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

GEORGE ALVA

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1639766140
CMS profile
10999043
Location
MIDLAND, TX

General Payments · PY2021–2024

$2,269.27

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

Latest program year · PY2024

$844.66

33 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 $744.67 32
Education $99.99 1

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
HARMONY BIOSCIENCES LLC $186.45 4
ABBVIE INC. $170.61 9
Acerta Pharma LLC $149.57 5
Lilly USA, LLC $121.03 6
Takeda Pharmaceuticals U.S.A., Inc. $57.15 2
PFIZER INC. $50.57 2
Medtronic, Inc. $24.31 1
Corium, Inc. $23.68 1
Astellas Pharma US Inc $21.80 1
Tris Pharma Inc $21.22 1
Novo Nordisk AS $18.27 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $151.59 10
PY2022 $400.41 16
PY2023 $872.61 34
PY2024 $844.66 33

Payment records · PY2024 (33)

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
ABBVIE INC. $1.94 01/09/2024 Food and Beverage Undisputed 01/23/2026 1106432980 CMS
ABBVIE INC. $32.59 01/09/2024 Food and Beverage Undisputed 01/23/2026 1106432982 CMS
ABBVIE INC. $10.46 01/17/2024 Food and Beverage Undisputed 01/23/2026 1106432984 CMS
ABBVIE INC. $30.29 03/22/2024 Food and Beverage Undisputed 01/23/2026 1106432986 CMS
ABBVIE INC. $24.12 03/27/2024 Food and Beverage Undisputed 01/23/2026 1106432988 CMS
ABBVIE INC. $27.51 06/05/2024 Food and Beverage Undisputed 01/23/2026 1106432990 CMS
ABBVIE INC. $3.12 06/26/2024 Food and Beverage Undisputed 01/23/2026 1106432992 CMS
ABBVIE INC. $18.37 09/07/2024 Food and Beverage Undisputed 01/23/2026 1106432994 CMS
ABBVIE INC. $22.21 11/06/2024 Food and Beverage Undisputed 01/23/2026 1106432996 CMS
Astellas Pharma US Inc $21.80 08/01/2024 Food and Beverage Undisputed 01/23/2026 1139511611 CMS
AstraZeneca Pharmaceuticals LP $71.42 03/14/2024 Food and Beverage Undisputed 01/23/2026 1105836169 CMS
AstraZeneca Pharmaceuticals LP $12.42 05/02/2024 Food and Beverage Undisputed 01/23/2026 1104536723 CMS
AstraZeneca Pharmaceuticals LP $21.31 08/27/2024 Food and Beverage Undisputed 01/23/2026 1104326348 CMS
AstraZeneca Pharmaceuticals LP $23.65 11/06/2024 Food and Beverage Undisputed 01/23/2026 1105265566 CMS
AstraZeneca Pharmaceuticals LP $20.77 12/18/2024 Food and Beverage Undisputed 01/23/2026 1105860802 CMS
Corium, LLC $23.68 03/13/2024 Food and Beverage Undisputed 01/23/2026 1100086662 CMS
HARMONY BIOSCIENCES LLC $27.24 04/09/2024 Food and Beverage Undisputed 01/23/2026 1126090627 CMS
HARMONY BIOSCIENCES LLC $28.21 07/23/2024 Food and Beverage Undisputed 01/23/2026 1126090625 CMS
HARMONY BIOSCIENCES LLC $99.99 07/24/2024 Education Undisputed 01/23/2026 1126090621 CMS
HARMONY BIOSCIENCES LLC $31.01 11/14/2024 Food and Beverage Undisputed 01/23/2026 1126090623 CMS
Lilly USA, LLC $24.14 01/11/2024 Food and Beverage Undisputed 01/23/2026 1135690254 CMS
Lilly USA, LLC $19.04 02/13/2024 Food and Beverage Undisputed 01/23/2026 1135651191 CMS
Lilly USA, LLC $17.77 04/16/2024 Food and Beverage Undisputed 01/23/2026 1135639304 CMS
Lilly USA, LLC $19.93 06/04/2024 Food and Beverage Undisputed 01/23/2026 1135639306 CMS
Lilly USA, LLC $24.13 07/31/2024 Food and Beverage Undisputed 01/23/2026 1135674276 CMS
Lilly USA, LLC $16.02 11/20/2024 Food and Beverage Undisputed 01/23/2026 1135681793 CMS
Medtronic, Inc. $24.31 09/18/2024 Food and Beverage Undisputed 01/23/2026 1116972127 CMS
Novo Nordisk Inc $18.27 06/11/2024 Food and Beverage Undisputed 01/23/2026 1100629981 CMS
PFIZER INC. $28.64 01/16/2024 Food and Beverage Undisputed 01/23/2026 1131137655 CMS
PFIZER INC. $21.93 04/23/2024 Food and Beverage Undisputed 01/23/2026 1131328839 CMS
Takeda Pharmaceuticals U.S.A., Inc. $32.15 04/25/2024 Food and Beverage Undisputed 01/23/2026 1137705924 CMS
Takeda Pharmaceuticals U.S.A., Inc. $25.00 08/08/2024 Food and Beverage Undisputed 01/23/2026 1137705926 CMS
Tris Pharma Inc $21.22 01/30/2024 Food and Beverage Undisputed 01/23/2026 1147226327 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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