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

SILVERIO D ALVAREZ

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1740758416
CMS profile
10790686
Location
HEMET, CA

General Payments · PY2021–2024

$4,285.48

  • Reported across 109 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$709.68

25 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 $709.68 25

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,543.27 44
PY2022 $1,193.69 26
PY2023 $838.84 14
PY2024 $709.68 25

Payment records · PY2024 (25)

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
Amgen Inc. $121.84 01/24/2024 Food and Beverage Undisputed 01/23/2026 1117188925 CMS
Amgen Inc. $8.57 03/21/2024 Food and Beverage Undisputed 01/23/2026 1117493660 CMS
Amgen Inc. $5.99 03/25/2024 Food and Beverage Undisputed 01/23/2026 1117188921 CMS
Amgen Inc. $8.99 04/17/2024 Food and Beverage Undisputed 01/23/2026 1117493662 CMS
Amgen Inc. $11.67 05/28/2024 Food and Beverage Undisputed 01/23/2026 1117493664 CMS
Amgen Inc. $6.98 06/12/2024 Food and Beverage Undisputed 01/23/2026 1117188923 CMS
Amgen Inc. $6.05 07/09/2024 Food and Beverage Undisputed 01/23/2026 1117493666 CMS
Amgen Inc. $10.00 07/30/2024 Food and Beverage Undisputed 01/23/2026 1117493668 CMS
Amgen Inc. $1.24 10/04/2024 Food and Beverage Undisputed 01/23/2026 1117493670 CMS
Amgen Inc. $102.31 12/12/2024 Food and Beverage Undisputed 01/23/2026 1117493672 CMS
AstraZeneca Pharmaceuticals LP $18.69 08/28/2024 Food and Beverage Undisputed 01/23/2026 1105448315 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $32.83 04/18/2024 Food and Beverage Undisputed 01/23/2026 1118137038 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $27.87 05/23/2024 Food and Beverage Undisputed 01/23/2026 1118137036 CMS
Boston Scientific Corporation $18.29 07/24/2024 Food and Beverage Undisputed 01/23/2026 1092714394 CMS
GlaxoSmithKline, LLC. $24.83 09/12/2024 Food and Beverage Undisputed 01/23/2026 1116248369 CMS
GlaxoSmithKline, LLC. $18.48 10/10/2024 Food and Beverage Undisputed 01/23/2026 1116547431 CMS
GlaxoSmithKline, LLC. $23.48 12/03/2024 Food and Beverage Undisputed 01/23/2026 1116347128 CMS
Lilly USA, LLC $19.58 02/12/2024 Food and Beverage Undisputed 01/23/2026 1135910689 CMS
Medtronic, Inc. $17.62 03/29/2024 Food and Beverage Undisputed 01/23/2026 1116986488 CMS
Novo Nordisk Inc $22.83 03/02/2024 Food and Beverage Undisputed 01/23/2026 1100385849 CMS
Novo Nordisk Inc $113.33 06/13/2024 Food and Beverage Undisputed 01/23/2026 1100452740 CMS
Novo Nordisk Inc $23.30 07/18/2024 Food and Beverage Undisputed 01/23/2026 1100561721 CMS
Novo Nordisk Inc $16.45 08/27/2024 Food and Beverage Undisputed 01/23/2026 1100538852 CMS
PFIZER INC. $22.26 08/07/2024 Food and Beverage Undisputed 01/23/2026 1132034996 CMS
SHIELD THERAPEUTICS INC $26.20 08/14/2024 Food and Beverage Undisputed 01/23/2026 1150142002 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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Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.