Francisco Alvarado, MD
Advanced Heart Failure and Transplant Cardiology · Longwood, FLNPI 1295266740
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,701 of the $5,361 with a category attached, or 87.7%. 28 manufacturers reported payments, led by Abbott at 25.6% of the total. Reporting peaked in 2022 at $1,769 and has fallen 61.6% since, to $679 in 2025. That places this record below the midpoint for advanced heart failure and transplant cardiology clinicians in FL, where the typical reported total is $7,029.
Across 82 payments — averaging $65.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$1K
- Davol Inc.$909
- Integra Lifesciences Corporation$871
- Abiomed$564
- Inari Medical, Inc.$189
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$176
- plus $1K from 22 others
What the payments were for
- Travel & lodging$4318%
- Food & beverage$4,70188%
- Education$2304%
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 |
|---|---|---|
| Abbott | 16 | $1,372 |
| Davol Inc. | 8 | $909 |
| Integra Lifesciences Corporation | 11 | $871 |
| Abiomed | 6 | $564 |
| Inari Medical, Inc. | 1 | $189 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 6 | $176 |
| AstraZeneca | 3 | $160 |
| Shockwave Medical, Inc | 1 | $149 |
| Biosense Webster, Inc. | 5 | $138 |
| BD | 1 | $134 |
| Akcea Therapeutics, Inc. | 1 | $108 |
| Cvrx, Inc. | 4 | $105 |
| Kestra Medical Technology Services, Inc. | 4 | $102 |
| Alnylam Pharmaceuticals Inc. | 1 | $39 |
| Sanofi | 1 | $39 |
| United Therapeutics Corporation | 1 | $33 |
| Boehringer Ingelheim | 1 | $32 |
| Scpharmaceuticals Inc. | 1 | $31 |
| Amgen | 1 | $30 |
| Merck | 1 | $25 |
| Bayer | 1 | $24 |
| Medtronic | 1 | $24 |
| Boston Scientific | 1 | $23 |
| Novartis | 1 | $21 |
| Amarin Pharma, Inc. | 1 | $19 |
| Paratek Pharmaceuticals, Inc. | 1 | $17 |
| E.r. Squibb & Sons, L.L.C. | 1 | $15 |
| Pfizer | 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.
- INTEGRA$826
- CARDIOMEMS$565
- PRIMATRIX$559
- INTEGRA DERMAL REGENERATION TEMPLATE$559
- ARISTA AH FLEXITIP$537
- Impella$292
- INTEGRA MESHED BILAYER WOUND MATRIX$284
- INTEGRA WOUND MATRIX (IWM)$284
- INTEGRA FLOWABLE WOUND MATRIX$284
- QUADRA ASSURA$230
- FLOWTRIEVER CATHETER, S$189
- CT THROMBECTOMY SYSTEM KIT$189
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$149
- Progel Applicator Spray Tips$129
- FARXIGA$114
- TEGSEDI$108
How this compares
$5,361 in reported general payments places this provider in the 40th percentile of 48 advanced heart failure and transplant cardiology providers in Florida.
See all advanced heart failure and transplant cardiology 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.
Other advanced heart failure and transplant cardiology in Longwood
- Kelly McCantsWinter Park$445K
- Naveen BellamOrlando$414K
- Phillip HabibDelray Beach$305K
- Waqas GhummanAtlantis$276K
- David SnipeliskyWeston$250K
- Elsy NavasNaples$234K
- David BaranWeston$116K
- Rohan GoswamiJacksonville$112K
- Tara Hrobowski-BlackmanLargo$102K
- Stacy MandrasOrlando$100K
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.