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

VALERIE CRYSTAL ALVARADO

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1508469099
CMS profile
11168325
Location
CYPRESS, TX

General Payments · PY2021–2024

$1,946.15

  • Reported across 93 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$410.09

17 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 $410.09 17

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Abbott Laboratories $149.38 3
Novo Nordisk AS $83.95 4
Exact Sciences Corporation $54.31 3
Acerta Pharma LLC $35.15 2
Lilly USA, LLC $33.02 2
PFIZER INC. $19.80 1
Boehringer Ingelheim Pharmaceuticals, Inc. $19.52 1
Amgen Inc. $14.96 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $305.09 19
PY2022 $254.68 14
PY2023 $976.29 43
PY2024 $410.09 17

Payment records · PY2024 (17)

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

Program year 2024 202120222023 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 $115.92 01/02/2024 Food and Beverage Undisputed 01/23/2026 1125100744 CMS
Abbott Laboratories $19.57 01/19/2024 Food and Beverage Undisputed 01/23/2026 1125100746 CMS
Abbott Laboratories $13.89 02/12/2024 Food and Beverage Undisputed 01/23/2026 1125100748 CMS
Amgen Inc. $14.96 01/24/2024 Food and Beverage Undisputed 01/23/2026 1117188845 CMS
AstraZeneca Pharmaceuticals LP $20.42 03/06/2024 Food and Beverage Undisputed 01/23/2026 1104764664 CMS
AstraZeneca Pharmaceuticals LP $14.73 05/28/2024 Food and Beverage Undisputed 01/23/2026 1104766370 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $19.52 01/25/2024 Food and Beverage Undisputed 01/23/2026 1118037280 CMS
Exact Sciences Corporation $14.13 03/15/2024 Food and Beverage Undisputed 01/23/2026 1114438248 CMS
Exact Sciences Corporation $16.36 04/25/2024 Food and Beverage Undisputed 01/23/2026 1114438252 CMS
Exact Sciences Corporation $23.82 06/05/2024 Food and Beverage Undisputed 01/23/2026 1114438256 CMS
Lilly USA, LLC $15.88 03/18/2024 Food and Beverage Undisputed 01/23/2026 1135987624 CMS
Lilly USA, LLC $17.14 04/10/2024 Food and Beverage Undisputed 01/23/2026 1135983004 CMS
Novo Nordisk Inc $24.99 02/06/2024 Food and Beverage Undisputed 01/23/2026 1100510685 CMS
Novo Nordisk Inc $16.80 04/03/2024 Food and Beverage Undisputed 01/23/2026 1100503483 CMS
Novo Nordisk Inc $19.70 05/29/2024 Food and Beverage Undisputed 01/23/2026 1100235050 CMS
Novo Nordisk Inc $22.46 06/26/2024 Food and Beverage Undisputed 01/23/2026 1100475207 CMS
PFIZER INC. $19.80 02/22/2024 Food and Beverage Undisputed 01/23/2026 1131035466 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
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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