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

JOSEPH TOOTHAKER ALVAREZ

Allopathic & Osteopathic Physicians Anesthesiology Pain Medicine

NPI
1336193903
CMS profile
196305
Location
WEBSTER, TX

General Payments · PY2018–2024

$23,494.95

  • Reported across 356 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$3,848.55

45 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 $3,848.55 45

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Medtronic, Inc. $3,473.73 39
BOSTON SCIENTIFIC CORPORATION $191.51 2
Saluda Medical Americas, Inc. $116.95 1
VERTEX PHARMACEUTICALS INCORPORATED $25.14 1
Bioventus LLC $20.94 1
Nalu Medical, Inc. $20.28 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $4,056.57 42
PY2019 $5,730.47 99
PY2020 $2,469.77 46
PY2021 $2,827.91 55
PY2022 $2,015.58 31
PY2023 $2,546.10 38
PY2024 $3,848.55 45

Payment records · PY2024 (45)

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
Bioventus LLC $20.94 04/23/2024 Food and Beverage Undisputed 01/23/2026 1137450629 CMS
Boston Scientific Corporation $66.02 10/24/2024 Food and Beverage Undisputed 01/23/2026 1092631673 CMS
Boston Scientific Corporation $125.49 10/24/2024 Food and Beverage Undisputed 01/23/2026 1092631675 CMS
Medtronic, Inc. $86.94 01/16/2024 Food and Beverage Undisputed 01/23/2026 1119270710 CMS
Medtronic, Inc. $18.66 01/19/2024 Food and Beverage Undisputed 01/23/2026 1119270714 CMS
Medtronic, Inc. $59.39 01/19/2024 Food and Beverage Undisputed 01/23/2026 1119270716 CMS
Medtronic, Inc. $173.82 01/24/2024 Food and Beverage Undisputed 01/23/2026 1119270708 CMS
Medtronic, Inc. $27.59 01/31/2024 Food and Beverage Undisputed 01/23/2026 1119270704 CMS
Medtronic, Inc. $94.60 01/31/2024 Food and Beverage Undisputed 01/23/2026 1119270706 CMS
Medtronic, Inc. $94.43 02/06/2024 Food and Beverage Undisputed 01/23/2026 1119270712 CMS
Medtronic, Inc. $17.61 02/29/2024 Food and Beverage Undisputed 01/23/2026 1119270720 CMS
Medtronic, Inc. $197.11 02/29/2024 Food and Beverage Undisputed 01/23/2026 1119270722 CMS
Medtronic, Inc. $105.54 03/06/2024 Food and Beverage Undisputed 01/23/2026 1119270718 CMS
Medtronic, Inc. $92.34 03/07/2024 Food and Beverage Undisputed 01/23/2026 1119270730 CMS
Medtronic, Inc. $77.85 03/13/2024 Food and Beverage Undisputed 01/23/2026 1119270726 CMS
Medtronic, Inc. $19.07 03/13/2024 Food and Beverage Undisputed 01/23/2026 1119270728 CMS
Medtronic, Inc. $21.91 03/20/2024 Food and Beverage Undisputed 01/23/2026 1119270724 CMS
Medtronic, Inc. $116.78 04/02/2024 Food and Beverage Undisputed 01/23/2026 1119270740 CMS
Medtronic, Inc. $156.44 04/10/2024 Food and Beverage Undisputed 01/23/2026 1119270738 CMS
Medtronic, Inc. $126.05 04/11/2024 Food and Beverage Undisputed 01/23/2026 1119270736 CMS
Medtronic, Inc. $110.06 04/16/2024 Food and Beverage Undisputed 01/23/2026 1119270734 CMS
Medtronic, Inc. $98.40 04/17/2024 Food and Beverage Undisputed 01/23/2026 1119270732 CMS
Medtronic, Inc. $42.03 05/09/2024 Food and Beverage Undisputed 01/23/2026 1119270748 CMS
Medtronic, Inc. $80.03 05/15/2024 Food and Beverage Undisputed 01/23/2026 1119270746 CMS
Medtronic, Inc. $83.48 05/22/2024 Food and Beverage Undisputed 01/23/2026 1119270742 CMS
Medtronic, Inc. $110.30 05/22/2024 Food and Beverage Undisputed 01/23/2026 1119270744 CMS
Medtronic, Inc. $102.60 06/06/2024 Food and Beverage Undisputed 01/23/2026 1119270750 CMS
Medtronic, Inc. $148.15 06/19/2024 Food and Beverage Undisputed 01/23/2026 1119270754 CMS
Medtronic, Inc. $126.08 06/26/2024 Food and Beverage Undisputed 01/23/2026 1119270752 CMS
Medtronic, Inc. $112.99 07/17/2024 Food and Beverage Undisputed 01/23/2026 1119270758 CMS
Medtronic, Inc. $108.05 07/22/2024 Food and Beverage Undisputed 01/23/2026 1119270756 CMS
Medtronic, Inc. $59.07 08/02/2024 Food and Beverage Undisputed 01/23/2026 1119270760 CMS
Medtronic, Inc. $63.03 08/28/2024 Food and Beverage Undisputed 01/23/2026 1119270764 CMS
Medtronic, Inc. $127.38 08/28/2024 Food and Beverage Undisputed 01/23/2026 1119270766 CMS
Medtronic, Inc. $100.94 09/11/2024 Food and Beverage Undisputed 01/23/2026 1119270762 CMS
Medtronic, Inc. $52.99 09/19/2024 Food and Beverage Undisputed 01/23/2026 1119270768 CMS
Medtronic, Inc. $113.26 10/16/2024 Food and Beverage Undisputed 01/23/2026 1119270770 CMS
Medtronic, Inc. $15.94 10/25/2024 Food and Beverage Undisputed 01/23/2026 1119270772 CMS
Medtronic, Inc. $72.06 11/01/2024 Food and Beverage Undisputed 01/23/2026 1119270776 CMS
Medtronic, Inc. $120.58 11/06/2024 Food and Beverage Undisputed 01/23/2026 1119270774 CMS
Medtronic, Inc. $34.48 11/25/2024 Food and Beverage Undisputed 01/23/2026 1119270780 CMS
Medtronic, Inc. $105.70 12/03/2024 Food and Beverage Undisputed 01/23/2026 1119270778 CMS
Nalu Medical, Inc. $20.28 11/06/2024 Food and Beverage Undisputed 01/23/2026 1133992331 CMS
Saluda Medical Americas, Inc. $116.95 01/19/2024 Food and Beverage Undisputed 01/23/2026 1084416903 CMS
VERTEX PHARMACEUTICALS INCORPORATED $25.14 08/20/2024 Food and Beverage Undisputed 01/23/2026 1105916744 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

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