Alvaro Valle, MD
Surgical Oncology · Chattanooga, TNNPI 1861486797
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 94.1% of the total across 93 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 38 manufacturers, the largest accounting for just 13.3% — the pattern of someone who eats at a lot of different presentations.
Across 93 payments — averaging $78.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$977
- Medical Device Business Services, Inc.$707
- Regeneron Healthcare Solutions, Inc.$461
- Integra Lifesciences Corporation$435
- Pfizer$310
- Merck$302
- plus $4K from 32 others
What the payments were for
- Food & beverage$6,91194%
- Education$4306%
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 |
|---|---|---|
| Smith+Nephew | 29 | $977 |
| Medical Device Business Services, Inc. | 7 | $707 |
| Regeneron Healthcare Solutions, Inc. | 4 | $461 |
| Integra Lifesciences Corporation | 5 | $435 |
| Pfizer | 3 | $310 |
| Merck | 4 | $302 |
| Genentech USA, Inc. | 3 | $282 |
| TELA Bio, Inc. | 2 | $264 |
| E.r. Squibb & Sons, L.L.C. | 2 | $246 |
| Acera Surgical, Inc. | 2 | $227 |
| Lifenet Health | 1 | $212 |
| AstraZeneca | 2 | $210 |
| Sanofi | 1 | $191 |
| Hologic Sales And Service, LLC | 2 | $175 |
| Davol Inc. | 1 | $164 |
| Medtronic | 2 | $163 |
| Stryker | 2 | $149 |
| Galvanize Therapeutics, Inc | 1 | $130 |
| Sobi, Inc | 1 | $124 |
| Exelixis Inc. | 1 | $123 |
| Boston Scientific | 1 | $116 |
| Janssen Scientific Affairs, LLC | 1 | $115 |
| Johnson & Johnson | 1 | $114 |
| AbbVie | 1 | $112 |
| Pharmacosmos Therapeutics Inc. | 1 | $109 |
| Advanced Accelerator Applications | 1 | $106 |
| Axonics, Inc. | 1 | $99 |
| Bristol Myers Squibb | 1 | $98 |
| Gilead | 1 | $97 |
| Taiho Oncology, Inc. | 1 | $92 |
| Incyte Corporation | 1 | $85 |
| Pacira Pharmaceuticals Incorporated | 1 | $81 |
| Novartis | 1 | $69 |
| Silk Road Medical, Inc. | 1 | $57 |
| Regeneron | 1 | $45 |
| Intuitive Surgical | 1 | $42 |
| Chiesi USA, Inc. | 1 | $39 |
| Organogenesis Inc. | 1 | $12 |
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.
- INTEGRA$696
- LIBTAYO$461
- INTEGRA DERMAL REGENERATION TEMPLATE$276
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex)$264
- KEYTRUDA$223
- TheraGenesis Wound Matrix$212
- WAYRILZ$191
- Phasix Mesh$164
- PRIMATRIX$144
- Restrata Wound Matrix$137
- STRATAFIX$137
- OMNIGRAFT$133
- SURGIMEND$133
- ALIYA SYSTEM$130
- Herceptin$125
- Perjeta$125
- Kadcyla$125
- Vonjo$124
- OPDIVO$123
- Cabometyx$123
How this compares
$7,341 in reported general payments places this provider in the 80th percentile of 53 surgical oncology providers in Tennessee.
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 |
|---|---|---|
| Mupirocin | 25 | $182 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 24 | $77 |
| Doxycycline Hyclate | 13 | $71 |
Paid to pharmacies, not to this prescriber.
Other surgical oncology in Chattanooga
- Daniel NelsonChattanooga$1K
- Betsy WashburnChattanooga$281
- Gerri BlackChattanooga$122
- Pat WhitworthNashville$62K
- James LewisKnoxville$45K
- Chandrasekhar PadmanabhanNashville$29K
- Michael BerryGermantown$25K
- Paxton DicksonGermantown$19K
- Mariana ChavezNashville$14K
- David RoifeKnoxville$13K
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.