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

OCTAVIO MIGUEL ALFONSO

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

NPI
1881100121
CMS profile
10949731
Location
MIAMI, FL

General Payments · PY2021–2024

$1,401.61

  • Reported across 48 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$690.78

23 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 $690.78 23

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $80.29 4
PY2022 $550.42 18
PY2023 $80.12 3
PY2024 $690.78 23

Payment records · PY2024 (23)

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 $22.86 02/29/2024 Food and Beverage Undisputed 01/23/2026 1125318165 CMS
Abbott Laboratories $23.71 02/29/2024 Food and Beverage Undisputed 01/23/2026 1125318167 CMS
Abbott Laboratories $15.85 09/13/2024 Food and Beverage Undisputed 01/23/2026 1125318171 CMS
Abbott Laboratories $18.27 09/24/2024 Food and Beverage Undisputed 01/23/2026 1125318169 CMS
Alkermes, Inc. $21.67 04/17/2024 Food and Beverage Undisputed 01/23/2026 1120456199 CMS
Alkermes, Inc. $21.67 06/13/2024 Food and Beverage Undisputed 01/23/2026 1120456201 CMS
Alkermes, Inc. $21.67 09/19/2024 Food and Beverage Undisputed 01/23/2026 1120456203 CMS
Alkermes, Inc. $19.48 10/15/2024 Food and Beverage Undisputed 01/23/2026 1120456205 CMS
E.R. Squibb & Sons, L.L.C. $28.12 09/25/2024 Food and Beverage Undisputed 01/23/2026 1101309293 CMS
E.R. Squibb & Sons, L.L.C. $24.39 11/07/2024 Food and Beverage Undisputed 01/23/2026 1101309295 CMS
E.R. Squibb & Sons, L.L.C. $16.37 12/17/2024 Food and Beverage Undisputed 01/23/2026 1101309305 CMS
Janssen Pharmaceuticals, Inc $17.89 03/04/2024 Food and Beverage Undisputed 01/23/2026 1077967418 CMS
Otsuka America Pharmaceutical, Inc. $124.99 03/20/2024 Food and Beverage Undisputed 01/23/2026 1119013598 CMS
Otsuka America Pharmaceutical, Inc. $26.48 04/04/2024 Food and Beverage Undisputed 01/23/2026 1119013600 CMS
Otsuka America Pharmaceutical, Inc. $21.98 06/04/2024 Food and Beverage Undisputed 01/23/2026 1119013602 CMS
Otsuka America Pharmaceutical, Inc. $7.44 07/31/2024 Food and Beverage Undisputed 01/23/2026 1119013604 CMS
Otsuka America Pharmaceutical, Inc. $99.18 08/29/2024 Food and Beverage Undisputed 01/23/2026 1119013606 CMS
Otsuka America Pharmaceutical, Inc. $28.49 10/17/2024 Food and Beverage Undisputed 01/23/2026 1119013608 CMS
Otsuka America Pharmaceutical, Inc. $17.98 10/28/2024 Food and Beverage Undisputed 01/23/2026 1119013610 CMS
Otsuka America Pharmaceutical, Inc. $22.87 12/20/2024 Food and Beverage Undisputed 01/23/2026 1119013612 CMS
Teva Pharmaceuticals USA, Inc. $28.89 03/28/2024 Food and Beverage Undisputed 01/23/2026 1151537451 CMS
Teva Pharmaceuticals USA, Inc. $29.05 10/16/2024 Food and Beverage Undisputed 01/23/2026 1151537565 CMS
Teva Pharmaceuticals USA, Inc. $31.48 12/05/2024 Food and Beverage Undisputed 01/23/2026 1151537577 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

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.