Covered recipient · General Payments record

ISRAEL J ALVARADO

Allopathic & Osteopathic Physicians Internal Medicine

NPI: 1427096569
CMS profile: 19677
Location: NORTH LAS VEGAS, NV

General Payments · PY2018–2024

$11,579.56

Reported across 468 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,769.08

93 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	$2,769.08	93

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$601.23	16
Abbott Laboratories	$399.65	6
ABBVIE INC.	$233.85	9
Novo Nordisk AS	$211.34	10
Boehringer Ingelheim Pharmaceuticals, Inc.	$191.58	4
Astellas Pharma US Inc	$152.62	11
Bayer HealthCare Pharmaceuticals Inc.	$152.43	4
PFIZER INC.	$151.87	8
Merck Sharp & Dohme Corporation	$108.98	1
Lexicon Pharmaceuticals, Inc.	$96.28	1
Gilead Sciences, Inc.	$90.68	3
Amgen Inc.	$69.00	3
DEXCOM, INC.	$52.71	3
GlaxoSmithKline, LLC.	$30.37	2
IRONWOOD PHARMACEUTICALS, INC	$29.56	1
Exact Sciences Corporation	$28.98	2
Phathom Pharmaceuticals, Inc.	$22.36	1
BOSTON SCIENTIFIC CORPORATION	$22.10	1
Phadia US Inc.	$20.57	1
INTRA-SANA LABORATORIES	$19.99	1
E.R. Squibb & Sons, L.L.C.	$17.90	1
INOGEN, INC.	$17.64	1
Seqirus USA Inc	$15.88	1
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.85	1
Lilly USA, LLC	$15.66	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$658.84	37
PY2019	$1,103.31	48
PY2020	$444.96	18
PY2021	$1,466.49	52
PY2022	$2,340.55	103
PY2023	$2,796.33	117
PY2024	$2,769.08	93

Payment records · PY2024 (93)

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
Abbott Laboratories	$27.22	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1125058257	CMS
Abbott Laboratories	$129.35	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1125058255	CMS
Abbott Laboratories	$24.97	05/03/2024	Food and Beverage	Undisputed	01/23/2026	1125058259	CMS
Abbott Laboratories	$25.58	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1125058265	CMS
Abbott Laboratories	$29.94	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1125058261	CMS
Abbott Laboratories	$162.59	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1125058263	CMS
ABBVIE INC.	$29.32	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1103214497	CMS
ABBVIE INC.	$27.97	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1103214499	CMS
ABBVIE INC.	$29.32	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1103214501	CMS
ABBVIE INC.	$18.04	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1103214503	CMS
ABBVIE INC.	$22.84	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1103214505	CMS
ABBVIE INC.	$30.87	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1103214507	CMS
ABBVIE INC.	$33.86	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1103214509	CMS
ABBVIE INC.	$16.21	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1103214511	CMS
ABBVIE INC.	$25.42	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1103214513	CMS
Amgen Inc.	$17.70	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1117188857	CMS
Amgen Inc.	$27.97	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1117188859	CMS
Amgen Inc.	$23.33	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1117188861	CMS
Astellas Pharma US Inc	$19.79	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1139276998	CMS
Astellas Pharma US Inc	$9.10	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1139309710	CMS
Astellas Pharma US Inc	$19.54	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1139306802	CMS
Astellas Pharma US Inc	$9.10	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1139306800	CMS
Astellas Pharma US Inc	$9.98	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1139356627	CMS
Astellas Pharma US Inc	$22.25	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1139360841	CMS
Astellas Pharma US Inc	$16.24	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1139358229	CMS
Astellas Pharma US Inc	$8.09	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1139364943	CMS
Astellas Pharma US Inc	$8.83	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1139363599	CMS
Astellas Pharma US Inc	$18.03	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1139401531	CMS
Astellas Pharma US Inc	$11.67	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1139442518	CMS
AstraZeneca Pharmaceuticals LP	$30.18	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1104292440	CMS
AstraZeneca Pharmaceuticals LP	$30.58	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1104638221	CMS
AstraZeneca Pharmaceuticals LP	$13.97	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1104628860	CMS
AstraZeneca Pharmaceuticals LP	$13.42	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1104496080	CMS
AstraZeneca Pharmaceuticals LP	$86.04	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1104772284	CMS
AstraZeneca Pharmaceuticals LP	$18.40	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1105219851	CMS
AstraZeneca Pharmaceuticals LP	$121.96	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1104378431	CMS
AstraZeneca Pharmaceuticals LP	$29.25	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1105728241	CMS
AstraZeneca Pharmaceuticals LP	$16.56	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1104288366	CMS
AstraZeneca Pharmaceuticals LP	$23.06	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1105789640	CMS
AstraZeneca Pharmaceuticals LP	$13.95	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1105717878	CMS
AstraZeneca Pharmaceuticals LP	$123.91	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1104435223	CMS
AstraZeneca Pharmaceuticals LP	$21.88	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1105424592	CMS
AstraZeneca Pharmaceuticals LP	$17.36	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1105626107	CMS
AstraZeneca Pharmaceuticals LP	$18.99	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1104464386	CMS
AstraZeneca Pharmaceuticals LP	$21.72	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1105420129	CMS
Bayer Healthcare Pharmaceuticals Inc.	$12.55	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1086089687	CMS
Bayer Healthcare Pharmaceuticals Inc.	$9.12	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1086090759	CMS
Bayer Healthcare Pharmaceuticals Inc.	$8.97	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1086092319	CMS
Bayer Healthcare Pharmaceuticals Inc.	$121.79	09/07/2024	Food and Beverage	Undisputed	01/23/2026	1086226082	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.27	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1118004170	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$120.65	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1118004176	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$32.62	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1118004174	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$24.04	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1118004172	CMS
Boston Scientific Corporation	$22.10	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1092684857	CMS
Dexcom, Inc.	$16.13	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1153304931	CMS
Dexcom, Inc.	$17.33	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1153304933	CMS
Dexcom, Inc.	$19.25	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1153304935	CMS
E.R. Squibb & Sons, L.L.C.	$17.90	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1101696518	CMS
Exact Sciences Corporation	$15.25	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1114575095	CMS
Exact Sciences Corporation	$13.73	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1114575099	CMS
Gilead Sciences, Inc.	$31.12	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1133765655	CMS
Gilead Sciences, Inc.	$30.26	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1133765657	CMS
Gilead Sciences, Inc.	$29.30	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1133765659	CMS
GlaxoSmithKline, LLC.	$15.69	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1116688323	CMS
GlaxoSmithKline, LLC.	$14.68	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1116424689	CMS
INOGEN, INC.	$17.64	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1144987150	CMS
Intra-Sana Laboratories	$19.99	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1138616935	CMS
IRONWOOD PHARMACEUTICALS, INC	$29.56	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1153746487	CMS
Lexicon Pharmaceuticals, Inc.	$96.28	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1081718006	CMS
Lilly USA, LLC	$15.66	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1134987650	CMS
Merck Sharp & Dohme LLC	$108.98	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1141888231	CMS
Novo Nordisk Inc	$21.50	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1097087638	CMS
Novo Nordisk Inc	$20.14	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1097297734	CMS
Novo Nordisk Inc	$23.40	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1096880695	CMS
Novo Nordisk Inc	$19.05	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1097486011	CMS
Novo Nordisk Inc	$12.32	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1096629802	CMS
Novo Nordisk Inc	$20.59	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1097739624	CMS
Novo Nordisk Inc	$23.30	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1097283835	CMS
Novo Nordisk Inc	$19.07	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1096615100	CMS
Novo Nordisk Inc	$27.20	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1096643086	CMS
Novo Nordisk Inc	$24.77	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1097766264	CMS
PFIZER INC.	$25.50	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1131359367	CMS
PFIZER INC.	$16.75	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1131215785	CMS
PFIZER INC.	$17.59	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1131894908	CMS
PFIZER INC.	$23.60	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1131997805	CMS
PFIZER INC.	$23.73	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1130876746	CMS
PFIZER INC.	$12.74	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1130978723	CMS
PFIZER INC.	$19.48	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1130876630	CMS
PFIZER INC.	$12.48	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1131122957	CMS
Phadia US Inc.	$20.57	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1067579666	CMS
Phathom Pharmaceuticals, Inc.	$22.36	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1151034526	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.85	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1153509689	CMS
Seqirus USA Inc	$15.88	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1125634377	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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