Anita Alvarez Cruz, MD
Geriatric Medicine · Katy, TXNPI 1235297409
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 120 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 21 manufacturers reported payments, led by AbbVie at 25.5% of the total. Reporting peaked in 2024 at $959 and has fallen 70.2% since, to $286 in 2025. Among geriatric medicine clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 120 payments — averaging $29.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$902
- Amgen$522
- Paratek Pharmaceuticals, Inc.$381
- Keswick Pharmaceuticals LLC$256
- AstraZeneca$248
- Merck$184
- plus $1K from 15 others
What the payments were for
- Food & beverage$3,537100%
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 |
|---|---|---|
| AbbVie | 52 | $902 |
| Amgen | 4 | $522 |
| Paratek Pharmaceuticals, Inc. | 10 | $381 |
| Keswick Pharmaceuticals LLC | 2 | $256 |
| AstraZeneca | 3 | $248 |
| Merck | 9 | $184 |
| La Jolla Pharmaceutical Company | 5 | $181 |
| Melinta Therapeutics, LLC | 4 | $165 |
| Novo Nordisk | 7 | $132 |
| Imbed Biosciences Inc. | 1 | $113 |
| Shionogi Inc | 7 | $108 |
| Insmed, Inc. | 1 | $90 |
| Boehringer Ingelheim | 3 | $50 |
| Novartis | 2 | $45 |
| Johnson & Johnson(2 entities) | 2 | $34 |
| Sunovion Pharmaceuticals Inc. | 3 | $30 |
| Abbott | 1 | $23 |
| Lilly USA, LLC | 1 | $19 |
| Stryker | 1 | $19 |
| Astellas Pharma US Inc | 1 | $17 |
| Boston Scientific | 1 | $17 |
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
$3,537 in reported general payments places this provider in the 90th percentile of 275 geriatric medicine 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 |
|---|---|---|
| Enbrel SureclickEtanercept | 13 | $112,371 |
| JardianceEmpagliflozin | 73 | $92,886 |
| JanuviaSitagliptin Phosphate | 57 | $72,516 |
| TrulicityDulaglutide | 45 | $62,619 |
| ProliaDenosumab | 30 | $50,911 |
| EliquisApixaban | 52 | $49,612 |
| XareltoRivaroxaban | 24 | $33,729 |
| Tresiba Flextouch U-200Insulin Degludec | 20 | $17,785 |
| FarxigaDapagliflozin Propanediol | 13 | $17,504 |
| OzempicSemaglutide | 18 | $17,125 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 46 | $16,491 |
| Clonidine | 93 | $12,989 |
| Tresiba Flextouch U-100Insulin Degludec | 12 | $12,878 |
| VascepaIcosapent Ethyl | 12 | $9,380 |
| Breo ElliptaFluticasone/Vilanterol | 16 | $8,613 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance | $50 | $92,88673 claims |
| MerckJanuvia | $184 | $72,51657 claims |
| Lilly USA, LLCTrulicity | $19 | $62,61945 claims |
| AmgenProlia | $522 | $50,91130 claims |
| Johnson & JohnsonXarelto | $34 | $33,72924 claims |
| AstraZenecaFarxiga | $248 | $17,50413 claims |
| Novo NordiskOzempic | $132 | $17,12518 claims |
| AbbVieSynthroid | $902 | $1,21721 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 90th percentile of 275 geriatric medicine providers in Texas.
Other geriatric medicine in Katy
- Charles MillerKaty$2K
- Mauricio Gonzalez-AriasAustin$825K
- Eberenne IgbokwePearland$124K
- Diana KerwinDallas$81K
- David SmithBrownwood$19K
- Alejandro ArizmendiHelotes$15K
- Rosa VizcarraSan Antonio$9K
- George TaffetHouston$9K
- John CarrollCorpus Christi$8K
- Santos SoberonBeaumont$7K
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.