Anel Alvarado, MD
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $6,136 of the $7,805 with a category attached, or 78.6%. Intuitive Surgical accounts for 64.8% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2019 at $2,016 and has fallen 69.7% since, to $611 in 2025.
Across 183 payments — averaging $42.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$5K
- AbbVie$539
- Davol Inc.$452
- TELA Bio, Inc.$373
- Kowa Pharmaceuticals America, Inc.$276
- Biom'up France SAS$245
- plus $860 from 10 others
What the payments were for
- Travel & lodging$5497%
- Food & beverage$6,13679%
- Education$1,00013%
- Gifts$1212%
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 |
|---|---|---|
| Intuitive Surgical | 94 | $5,060 |
| AbbVie(2 entities) | 15 | $539 |
| Davol Inc. | 7 | $452 |
| TELA Bio, Inc. | 15 | $373 |
| Kowa Pharmaceuticals America, Inc. | 23 | $276 |
| Biom'up France SAS | 2 | $245 |
| Johnson & Johnson | 6 | $172 |
| Medtronic | 4 | $167 |
| Pacira Pharmaceuticals Incorporated | 2 | $131 |
| CSL Behring | 5 | $103 |
| Boston Scientific | 1 | $85 |
| Hologic Sales And Service, LLC | 2 | $55 |
| Kerecis Limited | 2 | $44 |
| Conmed Corporation | 2 | $44 |
| BD | 1 | $30 |
| Acell, Inc. | 2 | $29 |
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.
How this compares
$7,805 in reported general payments places this provider in the 65th percentile of 1,569 surgery providers in Florida.
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 |
|---|---|---|
| Celecoxib | 155 | $1,282 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 58 | $541 |
| Tramadol Hcl | 150 | $347 |
Paid to pharmacies, not to this prescriber.
Other surgery in Davie
- Jorge FlorinWinter Garden$2.2M
- Amit TaggarTampa$1.4M
- Keith KimCelebration$1.1M
- Richard DiciccoTampa$964K
- Elizabeth DovecLakeland$870K
- Christopher DucoinTampa$808K
- Andre TeixeiraOcala$731K
- Jose ErbellaBradenton$718K
- Anthony GonzalezMiami$686K
- Natan ZundelNorth Miami Beach$596K
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.