food and Beverage Undisputed 01/23/2026 1140482376 CMS
Melinta Therapeutics, LLC $1.06 11/13/2024 Food and Beverage Undisputed 01/23/2026 1140478927 CMS
Melinta Therapeutics, LLC $27.18 11/13/2024 Food and Beverage Undisputed 01/23/2026 1140485715 CMS
Merck Sharp & Dohme LLC $18.80 01/23/2024 Food and Beverage Undisputed 01/23/2026 1141756248 CMS
Merck Sharp & Dohme LLC $32.86 01/30/2024 Food and Beverage Undisputed 01/23/2026 1141964141 CMS
Merck Sharp & Dohme LLC $25.13 03/26/2024 Food and Beverage Undisputed 01/23/2026 1141887263 CMS
Merck Sharp & Dohme LLC $16.73 04/04/2024 Food and Beverage Undisputed 01/23/2026 1141756246 CMS
Merck Sharp & Dohme LLC $24.46 04/19/2024 Food and Beverage Undisputed 01/23/2026 1141940253 CMS
Merck Sharp & Dohme LLC $22.89 05/02/2024 Food and Beverage Undisputed 01/23/2026 1141970275 CMS
Merck Sharp & Dohme LLC $15.56 08/28/2024 Food and Beverage Undisputed 01/23/2026 1141756392 CMS
Merck Sharp & Dohme LLC $26.94 09/23/2024 Food and Beverage Undisputed 01/23/2026 1141756244 CMS
Paratek Pharmaceuticals, Inc. $18.88 01/17/2024 Food and Beverage Undisputed 01/23/2026 1113890672 CMS
Paratek Pharmaceuticals, Inc. $18.88 01/25/2024 Food and Beverage Undisputed 01/23/2026 1113890677 CMS
Paratek Pharmaceuticals, Inc. $18.88 02/15/2024 Food and Beverage Undisputed 01/23/2026 1113890680 CMS
Paratek Pharmaceuticals, Inc. $22.01 02/27/2024 Food and Beverage Undisputed 01/23/2026 1113890684 CMS
Paratek Pharmaceuticals, Inc. $18.88 03/12/2024 Food and Beverage Undisputed 01/23/2026 1113890688 CMS
Paratek Pharmaceuticals, Inc. $13.52 09/12/2024 Food and Beverage Undisputed 01/23/2026 1113890692 CMS
Paratek Pharmaceuticals, Inc. $14.56 10/22/2024 Food and Beverage Undisputed 01/23/2026 1113890696 CMS
Paratek Pharmaceuticals, Inc. $24.59 10/29/2024 Food and Beverage Undisputed 01/23/2026 1113890700 CMS
Paratek Pharmaceuticals, Inc. $14.93 11/11/2024 Food and Beverage Undisputed 01/23/2026 1113890704 CMS
Paratek Pharmaceuticals, Inc. $18.45 12/02/2024 Food and Beverage Undisputed 01/23/2026 1113890708 CMS
Paratek Pharmaceuticals, Inc. $13.05 12/10/2024 Food and Beverage Undisputed 01/23/2026 1113890712 CMS
Shionogi Inc $20.33 01/03/2024 Food and Beverage Undisputed 01/23/2026 1154333130 CMS
Shionogi Inc $24.14 02/13/2024 Food and Beverage Undisputed 01/23/2026 1154333144 CMS
Shionogi Inc $24.14 02/28/2024 Food and Beverage Undisputed 01/23/2026 1154333150 CMS
Shionogi Inc $22.71 03/25/2024 Food and Beverage Undisputed 01/23/2026 1154333160 CMS
Shionogi Inc $15.18 04/17/2024 Food and Beverage Undisputed 01/23/2026 1154333162 CMS
Shionogi Inc $2.04 04/19/2024 Food and Beverage Undisputed 01/23/2026 1154333164 CMS
Shionogi Inc $24.83 04/23/2024 Food and Beverage Undisputed 01/23/2026 1154333168 CMS
Shionogi Inc $28.04 05/21/2024 Food and Beverage Undisputed 01/23/2026 1154333178 CMS
Shionogi Inc $15.90 07/15/2024 Food and Beverage Undisputed 01/23/2026 1154333222 CMS
Shionogi Inc $16.07 08/12/2024 Food and Beverage Undisputed 01/23/2026 1154333232 CMS
Shionogi Inc $23.57 08/21/2024 Food and Beverage Undisputed 01/23/2026 1154333234 CMS
Shionogi Inc $0.13 09/11/2024 Food and Beverage Undisputed 01/23/2026 1154333240 CMS
Shionogi Inc $17.20 09/15/2024 Food and Beverage Undisputed 01/23/2026 1154333242 CMS
Shionogi Inc $0.31 09/16/2024 Food and Beverage Undisputed 01/23/2026 1154333244 CMS
Shionogi Inc $20.85 10/17/2024 Food and Beverage Undisputed 01/23/2026 1154333252 CMS
Shionogi Inc $13.81 11/15/2024 Food and Beverage Undisputed 01/23/2026 1154333258 CMS
Shionogi Inc $15.08 12/04/2024 Food and Beverage Undisputed 01/23/2026 1154333294 CMS
Shionogi Inc $12.80 12/18/2024 Food and Beverage Undisputed 01/23/2026 1154333290 CMS
Smith+Nephew, Inc. $24.18 01/31/2024 Food and Beverage Undisputed 01/23/2026 1149516265 CMS
Takeda Pharmaceuticals U.S.A., Inc. $44.62 05/01/2024 Food and Beverage Undisputed 01/23/2026 1137469666 CMS
Takeda Pharmaceuticals U.S.A., Inc. $35.05 11/05/2024 Food and Beverage Undisputed 01/23/2026 1137469670 CMS
Takeda Pharmaceuticals U.S.A., Inc. $47.36 12/11/2024 Food and Beverage Undisputed 01/23/2026 1137469674 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.