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

NANCY ANDA ALVAREZ

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1437885837
CMS profile
11328502
Location
SIMI VALLEY, CA

General Payments · PY2022–2024

$2,193.37

  • Reported across 60 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,101.56

27 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 $1,101.56 27

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
GlaxoSmithKline, LLC. $352.72 11
Acerta Pharma LLC $268.52 4
Amgen Inc. $246.21 5
Actelion Pharmaceuticals US, Inc. $117.85 1
Mylan Specialty L.P. $58.09 4
Lilly USA, LLC $31.98 1
Regeneron Healthcare Solutions, Inc. $26.19 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $90.13 1
PY2023 $1,001.68 32
PY2024 $1,101.56 27

Payment records · PY2024 (27)

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

Program year 2024 20222023 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
Actelion Pharmaceuticals US, Inc. $117.85 06/24/2024 Food and Beverage Undisputed 01/23/2026 1078872640 CMS
Amgen Inc. $23.31 03/19/2024 Food and Beverage Undisputed 01/23/2026 1117188903 CMS
Amgen Inc. $21.85 05/29/2024 Food and Beverage Undisputed 01/23/2026 1117188907 CMS
Amgen Inc. $5.93 09/26/2024 Food and Beverage Undisputed 01/23/2026 1117188899 CMS
Amgen Inc. $183.86 11/12/2024 Food and Beverage Undisputed 01/23/2026 1117188901 CMS
Amgen Inc. $11.26 12/10/2024 Food and Beverage Undisputed 01/23/2026 1117188909 CMS
AstraZeneca Pharmaceuticals LP $125.00 03/18/2024 Food and Beverage Undisputed 01/23/2026 1110531375 CMS
AstraZeneca Pharmaceuticals LP $120.89 04/17/2024 Food and Beverage Undisputed 01/23/2026 1110535514 CMS
AstraZeneca Pharmaceuticals LP $8.98 04/22/2024 Food and Beverage Undisputed 01/23/2026 1110548904 CMS
AstraZeneca Pharmaceuticals LP $13.65 10/25/2024 Food and Beverage Undisputed 01/23/2026 1110550050 CMS
GlaxoSmithKline, LLC. $8.35 03/01/2024 Food and Beverage Undisputed 01/23/2026 1115990929 CMS
GlaxoSmithKline, LLC. $10.72 03/13/2024 Food and Beverage Undisputed 01/23/2026 1116283275 CMS
GlaxoSmithKline, LLC. $123.23 03/20/2024 Food and Beverage Undisputed 01/23/2026 1116323154 CMS
GlaxoSmithKline, LLC. $125.00 04/03/2024 Food and Beverage Undisputed 01/23/2026 1116541086 CMS
GlaxoSmithKline, LLC. $7.00 04/19/2024 Food and Beverage Undisputed 01/23/2026 1116681511 CMS
GlaxoSmithKline, LLC. $11.55 05/31/2024 Food and Beverage Undisputed 01/23/2026 1116368798 CMS
GlaxoSmithKline, LLC. $17.72 06/07/2024 Food and Beverage Undisputed 01/23/2026 1116543598 CMS
GlaxoSmithKline, LLC. $18.34 08/09/2024 Food and Beverage Undisputed 01/23/2026 1116621437 CMS
GlaxoSmithKline, LLC. $9.98 11/01/2024 Food and Beverage Undisputed 01/23/2026 1116507683 CMS
GlaxoSmithKline, LLC. $13.60 11/13/2024 Food and Beverage Undisputed 01/23/2026 1116080906 CMS
GlaxoSmithKline, LLC. $7.23 12/06/2024 Food and Beverage Undisputed 01/23/2026 1116336001 CMS
Lilly USA, LLC $31.98 06/26/2024 Food and Beverage Undisputed 01/23/2026 1135904123 CMS
Mylan Specialty L.P. $13.49 04/19/2024 Food and Beverage Undisputed 01/23/2026 1147351007 CMS
Mylan Specialty L.P. $16.53 09/06/2024 Food and Beverage Undisputed 01/23/2026 1147300633 CMS
Mylan Specialty L.P. $14.15 11/22/2024 Food and Beverage Undisputed 01/23/2026 1147330692 CMS
Mylan Specialty L.P. $13.92 12/11/2024 Food and Beverage Undisputed 01/23/2026 1147333087 CMS
Regeneron Healthcare Solutions, Inc. $26.19 05/24/2024 Food and Beverage Undisputed 01/23/2026 1114265284 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
2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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