Covered recipient · General Payments record
CARLOS MANUEL ALVAREZ
Allopathic & Osteopathic Physicians Neurological Surgery
General Payments · PY2020–2024
$2,409.57
- Reported across 13 records
- CMS publication 2026-01-23
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 |
|---|---|---|
| Travel and Lodging | $1,869.85 | 5 |
| Food and Beverage | $487.95 | 5 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Penumbra, Inc. | $2,226.28 | 8 |
| Route 92 Medical, Inc. | $111.33 | 1 |
| DePuy Synthes Sales Inc. | $20.19 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (10)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| DePuy Synthes Sales Inc. | $20.19 | 11/20/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1077834201 | CMS |
| Penumbra, Inc. | $388.61 | 03/07/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1076230034 | CMS |
| Penumbra, Inc. | $861.58 | 03/08/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1076228616 | CMS |
| Penumbra, Inc. | $186.31 | 03/08/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1076229162 | CMS |
| Penumbra, Inc. | $97.89 | 03/08/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1076229698 | CMS |
| Penumbra, Inc. | $74.17 | 03/08/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1076229720 | CMS |
| Penumbra, Inc. | $447.60 | 03/09/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1076230036 | CMS |
| Penumbra, Inc. | $14.62 | 05/06/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1076225358 | CMS |
| Penumbra, Inc. | $155.50 | 11/20/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1095785877 | CMS |
| Route 92 Medical, Inc. | $111.33 | 12/04/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1118401573 | 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
- 2020, 2023, 2024
- Source files
- Dataset page · Bulk file · PY2020 , 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.