Covered recipient · General Payments record

MICHAEL L ALVARES

Allopathic & Osteopathic Physicians Allergy & Immunology

NPI: 1306055264
CMS profile: 195444
Location: GARLAND, TX

General Payments · PY2018–2024

$9,973.75

Reported across 492 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,079.16

95 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 payment	Amount	Records
Food and Beverage	$2,042.64	93
Consulting Fee	$20.59	1
Education	$15.93	1

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$604.37	28
Regeneron Healthcare Solutions, Inc.	$288.15	13
Takeda Pharmaceuticals U.S.A., Inc.	$238.91	10
NOVARTIS PHARMACEUTICALS CORPORATION	$219.76	11
GENZYME CORPORATION	$159.95	6
Grifols USA, LLC	$117.13	5
Amgen Inc.	$111.20	6
Blueprint Medicines Corporation	$63.99	3
GlaxoSmithKline, LLC.	$51.78	3
Genentech USA, Inc.	$50.16	2
CSL Behring	$45.29	2
BioCryst US Sales Co., LLC	$41.51	2
OptiNose US, Inc.	$24.41	1
Greer Laboratories, Inc.	$23.92	1
ADMA BioManufacturing LLC	$20.59	1
HOSPIRA, INC.	$18.04	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$728.98	41
PY2019	$1,032.28	51
PY2020	$950.69	48
PY2021	$1,656.01	82
PY2022	$1,702.49	93
PY2023	$1,824.14	82
PY2024	$2,079.16	95

Payment records · PY2024 (95)

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

Program year 2024 2018 2019 2020 2021 2022 2023 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
ADMA BioManufacturing LLC	$20.59	07/11/2024	Consulting Fee	Undisputed	01/23/2026	1149639478	CMS
Amgen Inc.	$18.23	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1115422406	CMS
Amgen Inc.	$15.21	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1115422412	CMS
Amgen Inc.	$22.16	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1115422416	CMS
Amgen Inc.	$17.14	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1115422420	CMS
Amgen Inc.	$18.32	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1115422424	CMS
Amgen Inc.	$20.14	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1115422428	CMS
AstraZeneca Pharmaceuticals LP	$22.81	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1104672255	CMS
AstraZeneca Pharmaceuticals LP	$18.44	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1104310184	CMS
AstraZeneca Pharmaceuticals LP	$23.21	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1105732249	CMS
AstraZeneca Pharmaceuticals LP	$13.95	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1104347002	CMS
AstraZeneca Pharmaceuticals LP	$32.54	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1105506860	CMS
AstraZeneca Pharmaceuticals LP	$22.55	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1105365283	CMS
AstraZeneca Pharmaceuticals LP	$16.27	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1105697296	CMS
AstraZeneca Pharmaceuticals LP	$19.55	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1104343588	CMS
AstraZeneca Pharmaceuticals LP	$24.38	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1105674303	CMS
AstraZeneca Pharmaceuticals LP	$23.29	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1105256168	CMS
AstraZeneca Pharmaceuticals LP	$16.63	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1104474972	CMS
AstraZeneca Pharmaceuticals LP	$22.19	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1105656952	CMS
AstraZeneca Pharmaceuticals LP	$17.35	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1105602352	CMS
AstraZeneca Pharmaceuticals LP	$21.95	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1105235492	CMS
AstraZeneca Pharmaceuticals LP	$28.75	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1104510144	CMS
AstraZeneca Pharmaceuticals LP	$22.03	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1104668543	CMS
AstraZeneca Pharmaceuticals LP	$23.14	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1104371767	CMS
AstraZeneca Pharmaceuticals LP	$17.82	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1104628194	CMS
AstraZeneca Pharmaceuticals LP	$17.32	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1105724153	CMS
AstraZeneca Pharmaceuticals LP	$17.50	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1105592634	CMS
AstraZeneca Pharmaceuticals LP	$23.35	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1105447057	CMS
AstraZeneca Pharmaceuticals LP	$22.14	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1104602238	CMS
AstraZeneca Pharmaceuticals LP	$22.53	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1104667055	CMS
AstraZeneca Pharmaceuticals LP	$22.73	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1104553216	CMS
AstraZeneca Pharmaceuticals LP	$18.95	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1104545370	CMS
AstraZeneca Pharmaceuticals LP	$17.79	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1105748117	CMS
AstraZeneca Pharmaceuticals LP	$30.60	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1104736823	CMS
AstraZeneca Pharmaceuticals LP	$24.61	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1105817877	CMS
BioCryst US Sales Co., LLC	$21.85	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1117482342	CMS
BioCryst US Sales Co., LLC	$19.66	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1117480202	CMS
Blueprint Medicines Corporation	$23.36	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1147453915	CMS
Blueprint Medicines Corporation	$23.36	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1147453917	CMS
Blueprint Medicines Corporation	$17.27	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1147453943	CMS
CSL Behring	$21.34	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1134645545	CMS
CSL Behring	$23.95	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1134645567	CMS
Genentech USA, Inc.	$26.01	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1133068906	CMS
Genentech USA, Inc.	$24.15	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1133068911	CMS
GENZYME CORPORATION	$28.02	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1139832138	CMS
GENZYME CORPORATION	$26.47	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1139832148	CMS
GENZYME CORPORATION	$27.08	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1139832150	CMS
GENZYME CORPORATION	$24.63	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1139832176	CMS
GENZYME CORPORATION	$28.99	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1139832224	CMS
GENZYME CORPORATION	$24.76	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1139832234	CMS
GlaxoSmithKline, LLC.	$16.75	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1116290278	CMS
GlaxoSmithKline, LLC.	$17.71	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1116313089	CMS
GlaxoSmithKline, LLC.	$17.32	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1115838177	CMS
Greer Laboratories, Inc.	$23.92	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1131113756	CMS
Grifols USA, LLC	$24.85	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1124747119	CMS
Grifols USA, LLC	$22.99	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1124747121	CMS
Grifols USA, LLC	$19.91	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1124747123	CMS
Grifols USA, LLC	$22.48	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1124747125	CMS
Grifols USA, LLC	$26.90	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1124747127	CMS
HOSPIRA, INC.	$18.04	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1131674985	CMS
Novartis Pharmaceuticals Corporation	$28.81	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1086647177	CMS
Novartis Pharmaceuticals Corporation	$23.43	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1086647179	CMS
Novartis Pharmaceuticals Corporation	$19.37	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1086647181	CMS
Novartis Pharmaceuticals Corporation	$20.78	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1086647183	CMS
Novartis Pharmaceuticals Corporation	$24.32	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1086647185	CMS
Novartis Pharmaceuticals Corporation	$20.60	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1086647189	CMS
Novartis Pharmaceuticals Corporation	$14.92	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1086647187	CMS
Novartis Pharmaceuticals Corporation	$25.07	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1086647191	CMS
Novartis Pharmaceuticals Corporation	$6.69	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1086647193	CMS
Novartis Pharmaceuticals Corporation	$20.57	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1086647195	CMS
Novartis Pharmaceuticals Corporation	$15.20	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1086647197	CMS
Optinose US, Inc.	$24.41	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1142190334	CMS
Regeneron Healthcare Solutions, Inc.	$8.80	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1113998615	CMS
Regeneron Healthcare Solutions, Inc.	$31.39	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1113998617	CMS
Regeneron Healthcare Solutions, Inc.	$16.91	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1113998619	CMS
Regeneron Healthcare Solutions, Inc.	$19.91	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1113998621	CMS
Regeneron Healthcare Solutions, Inc.	$9.23	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1113998623	CMS
Regeneron Healthcare Solutions, Inc.	$8.60	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1113998625	CMS
Regeneron Healthcare Solutions, Inc.	$34.26	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1113998627	CMS
Regeneron Healthcare Solutions, Inc.	$26.90	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1113998629	CMS
Regeneron Healthcare Solutions, Inc.	$33.60	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1113998631	CMS
Regeneron Healthcare Solutions, Inc.	$26.79	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1113998633	CMS
Regeneron Healthcare Solutions, Inc.	$27.65	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1113998635	CMS
Regeneron Healthcare Solutions, Inc.	$6.76	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1113998637	CMS
Regeneron Healthcare Solutions, Inc.	$37.35	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1113998639	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$29.26	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1137469678	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$31.50	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1137469682	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$6.19	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1137469686	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.12	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1137469690	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$25.15	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1137469694	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$37.74	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1137469701	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$29.55	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1137469703	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$15.93	12/04/2024	Education	Undisputed	01/23/2026	1137469706	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$19.23	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1137469710	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$24.24	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1137469714	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.