Carlos Alvarado-Valdes, MD
Critical Care Medicine · Sun City West, AZNPI 1396772356
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,895 of the $4,247 with a category attached, or 68.2%. Inspire Medical Systems, Inc. accounts for 75.6% of it on its own, with 17 other manufacturers making up the rest. Among critical care medicine clinicians in AZ 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 71 payments — averaging $59.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$3K
- Stryker$169
- Jazz Pharmaceuticals Inc.$145
- Axsome Therapeutics, Inc.$111
- Actelion Pharmaceuticals US, Inc.$94
- ZOLL Respicardia, Inc.$90
- plus $427 from 12 others
What the payments were for
- Consulting fees$150%
- Travel & lodging$1,33731%
- Food & beverage$2,89568%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 39 | $3,211 |
| Stryker | 1 | $169 |
| Jazz Pharmaceuticals Inc. | 3 | $145 |
| Axsome Therapeutics, Inc. | 1 | $111 |
| Actelion Pharmaceuticals US, Inc. | 3 | $94 |
| ZOLL Respicardia, Inc. | 4 | $90 |
| Philips North America LLC | 3 | $73 |
| Itamar Medical Inc | 3 | $65 |
| Advanced Respiratory, Inc | 2 | $57 |
| Harmony Biosciences LLC | 2 | $46 |
| Fisher & Paykel Healthcare Inc | 2 | $32 |
| Baxter Healthcare | 1 | $26 |
| Noctrix Health, Inc. | 1 | $25 |
| AstraZeneca | 2 | $24 |
| Mayne Pharma Commercial LLC | 1 | $23 |
| Ambu Inc. | 1 | $22 |
| 3b Medical, Inc. | 1 | $19 |
| Merck | 1 | $13 |
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.
- Inspire$2,195
- Inspire Upper Airway Stimulation System$249
- ARTIX MT$169
- SUNOSI$111
How this compares
$4,247 in reported general payments places this provider in the 90th percentile of 175 critical care medicine providers in Arizona.
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 23 | $25,484 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 29 | $4,133 |
| Wixela InhubFluticasone Propion/Salmeterol | 18 | $1,950 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 41 | $772 |
| Montelukast Sodium | 28 | $299 |
Paid to pharmacies, not to this prescriber.
Other critical care medicine in Sun City West
- Waseem AlbashaSun City West$2K
- Joon KimSun City West$950
- Naomi HabibPhoenix$298K
- Heather PrzybylPhoenix$126K
- Douglas MapelPrescott$125K
- Akshay MuralidharScottsdale$44K
- Syed ShahryarPhoenix$20K
- Rodrigo Cartin-CebaScottsdale$18K
- Robert MathenyKingman$10K
- Reena BansalScottsdale$10K
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.