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

NATHANIEL V ALVIS

Allopathic & Osteopathic Physicians Family Medicine

NPI
1861634008
CMS profile
1099698
Location
DUNLAP, IA

General Payments · PY2018–2024

$6,067.65

  • Reported across 405 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$906.30

54 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 $906.30 54

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $637.87 50
PY2019 $665.14 48
PY2020 $800.51 53
PY2021 $1,016.07 71
PY2022 $1,049.78 68
PY2023 $991.98 61
PY2024 $906.30 54

Payment records · PY2024 (54)

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

Program year 2024 201820192020202120222023 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. $13.98 04/03/2024 Food and Beverage Undisputed 01/23/2026 1115422954 CMS
Amgen Inc. $13.78 07/17/2024 Food and Beverage Undisputed 01/23/2026 1117493772 CMS
Amgen Inc. $15.11 10/09/2024 Food and Beverage Undisputed 01/23/2026 1115422959 CMS
Amgen Inc. $13.87 12/12/2024 Food and Beverage Undisputed 01/23/2026 1117493774 CMS
Astellas Pharma US Inc $14.47 04/11/2024 Food and Beverage Undisputed 01/23/2026 1139335756 CMS
Astellas Pharma US Inc $15.67 09/19/2024 Food and Beverage Undisputed 01/23/2026 1139406257 CMS
AstraZeneca Pharmaceuticals LP $14.23 02/01/2024 Food and Beverage Undisputed 01/23/2026 1105485901 CMS
AstraZeneca Pharmaceuticals LP $17.11 02/27/2024 Food and Beverage Undisputed 01/23/2026 1104279673 CMS
AstraZeneca Pharmaceuticals LP $15.58 05/13/2024 Food and Beverage Undisputed 01/23/2026 1104464592 CMS
AstraZeneca Pharmaceuticals LP $15.14 06/03/2024 Food and Beverage Undisputed 01/23/2026 1105327482 CMS
Bayer Healthcare Pharmaceuticals Inc. $20.27 11/05/2024 Food and Beverage Undisputed 01/23/2026 1086263440 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $22.85 10/15/2024 Food and Beverage Undisputed 01/23/2026 1118195644 CMS
Exact Sciences Corporation $15.85 02/19/2024 Food and Beverage Undisputed 01/23/2026 1114575449 CMS
GlaxoSmithKline, LLC. $13.59 01/02/2024 Food and Beverage Undisputed 01/23/2026 1116135778 CMS
GlaxoSmithKline, LLC. $13.36 06/18/2024 Food and Beverage Undisputed 01/23/2026 1116346398 CMS
GlaxoSmithKline, LLC. $15.83 10/30/2024 Food and Beverage Undisputed 01/23/2026 1115841559 CMS
GlaxoSmithKline, LLC. $14.38 11/07/2024 Food and Beverage Undisputed 01/23/2026 1116035709 CMS
Lilly USA, LLC $21.35 01/11/2024 Food and Beverage Undisputed 01/23/2026 1135286513 CMS
Lilly USA, LLC $16.52 01/17/2024 Food and Beverage Undisputed 01/23/2026 1135242975 CMS
Lilly USA, LLC $13.05 02/21/2024 Food and Beverage Undisputed 01/23/2026 1135223888 CMS
Lilly USA, LLC $13.96 03/19/2024 Food and Beverage Undisputed 01/23/2026 1135242979 CMS
Lilly USA, LLC $13.96 05/01/2024 Food and Beverage Undisputed 01/23/2026 1135286508 CMS
Lilly USA, LLC $16.41 05/30/2024 Food and Beverage Undisputed 01/23/2026 1135273625 CMS
Lilly USA, LLC $13.81 06/25/2024 Food and Beverage Undisputed 01/23/2026 1135269857 CMS
Lilly USA, LLC $27.99 10/03/2024 Food and Beverage Undisputed 01/23/2026 1135269852 CMS
Lilly USA, LLC $23.49 11/25/2024 Food and Beverage Undisputed 01/23/2026 1135175937 CMS
Lundbeck LLC $21.80 08/05/2024 Food and Beverage Undisputed 01/23/2026 1145891471 CMS
Lundbeck LLC $18.17 10/11/2024 Food and Beverage Undisputed 01/23/2026 1145891473 CMS
Lundbeck LLC $21.47 11/20/2024 Food and Beverage Undisputed 01/23/2026 1145891475 CMS
Mylan Specialty L.P. $14.10 02/12/2024 Food and Beverage Undisputed 01/23/2026 1147312027 CMS
Mylan Specialty L.P. $17.25 04/10/2024 Food and Beverage Undisputed 01/23/2026 1147340101 CMS
Mylan Specialty L.P. $14.03 06/05/2024 Food and Beverage Undisputed 01/23/2026 1147376640 CMS
Mylan Specialty L.P. $14.52 09/11/2024 Food and Beverage Undisputed 01/23/2026 1147295577 CMS
Mylan Specialty L.P. $20.89 12/11/2024 Food and Beverage Undisputed 01/23/2026 1147332826 CMS
Novartis Pharmaceuticals Corporation $17.22 01/30/2024 Food and Beverage Undisputed 01/23/2026 1086724593 CMS
Novartis Pharmaceuticals Corporation $13.55 04/08/2024 Food and Beverage Undisputed 01/23/2026 1086724607 CMS
Novartis Pharmaceuticals Corporation $15.09 05/20/2024 Food and Beverage Undisputed 01/23/2026 1086724603 CMS
Novartis Pharmaceuticals Corporation $14.19 06/10/2024 Food and Beverage Undisputed 01/23/2026 1086724605 CMS
Novo Nordisk Inc $15.37 01/18/2024 Food and Beverage Undisputed 01/23/2026 1096596460 CMS
Novo Nordisk Inc $19.23 02/29/2024 Food and Beverage Undisputed 01/23/2026 1096668093 CMS
Novo Nordisk Inc $14.83 05/09/2024 Food and Beverage Undisputed 01/23/2026 1096746161 CMS
Novo Nordisk Inc $19.07 07/24/2024 Food and Beverage Undisputed 01/23/2026 1097457521 CMS
Novo Nordisk Inc $16.53 08/22/2024 Food and Beverage Undisputed 01/23/2026 1096674250 CMS
Novo Nordisk Inc $22.04 09/25/2024 Food and Beverage Undisputed 01/23/2026 1096911151 CMS
Novo Nordisk Inc $13.74 10/21/2024 Food and Beverage Undisputed 01/23/2026 1096932681 CMS
Novo Nordisk Inc $11.52 11/25/2024 Food and Beverage Undisputed 01/23/2026 1097319132 CMS
Paratek Pharmaceuticals, Inc. $14.48 07/22/2024 Food and Beverage Undisputed 01/23/2026 1113890751 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $23.45 02/07/2024 Food and Beverage Undisputed 01/23/2026 1153492213 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $15.09 07/17/2024 Food and Beverage Undisputed 01/23/2026 1153540570 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.89 10/04/2024 Food and Beverage Undisputed 01/23/2026 1153539336 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $18.65 12/18/2024 Food and Beverage Undisputed 01/23/2026 1153566101 CMS
Sumitomo Pharma America, Inc. $16.46 02/07/2024 Food and Beverage Undisputed 01/23/2026 1148820901 CMS
Sumitomo Pharma America, Inc. $18.30 05/06/2024 Food and Beverage Undisputed 01/23/2026 1148820903 CMS
Teva Pharmaceuticals USA, Inc. $19.76 01/31/2024 Food and Beverage Undisputed 01/23/2026 1151603884 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

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

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.