Alvaro Martinez, MD
Radiation Oncology · Farmington Hills, MINPI 1184684136
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $16,252 of the $24,193 with a category attached, or 67.2%. 25 manufacturers reported payments, led by Palette Life Sciences, Inc. at 54.3% of the total. Reporting peaked in 2022 at $13,659 and has fallen 85.0% since, to $2,051 in 2025. Among radiation oncology clinicians in MI with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 117 payments — averaging $206.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Palette Life Sciences, Inc.$13K
- Varian Medical Systems, Inc.$4K
- Elekta, Inc.$3K
- Boston Scientific$752
- Myriad Genetic Laboratories, Inc.$574
- Siemens Medical Solutions USA, Inc.$548
- plus $2K from 19 others
What the payments were for
- Travel & lodging$16,25267%
- Food & beverage$7,78432%
- Entertainment$1571%
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 |
|---|---|---|
| Palette Life Sciences, Inc. | 16 | $13,149 |
| Varian Medical Systems, Inc. | 2 | $3,804 |
| Elekta, Inc. | 34 | $3,316 |
| Boston Scientific | 14 | $752 |
| Myriad Genetic Laboratories, Inc. | 12 | $574 |
| Siemens Medical Solutions USA, Inc. | 6 | $548 |
| Theragenics Corporation | 1 | $484 |
| Viewray Technologies Inc | 3 | $290 |
| Elekta Medical Systems Ltda | 2 | $175 |
| Zap Surgical Systems, Inc. | 1 | $173 |
| Accuray Incorporated | 1 | $149 |
| Philips North America LLC | 3 | $145 |
| Elekta Medical S.A. De C.v. | 3 | $140 |
| Teleflex LLC | 2 | $104 |
| GT Medical Technologies, Inc | 2 | $72 |
| Blue Earth Diagnostics | 3 | $72 |
| United Imaging Healthcare North America, Inc. | 1 | $51 |
| Novartis | 3 | $50 |
| Bayer | 2 | $33 |
| Ambu Inc. | 1 | $29 |
| Myovant Sciences Inc. | 1 | $25 |
| Astellas Pharma US Inc | 1 | $17 |
| Brainlab, Inc. | 1 | $17 |
| Pfizer | 1 | $16 |
| Nucletron Operations B.v. | 1 | $9 |
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.
- TrueBeam$3,916
- ELEKTA MEDICAL LINEAR ACCELERATOR$3,773
- Clarity$754
- FLEXITRON HDR$633
- Prolaris$253
- MRIdian$197
- Zap-X$173
- Esteya$168
- MICROSELECTRON DIGITAL$168
- CyberKnife System$149
- LEKSELL GAMMA KNIFE ICON$143
- SPACEOAR VUE$136
- myRisk$128
- Unity$120
- ARIA Radiation Therapy Management Software$113
How this compares
$24,193 in reported general payments places this provider in the 95th percentile of 198 radiation oncology providers in Michigan.
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 |
|---|---|---|
| Tamsulosin Hcl | 76 | $1,516 |
Paid to pharmacies, not to this prescriber.
Other radiation oncology in Farmington Hills
- Ahmed EzzFarmington Hills$2K
- Linda RissmanFarmington Hills$1K
- Frank ViciniPontiac$231K
- Thomas BoikeClarkston$171K
- Farzan SiddiquiDetroit$72K
- Daniel WahlAnn Arbor$42K
- Daniel ChangAnn Arbor$38K
- Shruti JollyAnn Arbor$30K
- Brandon ManciniGrand Rapids$30K
- James KaneAnn Arbor$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.