Alejandro Garcia, MD
Cardiology · Oxnard, CANPI 1114000569
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.5% of the total across 223 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 23 manufacturers, the largest accounting for just 18.0% — the pattern of someone who eats at a lot of different presentations.
Across 223 payments — averaging $21.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$867
- Novartis$663
- AstraZeneca$505
- Boston Scientific$461
- Boehringer Ingelheim$416
- Medtronic$370
- plus $2K from 17 others
What the payments were for
- Food & beverage$4,68597%
- Education$1213%
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 |
|---|---|---|
| Amgen | 50 | $867 |
| Novartis | 40 | $663 |
| AstraZeneca | 21 | $505 |
| Boston Scientific | 5 | $461 |
| Boehringer Ingelheim | 15 | $416 |
| Medtronic(2 entities) | 17 | $370 |
| Johnson & Johnson | 17 | $343 |
| Merck | 14 | $257 |
| Kiniksa Pharmaceuticals International, PLC | 10 | $224 |
| Abbott | 6 | $147 |
| Esperion Therapeutics, Inc. | 6 | $130 |
| Kiniksa Pharmaceuticals, Ltd. | 5 | $96 |
| Pfizer | 3 | $85 |
| Kowa Pharmaceuticals America, Inc. | 3 | $50 |
| Bayer | 2 | $43 |
| E.r. Squibb & Sons, L.L.C. | 2 | $37 |
| Insulet Corporation | 1 | $24 |
| Lexicon Pharmaceuticals, Inc. | 1 | $19 |
| Halozyme Inc | 1 | $17 |
| Abiomed | 1 | $16 |
| Alnylam Pharmaceuticals Inc. | 1 | $15 |
| Irhythm Technologies, Inc. | 1 | $13 |
| Cardiovascular Systems Inc. | 1 | $5 |
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.
- Micra$171
- RESONATE$152
- WATCHMAN Access System$137
- WATCHMAN FLX$129
- Repatha$125
How this compares
$4,806 in reported general payments places this provider in the 80th percentile of 156 cardiology providers in California.
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 |
|---|---|---|
| EliquisApixaban | 309 | $355,378 |
| XareltoRivaroxaban | 199 | $226,296 |
| Repatha SureclickEvolocumab | 103 | $84,498 |
| EntrestoSacubitril/Valsartan | 76 | $84,082 |
| BrilintaTicagrelor | 54 | $49,995 |
| JardianceEmpagliflozin | 23 | $32,045 |
| FarxigaDapagliflozin Propanediol | 12 | $19,349 |
| NexlizetBempedoic Acid/Ezetimibe | 13 | $7,471 |
| Ezetimibe | 150 | $5,581 |
| Atorvastatin Calcium | 547 | $5,114 |
| NexletolBempedoic Acid | 11 | $4,507 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 51 | $2,362 |
| Metoprolol Succinate | 154 | $2,235 |
| Diltiazem 24hr Er (La)Diltiazem Hcl | 26 | $2,198 |
| Losartan Potassium | 215 | $1,755 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerEliquis | $85 | $355,378309 claims |
| Johnson & JohnsonXarelto | $343 | $226,296199 claims |
| NovartisEntresto | $663 | $84,08276 claims |
| AstraZenecaBrilinta, Farxiga | $505 | $69,34466 claims |
| Boehringer IngelheimJardiance | $416 | $32,04523 claims |
| Esperion Therapeutics, Inc.Nexlizet, Nexletol | $130 | $11,97824 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 80th percentile of 156 cardiology providers in California.
Other cardiology in Oxnard
- Norman LeporBeverly Hills$1.9M
- Sanjay KaulLos Angeles$1.1M
- Ramtin AgahMountain View$361K
- Jamshid MaddahiLos Angeles$59K
- Bipin JoshiFresno$51K
- Anil ShahSanta Ana$49K
- Thomas KimSanta Ana$47K
- Hooman MadyoonLos Angeles$24K
- Lakhjit SandhuFresno$19K
- Prabhtej BraraSanta Monica$19K
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.