Covered recipient · General Payments record

FLAVIO H ALVAREZ

Allopathic & Osteopathic Physicians Internal Medicine Nephrology

NPI: 1932175601
CMS profile: 223302
Location: LIVE OAK, TX

General Payments · PY2018–2024

$10,390.33

Reported across 391 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,099.94

97 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 payment	Amount	Records
Food and Beverage	$2,099.94	97

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$377.07	14
Aurinia Pharma U.S., Inc.	$303.22	8
Amgen Inc.	$230.84	16
Ardelyx, Inc.	$188.74	5
Fresenius USA Marketing, Inc.	$162.22	18
VentureMed Group, Inc.	$152.87	1
Bayer HealthCare Pharmaceuticals Inc.	$145.27	9
CorMedix Inc.	$87.60	3
NOVARTIS PHARMACEUTICALS CORPORATION	$85.82	3
Otsuka America Pharmaceutical, Inc.	$73.73	3
Mallinckrodt Hospital Products Inc.	$60.43	3
Retrophin, Inc.	$57.86	4
Novo Nordisk AS	$53.76	3
OPKO Pharmaceuticals, LLC	$43.81	3
ANI Pharmaceuticals, Inc.	$20.71	1
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.99	1
CALLIDITAS THERAPEUTICS US INC.	$18.11	1
GlaxoSmithKline, LLC.	$17.89	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$1,420.69	55
PY2019	$1,195.59	51
PY2020	$165.04	11
PY2021	$977.91	45
PY2022	$2,918.84	65
PY2023	$1,612.32	67
PY2024	$2,099.94	97

Payment records · PY2024 (97)

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

Program year 2024 2018 2019 2020 2021 2022 2023 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.	$17.62	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1117188985	CMS
Amgen Inc.	$20.02	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1111515845	CMS
Amgen Inc.	$13.52	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1111515847	CMS
Amgen Inc.	$11.50	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1117188987	CMS
Amgen Inc.	$17.74	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1117493680	CMS
Amgen Inc.	$10.55	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1111515849	CMS
Amgen Inc.	$7.77	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1117188989	CMS
Amgen Inc.	$15.37	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1117188991	CMS
Amgen Inc.	$12.20	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1111515851	CMS
Amgen Inc.	$12.20	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1111515853	CMS
Amgen Inc.	$21.69	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1117188993	CMS
Amgen Inc.	$12.20	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1111515855	CMS
Amgen Inc.	$9.86	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1111515837	CMS
Amgen Inc.	$17.83	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1111515839	CMS
Amgen Inc.	$17.86	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1111515841	CMS
Amgen Inc.	$12.91	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1111515843	CMS
ANI Pharmaceuticals, Inc.	$20.71	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1091170872	CMS
Ardelyx, Inc.	$29.30	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1146668648	CMS
Ardelyx, Inc.	$19.63	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1146668650	CMS
Ardelyx, Inc.	$121.47	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1146668652	CMS
Ardelyx, Inc.	$4.68	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1146668654	CMS
Ardelyx, Inc.	$13.66	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1146668656	CMS
AstraZeneca Pharmaceuticals LP	$18.11	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1105766210	CMS
AstraZeneca Pharmaceuticals LP	$31.37	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1104547946	CMS
AstraZeneca Pharmaceuticals LP	$19.78	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1104570312	CMS
AstraZeneca Pharmaceuticals LP	$109.01	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1105548955	CMS
AstraZeneca Pharmaceuticals LP	$18.37	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1104747227	CMS
AstraZeneca Pharmaceuticals LP	$18.93	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1104484712	CMS
AstraZeneca Pharmaceuticals LP	$20.74	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1104605608	CMS
AstraZeneca Pharmaceuticals LP	$18.65	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1105855152	CMS
AstraZeneca Pharmaceuticals LP	$23.88	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1105608221	CMS
AstraZeneca Pharmaceuticals LP	$19.16	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1104563796	CMS
AstraZeneca Pharmaceuticals LP	$24.90	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1104357475	CMS
AstraZeneca Pharmaceuticals LP	$14.17	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1105878577	CMS
AstraZeneca Pharmaceuticals LP	$16.16	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1105695536	CMS
AstraZeneca Pharmaceuticals LP	$23.84	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1104483646	CMS
Aurinia Pharma U.S., Inc.	$29.03	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1150675382	CMS
Aurinia Pharma U.S., Inc.	$28.46	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1150675384	CMS
Aurinia Pharma U.S., Inc.	$29.42	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1150675386	CMS
Aurinia Pharma U.S., Inc.	$28.63	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1150675388	CMS
Aurinia Pharma U.S., Inc.	$26.23	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1150675390	CMS
Aurinia Pharma U.S., Inc.	$27.27	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1150675392	CMS
Aurinia Pharma U.S., Inc.	$28.07	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1150675394	CMS
Aurinia Pharma U.S., Inc.	$106.11	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1150675396	CMS
Bayer Healthcare Pharmaceuticals Inc.	$29.07	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1086227448	CMS
Bayer Healthcare Pharmaceuticals Inc.	$4.90	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1086092249	CMS
Bayer Healthcare Pharmaceuticals Inc.	$18.94	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1086129798	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.65	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1086248140	CMS
Bayer Healthcare Pharmaceuticals Inc.	$18.94	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1086110300	CMS
Bayer Healthcare Pharmaceuticals Inc.	$1.08	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1086081950	CMS
Bayer Healthcare Pharmaceuticals Inc.	$24.97	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1086134943	CMS
Bayer Healthcare Pharmaceuticals Inc.	$19.84	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1086184146	CMS
Bayer Healthcare Pharmaceuticals Inc.	$5.88	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1086090073	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.99	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1118239528	CMS
CALLIDITAS THERAPEUTICS US INC.	$18.11	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1141529695	CMS
CorMedix Inc.	$30.71	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1082023706	CMS
CorMedix Inc.	$21.74	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1082023702	CMS
CorMedix Inc.	$35.15	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1082023710	CMS
Fresenius USA Marketing, Inc.	$7.82	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1154208218	CMS
Fresenius USA Marketing, Inc.	$11.01	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1154208226	CMS
Fresenius USA Marketing, Inc.	$8.44	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1154208222	CMS
Fresenius USA Marketing, Inc.	$2.14	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1154208216	CMS
Fresenius USA Marketing, Inc.	$10.89	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1154208224	CMS
Fresenius USA Marketing, Inc.	$0.29	04/01/2024	Food and Beverage	Undisputed	01/23/2026	1154202950	CMS
Fresenius USA Marketing, Inc.	$1.18	04/01/2024	Food and Beverage	Undisputed	01/23/2026	1154202952	CMS
Fresenius USA Marketing, Inc.	$12.51	04/01/2024	Food and Beverage	Undisputed	01/23/2026	1154208230	CMS
Fresenius USA Marketing, Inc.	$1.45	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1154208214	CMS
Fresenius USA Marketing, Inc.	$22.54	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1154208238	CMS
Fresenius USA Marketing, Inc.	$8.00	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1154208220	CMS
Fresenius USA Marketing, Inc.	$1.20	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1154202954	CMS
Fresenius USA Marketing, Inc.	$1.25	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1154202956	CMS
Fresenius USA Marketing, Inc.	$11.94	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1154208228	CMS
Fresenius USA Marketing, Inc.	$19.89	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1154208234	CMS
Fresenius USA Marketing, Inc.	$1.28	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1154202958	CMS
Fresenius USA Marketing, Inc.	$21.09	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1154208236	CMS
Fresenius USA Marketing, Inc.	$19.30	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1154208232	CMS
GlaxoSmithKline, LLC.	$17.89	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1116675687	CMS
Mallinckrodt Hospital Products Inc.	$23.21	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1145046407	CMS
Mallinckrodt Hospital Products Inc.	$13.64	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1145046409	CMS
Mallinckrodt Hospital Products Inc.	$23.58	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1145046411	CMS
Novartis Pharmaceuticals Corporation	$39.33	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1086757959	CMS
Novartis Pharmaceuticals Corporation	$21.98	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1086757965	CMS
Novartis Pharmaceuticals Corporation	$24.51	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1086757977	CMS
Novo Nordisk Inc	$14.75	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1096715019	CMS
Novo Nordisk Inc	$18.80	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1096592944	CMS
Novo Nordisk Inc	$20.21	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1096599457	CMS
OPKO Pharmaceuticals, LLC	$13.42	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1112842034	CMS
OPKO Pharmaceuticals, LLC	$15.14	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1112842036	CMS
OPKO Pharmaceuticals, LLC	$15.25	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1112842038	CMS
Otsuka America Pharmaceutical, Inc.	$25.86	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1118852168	CMS
Otsuka America Pharmaceutical, Inc.	$21.39	07/01/2024	Food and Beverage	Undisputed	01/23/2026	1118852170	CMS
Otsuka America Pharmaceutical, Inc.	$26.48	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1118852172	CMS
Travere Therapeutics, Inc.	$10.14	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1149938727	CMS
Travere Therapeutics, Inc.	$18.86	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1149938739	CMS
Travere Therapeutics, Inc.	$15.78	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1149938735	CMS
Travere Therapeutics, Inc.	$13.08	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1149938731	CMS
VentureMed Group, Inc.	$152.87	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1123429459	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.