Ali Alamar, MD
Internal Medicine · la Mesa, CANPI 1972606374
Payments from drug & device makers
Across 152 payments — averaging $32.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Biohaven Pharmaceutical Holding Company Ltd.$2K
- Lilly USA, LLC$924
- Johnson & Johnson$460
- Boston Scientific$304
- AstraZeneca$172
- Novartis$165
- plus $1K from 24 others
What the payments were for
- Consulting fees$1,20024%
- Travel & lodging$251%
- Food & beverage$3,68075%
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 |
|---|---|---|
| Biohaven Pharmaceutical Holding Company Ltd. | 4 | $1,579 |
| Lilly USA, LLC | 38 | $924 |
| Johnson & Johnson | 42 | $460 |
| Boston Scientific | 6 | $304 |
| AstraZeneca | 8 | $172 |
| Novartis | 8 | $165 |
| Otsuka America Pharmaceutical, Inc. | 6 | $144 |
| UCB, Inc. | 1 | $124 |
| Boehringer Ingelheim | 5 | $114 |
| Sumitomo Pharma America, Inc. | 1 | $113 |
| GSK | 5 | $107 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 5 | $103 |
| Sunovion Pharmaceuticals Inc. | 1 | $93 |
| Pfizer | 4 | $66 |
| Ironwood Pharmaceuticals, Inc | 2 | $56 |
| Harmony Biosciences LLC | 1 | $44 |
| Abbott | 2 | $43 |
| Gilead | 1 | $34 |
| Paratek Pharmaceuticals, Inc. | 1 | $32 |
| Ultragenyx Pharmaceutical Inc. | 1 | $30 |
| Astellas Pharma US Inc | 1 | $30 |
| Lundbeck LLC | 1 | $29 |
| Sanofi-aventis U.S. LLC | 1 | $21 |
| Azurity Pharmaceuticals, Inc. | 1 | $20 |
| Teva Pharmaceuticals USA, Inc. | 1 | $20 |
| AbbVie | 1 | $19 |
| Mylan Specialty L.p. | 1 | $17 |
| Amgen | 1 | $16 |
| Exact Sciences | 1 | $14 |
| Amarin Pharma, Inc. | 1 | $13 |
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.
- NURTEC ODT$1,485
- WATCHMAN Access System$138
- Briviact$124
- APTIOM$113
How this compares
$4,906 in reported general payments places this provider in the 85th percentile of 13,581 internal medicine 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 | 379 | $171,663 |
| XareltoRivaroxaban | 180 | $92,537 |
| JardianceEmpagliflozin | 130 | $84,046 |
| MounjaroTirzepatide | 52 | $56,318 |
| FarxigaDapagliflozin Propanediol | 67 | $55,421 |
| XifaxanRifaximin | 22 | $51,076 |
| EntrestoSacubitril/Valsartan | 58 | $28,070 |
| GemtesaVibegron | 47 | $27,116 |
| MyrbetriqMirabegron | 81 | $25,001 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 39 | $24,858 |
| TradjentaLinagliptin | 80 | $23,674 |
| OzempicSemaglutide | 15 | $18,448 |
| JanuviaSitagliptin Phosphate | 31 | $17,158 |
| TrulicityDulaglutide | 15 | $13,008 |
| Breo ElliptaFluticasone/Vilanterol | 28 | $12,753 |
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, Premarin | $66 | $175,900391 claims |
| Boehringer IngelheimJardiance, Tradjenta, Combivent Respimat | $114 | $116,558227 claims |
| Johnson & JohnsonXarelto, Invokana | $460 | $103,768200 claims |
| Lilly USA, LLCMounjaro, Trulicity | $924 | $69,32667 claims |
| AstraZenecaFarxiga | $172 | $55,42167 claims |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLCXifaxan | $103 | $51,07622 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $107 | $37,61167 claims |
| NovartisEntresto | $165 | $28,07058 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $113 | $27,11647 claims |
| Astellas Pharma US IncMyrbetriq | $30 | $25,00181 claims |
| AbbVieLinzess | $19 | $12,28023 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 85th percentile of 13,581 internal medicine providers in California.
Other internal medicine in la Mesa
- Andrew ChengSouth San Francisco$55.1M
- Joel NeutelTustin$34.9M
- Donald BrandonSan Diego$34M
- William TownerLos Angeles$27.4M
- Rahul AggarwalSan Francisco$24M
- Masoud AzizadNorthridge$21.1M
- Helen StaceyWalnut Creek$20.4M
- Rohit Loombala Jolla$15.1M
- Zeid KayaliColton$14.2M
- Alexandra DrakakiSanta Monica$14.2M
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.