George Alvarado, DPM
Foot Surgery · El Paso, TXNPI 1134656721
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (39.6%), education and travel and lodging — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by Rattan And Associates at 35.1% of the total. 2025 is the largest year on record at $2,026, more than ten times the $70 reported in 2020.
Across 60 payments — averaging $115.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Rattan And Associates$2K
- Treace Medical Concepts, Inc.$2K
- Integra Lifesciences Corporation$547
- Angiodynamics, Inc.$268
- Smith+Nephew$208
- DJO, LLC$177
- plus $1K from 14 others
What the payments were for
- Travel & lodging$1,20517%
- Food & beverage$2,73140%
- Education$2,57737%
- Other$3916%
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 |
|---|---|---|
| Rattan And Associates | 3 | $2,421 |
| Treace Medical Concepts, Inc. | 20 | $2,204 |
| Integra Lifesciences Corporation | 4 | $547 |
| Angiodynamics, Inc. | 2 | $268 |
| Smith+Nephew | 6 | $208 |
| DJO, LLC | 2 | $177 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 3 | $175 |
| Stryker | 2 | $174 |
| Abbott | 1 | $123 |
| Paragon 28, Inc. | 1 | $117 |
| Inari Medical, Inc. | 1 | $113 |
| Medtronic | 2 | $113 |
| Amgen | 2 | $60 |
| Tactile Systems Technology Inc | 3 | $60 |
| Paratek Pharmaceuticals, Inc. | 2 | $35 |
| Solventum Corporation | 1 | $32 |
| Orthofix Medical, Inc. | 2 | $31 |
| ERMI LLC | 1 | $17 |
| Johnson & Johnson | 1 | $15 |
| Bioventus LLC | 1 | $15 |
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.
- Lapiplasty System$1,058
- LAPIPLASTY SYSTEM 1$574
- INTEGRA$325
- Auryon Laser System 100-120 Vac$268
- INTEGRA MESHED BILAYER WOUND MATRIX$141
- INTEGRA WOUND MATRIX (IWM)$141
- PRIMATRIX$141
- INTEGRA DERMAL REGENERATION TEMPLATE$141
- INTEGRA FLOWABLE WOUND MATRIX$141
- JUBLIA$134
- ESPRIT$123
- PHANTOM LAPIDUS$117
- TMC NANOPLASTY SYSTEM$116
- FLOWTRIEVER CATHETER, S$113
- CT THROMBECTOMY SYSTEM KIT$113
- DR COMFORT$112
How this compares
$6,903 in reported general payments places this provider in the 70th percentile of 71 foot surgery 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 |
|---|---|---|
| Ciclopirox | 833 | $31,193 |
| Clotrimazole | 681 | $15,864 |
| JubliaEfinaconazole | 18 | $13,533 |
| Lidocaine | 330 | $9,777 |
| Ammonium Lactate | 290 | $5,907 |
| Diclofenac Sodium | 153 | $4,003 |
| Terbinafine Hcl | 15 | $289 |
| Mupirocin | 26 | $272 |
| Ibuprofen | 30 | $267 |
| Doxycycline Hyclate | 25 | $264 |
| Meloxicam | 84 | $227 |
| Cephalexin | 16 | $84 |
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 |
|---|---|---|
| Ortho Dermatologics, A Division Of Bausch Health US, LLCJublia | $175 | $13,53318 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 70th percentile of 71 foot surgery providers in Texas.
Other foot surgery in El Paso
- Paul ResignatoEl Paso$7K
- Gerald McCoolEl Paso$1K
- Caesar ZunigaEl Paso$1K
- Marque AllenSan Antonio$204K
- James JacobsKaty$81K
- Lawrence LaverySan Antonio$59K
- Robert GraserBoerne$54K
- Richard KehSan Antonio$17K
- Chad ClauseWebster$17K
- Seth AshrafSan Antonio$17K
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.