Alvaro Montealegre
Obstetrics & Gynecology · Houston, TXNPI 1063609790
Payments from drug & device makers
Across 235 payments — averaging $390.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Applied Medical Resources Corporation$81K
- Gynesonics, Inc.$4K
- Medtronic$1K
- Covidien LP$984
- Conmed Corporation$800
- Baxter Healthcare$477
- plus $4K from 31 others
What the payments were for
- Consulting fees$4,6315%
- Speaking & faculty fees$72,00079%
- Travel & lodging$7,4778%
- Food & beverage$7,0708%
- Education$5001%
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 |
|---|---|---|
| Applied Medical Resources Corporation | 70 | $80,952 |
| Gynesonics, Inc. | 9 | $3,789 |
| Medtronic | 16 | $1,159 |
| Covidien LP | 7 | $984 |
| Conmed Corporation | 1 | $800 |
| Baxter Healthcare | 5 | $477 |
| Coopersurgical, Inc. | 12 | $460 |
| AbbVie | 25 | $420 |
| Lupin Inc. | 22 | $364 |
| Davol Inc. | 3 | $342 |
| Bayer | 10 | $220 |
| BD | 1 | $214 |
| Sumitomo Pharma America, Inc. | 9 | $185 |
| Allotrope Medical, Inc | 1 | $160 |
| Exeltis, USA Inc. | 6 | $126 |
| Pacira Pharmaceuticals Incorporated | 1 | $125 |
| Meditrina | 1 | $118 |
| Myovant Sciences Inc. | 4 | $93 |
| Avion Pharmaceuticals | 6 | $89 |
| Acessa Health Inc. | 1 | $85 |
| Hologic Sales And Service, LLC | 4 | $83 |
| Shield Therapeutics Inc | 2 | $66 |
| Avanos Medical | 2 | $46 |
| Teleflex LLC | 1 | $45 |
| Scynexis, Inc. | 2 | $45 |
| Aspira Women's Health Inc | 3 | $45 |
| Johnson & Johnson | 1 | $24 |
| Organon | 1 | $21 |
| Medinc Of Texas | 1 | $20 |
| Olympus America Inc. | 1 | $20 |
| Merck | 1 | $17 |
| Astellas Pharma US Inc | 1 | $16 |
| Therapeuticsmd, Inc. | 1 | $15 |
| Evofem Biosciences, Inc. | 1 | $15 |
| Agile Therapeutics, Inc. | 1 | $14 |
| Renovia Inc | 1 | $14 |
| Ferring Pharmaceuticals Inc. | 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.
- GelPOINT V-Path$104,203
- SONATA SONOGRAPHY-GUIDED TRANSCERVICAL FIBROID ABLATION SYSTEM$3,699
- PIONEER/RANGER$800
- TruClear$713
- HYSTEROLUX FLUID MANAGEMENT SYSTEM CONTROL UNIT$621
- GELPOINT VPATH$553
- PerClot$276
- ARISTA$235
- StimSite$160
- EXPAREL$125
- SOLOSEC$124
- FLOSEAL$115
- V-LOC 180$113
- Uterine Manipulators & Injectors$112
- Advincula Delineator Uterine Manipulator$103
- LigaSure$103
How this compares
$91,678 in reported general payments places this provider in the 95th percentile of 3,099 obstetrics & gynecology providers in Texas.
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 |
|---|---|---|
| Estradiol | 27 | $1,106 |
| ValacyclovirValacyclovir Hcl | 21 | $777 |
| Misoprostol | 11 | $15 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Houston
- Amir JazaeriHouston$19.5M
- Shannon WestinHouston$17.3M
- Mark JacobsHouston$2.8M
- Sandra HurtadoHouston$1.7M
- Dawn BlackHouston$1.2M
- George KuhnHouston$244K
- Luis Sandoval-MartinezHouston$234K
- Daisy AyimHouston$188K
- Asha BhalwalHouston$151K
- Monica LopezFort Worth$8.1M
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.