Alejandra Vivas, MD
Dermatology · Miramar, FLNPI 1033551163
Payments from drug & device makers
Across 454 payments — averaging $20.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$3K
- Novartis$905
- Sanofi$784
- Johnson & Johnson$582
- Regeneron Healthcare Solutions, Inc.$577
- Galderma Laboratories, L.p.$491
- plus $3K from 24 others
What the payments were for
- Food & beverage$9,29799%
- Education$781%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| AbbVie(2 entities) | 143 | $2,951 |
| Novartis | 42 | $905 |
| Sanofi | 25 | $784 |
| Johnson & Johnson | 35 | $582 |
| Regeneron Healthcare Solutions, Inc. | 27 | $577 |
| Galderma Laboratories, L.p. | 23 | $491 |
| E.r. Squibb & Sons, L.L.C. | 20 | $418 |
| Incyte Corporation | 17 | $322 |
| Pfizer | 19 | $316 |
| Amgen | 14 | $300 |
| Lilly USA, LLC | 14 | $249 |
| UCB, Inc. | 10 | $207 |
| Boehringer Ingelheim | 8 | $184 |
| Arcutis Biotherapeutics, Inc. | 10 | $179 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 9 | $164 |
| Mayne Pharma Commercial LLC | 4 | $95 |
| Helsinn Therapeutics (U.S.), Inc. | 5 | $92 |
| Bristol Myers Squibb | 4 | $84 |
| Sun Pharmaceutical Industries Inc. | 5 | $81 |
| LEO Pharma Inc. | 4 | $78 |
| Almirall LLC | 4 | $70 |
| Fresenius Kabi USA, LLC | 2 | $50 |
| DUSA Pharmaceuticals, Inc. | 2 | $36 |
| Mylan Pharmaceuticals Inc. | 2 | $34 |
| Verrica Pharmaceuticals Inc. | 1 | $25 |
| Paratek Pharmaceuticals, Inc. | 1 | $24 |
| Mallinckrodt Hospital Products Inc. | 1 | $22 |
| Biofrontera Inc. | 1 | $20 |
| Smith+Nephew | 1 | $20 |
| Dermavant Sciences, Inc. | 1 | $17 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$9,376 in reported general payments places this provider in the 75th percentile of 1,147 dermatology providers in Florida.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Dupixent PenDupilumab | 12 | $43,933 |
| Clobetasol Propionate | 110 | $5,123 |
| Tretinoin | 34 | $2,821 |
| Ketoconazole | 146 | $1,861 |
| Triamcinolone Acetonide | 181 | $1,322 |
| Tacrolimus | 12 | $1,147 |
| Metronidazole | 13 | $860 |
| Fluocinonide | 20 | $665 |
| Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc | 18 | $584 |
| Mometasone Furoate | 23 | $444 |
| Clindamycin Phosphate | 14 | $419 |
| Minoxidil | 92 | $398 |
| Mupirocin | 73 | $393 |
| Minocycline Hcl | 17 | $296 |
| Terbinafine Hcl | 28 | $244 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Miramar
- Francisco FloresMiramar$6.7M
- Jose MendezMiramar$1.5M
- Michael SherlingLake Worth$78.9M
- Seth FormanTampa$28.2M
- Thomas TaylorTampa$13.6M
- Frank DonHallandale Beach$7.5M
- Hector Wiltz JrMiami$6.4M
- Javier Alonso-LlamazaresCoral Gables$5.6M
- Eduardo WeissHollywood$5.5M
- Francisco KerdelMiami$5.1M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.