Alvaro Manrique Garcia, MD
Clinical Cardiac Electrophysiology · Lafayette, LANPI 1861672859
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $13,898 of the $22,014 with a category attached, or 63.1%. 34 manufacturers reported payments, led by Abbott at 38.8% of the total. That places this record below the midpoint for clinical cardiac electrophysiology clinicians in LA, where the typical reported total is $18,132.
Across 442 payments — averaging $49.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$9K
- Boston Scientific$5K
- Medtronic$3K
- Biosense Webster, Inc.$861
- Novartis$693
- Inari Medical, Inc.$500
- plus $3K from 28 others
Across 21 payments — averaging $7087.48 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Abbott$149K
What the payments were for
- Consulting fees$5002%
- Travel & lodging$7,61635%
- Food & beverage$13,89863%
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 |
|---|---|---|
| Abbott | 125 | $8,532 |
| Boston Scientific | 68 | $4,906 |
| Medtronic(2 entities) | 38 | $3,344 |
| Biosense Webster, Inc. | 15 | $861 |
| Novartis | 49 | $693 |
| Inari Medical, Inc. | 1 | $500 |
| Alnylam Pharmaceuticals Inc. | 19 | $381 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 26 | $353 |
| Philips North America LLC | 14 | $343 |
| Johnson & Johnson | 22 | $340 |
| Abiomed | 3 | $239 |
| Shockwave Medical, Inc | 1 | $177 |
| Pfizer | 8 | $170 |
| Irhythm Technologies, Inc. | 2 | $151 |
| E.r. Squibb & Sons, L.L.C. | 7 | $124 |
| Boehringer Ingelheim | 7 | $115 |
| Edwards Lifesciences | 1 | $103 |
| AstraZeneca | 5 | $79 |
| Sanofi-aventis U.S. LLC | 5 | $76 |
| Lexicon Pharmaceuticals, Inc. | 3 | $56 |
| Kiniksa Pharmaceuticals International, PLC | 3 | $53 |
| Cardiva Medical, Inc. | 2 | $52 |
| Atricure, Inc. | 1 | $50 |
| Novo Nordisk | 3 | $47 |
| Merck | 3 | $45 |
| Kestra Medical Technology Services, Inc. | 2 | $41 |
| Cvrx, Inc. | 1 | $31 |
| Bayer | 2 | $30 |
| Impulse Dynamics (USA) Inc. | 1 | $29 |
| Azurity Pharmaceuticals, Inc. | 1 | $20 |
| Regeneron Healthcare Solutions, Inc. | 1 | $19 |
| Biotronik Inc. | 1 | $19 |
| Daiichi Sankyo Inc. | 1 | $18 |
| Amgen | 1 | $14 |
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.
- AVEIR$4,618
- Watchman$2,053
- EVERA MRI XT DR SURESCAN$916
- ENSITE$671
- RHYTHMIA$667
- Carto 3$637
- FLOWTRIEVER CATHETER, S$500
- CT THROMBECTOMY SYSTEM KIT$500
- PulseSelect$215
- ENSITE PRECISION$190
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$177
- COBALT DR MRI SURESCAN$175
- AURORA EV-ICD MRI SURESCAN$173
- Farapulse$146
- Zio monitor$133
- ZIO XT Patch$133
- WATCHMAN Access System$133
- WATCHMAN FLX$129
- Confirm Rx$123
- Assurity Pacemaker$122
How this compares
$22,014 in reported general payments places this provider in the 50th percentile of 43 clinical cardiac electrophysiology providers in Louisiana.
See all clinical cardiac electrophysiology providers in Louisiana →
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 | 55 | $69,917 |
| XareltoRivaroxaban | 25 | $32,929 |
| EntrestoSacubitril/Valsartan | 13 | $15,906 |
| Dofetilide | 22 | $6,423 |
| Amiodarone Hcl | 80 | $1,713 |
| Flecainide Acetate | 39 | $1,242 |
| Metoprolol Succinate | 45 | $1,153 |
| Bumetanide | 15 | $767 |
| SotalolSotalol Hcl | 28 | $558 |
| Digoxin | 14 | $446 |
| Carvedilol | 44 | $359 |
| Metoprolol Tartrate | 40 | $232 |
| Furosemide | 25 | $197 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 14 | $138 |
| Amlodipine Besylate | 21 | $116 |
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 | $170 | $69,91755 claims |
| Johnson & JohnsonXarelto | $340 | $32,92925 claims |
| NovartisEntresto | $693 | $15,90613 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 50th percentile of 43 clinical cardiac electrophysiology providers in Louisiana.
Other clinical cardiac electrophysiology in Lafayette
- Eoin DonnellanLafayette$48K
- Marc SaadLafayette$8K
- Patrick WelchLafayette$8K
- William BaileyLafayette$3K
- Nassir MarroucheNew Orleans$498K
- Sammy KhatibNew Orleans$115K
- Paul LelorierNew Orleans$101K
- Adil YousufNew Orleans$101K
- Mark PolletBaton Rouge$90K
- Joshua AymondBaton Rouge$64K
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.