Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

ALVIN CACHO

Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease

NPI
1205918497
CMS profile
54717
Location
STOCKTON, CA

General Payments · PY2019–2025

$13,413.67

  • Reported across 626 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$1,131.65

49 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,111.43 48
Education $20.22 1

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $3,278.17 128
PY2020 $1,545.25 89
PY2021 $2,726.90 166
PY2022 $2,648.60 108
PY2023 $1,058.92 40
PY2024 $1,024.18 46
PY2025 $1,131.65 49

Payment records · PY2025 (49)

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

Program year 2025 201920202021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Amgen Inc. $15.57 05/16/2025 Food and Beverage Undisputed 06/30/2026 1228288363 CMS
Amgen Inc. $27.23 06/17/2025 Food and Beverage Undisputed 06/30/2026 1228288361 CMS
AstraZeneca Pharmaceuticals LP $18.30 10/24/2025 Food and Beverage Undisputed 06/30/2026 1206974903 CMS
Bayer Healthcare Pharmaceuticals Inc. $26.91 04/10/2025 Food and Beverage Undisputed 06/30/2026 1225483260 CMS
Bayer Healthcare Pharmaceuticals Inc. $8.82 04/21/2025 Food and Beverage Undisputed 06/30/2026 1225483258 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.57 05/08/2025 Food and Beverage Undisputed 06/30/2026 1225483264 CMS
Bayer Healthcare Pharmaceuticals Inc. $22.59 05/30/2025 Food and Beverage Undisputed 06/30/2026 1225483262 CMS
Bayer Healthcare Pharmaceuticals Inc. $10.04 06/23/2025 Food and Beverage Undisputed 06/30/2026 1225483256 CMS
Bayer Healthcare Pharmaceuticals Inc. $20.22 08/05/2025 Education Undisputed 06/30/2026 1225483266 CMS
Bayer Healthcare Pharmaceuticals Inc. $24.38 08/05/2025 Food and Beverage Undisputed 06/30/2026 1225483268 CMS
Bayer Healthcare Pharmaceuticals Inc. $12.74 08/14/2025 Food and Beverage Undisputed 06/30/2026 1225483270 CMS
Bayer Healthcare Pharmaceuticals Inc. $31.09 09/05/2025 Food and Beverage Undisputed 06/30/2026 1225483274 CMS
Bayer Healthcare Pharmaceuticals Inc. $20.95 10/27/2025 Food and Beverage Undisputed 06/30/2026 1225483272 CMS
Bayer Healthcare Pharmaceuticals Inc. $110.57 11/05/2025 Food and Beverage Undisputed 06/30/2026 1225483278 CMS
Bayer Healthcare Pharmaceuticals Inc. $28.50 11/19/2025 Food and Beverage Undisputed 06/30/2026 1225483276 CMS
Bayer Healthcare Pharmaceuticals Inc. $25.19 12/12/2025 Food and Beverage Undisputed 06/30/2026 1225483280 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $20.61 01/14/2025 Food and Beverage Undisputed 06/30/2026 1223044060 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.36 01/23/2025 Food and Beverage Undisputed 06/30/2026 1223044062 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $23.45 11/19/2025 Food and Beverage Undisputed 06/30/2026 1223044064 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.59 12/16/2025 Food and Beverage Undisputed 06/30/2026 1223044066 CMS
Corcept Therapeutics $18.54 05/02/2025 Food and Beverage Undisputed 06/30/2026 1214240082 CMS
E.R. Squibb & Sons, L.L.C. $13.81 04/28/2025 Food and Beverage Undisputed 06/30/2026 1184806137 CMS
GlaxoSmithKline, LLC. $22.25 10/30/2025 Food and Beverage Undisputed 06/30/2026 1190425203 CMS
Novartis Pharmaceuticals Corporation $24.64 01/23/2025 Food and Beverage Undisputed 06/30/2026 1200085918 CMS
Novartis Pharmaceuticals Corporation $5.71 02/07/2025 Food and Beverage Undisputed 06/30/2026 1200085920 CMS
Novartis Pharmaceuticals Corporation $10.39 03/05/2025 Food and Beverage Undisputed 06/30/2026 1200085922 CMS
Novartis Pharmaceuticals Corporation $19.63 04/01/2025 Food and Beverage Undisputed 06/30/2026 1200085936 CMS
Novartis Pharmaceuticals Corporation $6.92 04/08/2025 Food and Beverage Undisputed 06/30/2026 1200085938 CMS
Novartis Pharmaceuticals Corporation $8.74 04/24/2025 Food and Beverage Undisputed 06/30/2026 1200085940 CMS
Novartis Pharmaceuticals Corporation $12.37 05/13/2025 Food and Beverage Undisputed 06/30/2026 1200085948 CMS
Novartis Pharmaceuticals Corporation $5.19 05/13/2025 Food and Beverage Undisputed 06/30/2026 1200085950 CMS
Novartis Pharmaceuticals Corporation $4.56 05/19/2025 Food and Beverage Undisputed 06/30/2026 1200085964 CMS
Novartis Pharmaceuticals Corporation $11.18 05/27/2025 Food and Beverage Undisputed 06/30/2026 1200085960 CMS
Novartis Pharmaceuticals Corporation $14.50 06/04/2025 Food and Beverage Undisputed 06/30/2026 1200085962 CMS
Novartis Pharmaceuticals Corporation $11.57 06/13/2025 Food and Beverage Undisputed 06/30/2026 1200085966 CMS
Novartis Pharmaceuticals Corporation $17.84 06/30/2025 Food and Beverage Undisputed 06/30/2026 1200085968 CMS
Novartis Pharmaceuticals Corporation $16.18 07/23/2025 Food and Beverage Undisputed 06/30/2026 1200085982 CMS
Novartis Pharmaceuticals Corporation $16.72 08/04/2025 Food and Beverage Undisputed 06/30/2026 1200085984 CMS
Novartis Pharmaceuticals Corporation $15.51 09/05/2025 Food and Beverage Undisputed 06/30/2026 1200085988 CMS
Novartis Pharmaceuticals Corporation $15.51 09/05/2025 Food and Beverage Undisputed 06/30/2026 1200085990 CMS
Novartis Pharmaceuticals Corporation $7.30 10/14/2025 Food and Beverage Undisputed 06/30/2026 1200085996 CMS
Novo Nordisk Inc $18.93 04/09/2025 Food and Beverage Undisputed 06/30/2026 1188721956 CMS
Novo Nordisk Inc $13.97 10/30/2025 Food and Beverage Undisputed 06/30/2026 1188910876 CMS
Organogenesis Inc. $122.78 07/24/2025 Food and Beverage Undisputed 06/30/2026 1242003318 CMS
PFIZER INC. $37.36 01/21/2025 Food and Beverage Undisputed 06/30/2026 1228847352 CMS
PFIZER INC. $32.55 07/21/2025 Food and Beverage Undisputed 06/30/2026 1229457247 CMS
PFIZER INC. $37.36 10/23/2025 Food and Beverage Undisputed 06/30/2026 1230655702 CMS
Shockwave Medical, Inc $54.03 05/15/2025 Food and Beverage Undisputed 06/30/2026 1173879414 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $31.93 05/06/2025 Food and Beverage Undisputed 06/30/2026 1173618236 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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