RxDoctor Payments Data

Humberto Rovira Alvarado, MD

Nephrology · Wesley Chapel, FLNPI 1548799554

Payments from drug & device makers

$1,955in general payments, 2019–2025

Across 76 payments — averaging $25.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Otsuka America Pharmaceutical, Inc.$349
  • Bayer$259
  • Mallinckrodt Hospital Products Inc.$158
  • Otsuka Pharmaceutical Development & Commercialization, Inc.$148
  • AstraZeneca$140
  • Lilly USA, LLC$118
  • plus $784 from 14 others

What the payments were for

  • Food & beverage$1,83294%
  • Education$1236%

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

22
23
24
25

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.

How this compares

$1,955 in reported general payments places this provider in the 50th percentile of 756 nephrology providers in Florida.

See all nephrology providers in Florida

Medicare billing

Part B allowed, 2024
$160,320
Medicare patients
414
Services billed
1,868

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

DrugClaimsCost to plans & patients
JardianceEmpagliflozin45$53,226
KerendiaFinerenone46$43,561
FarxigaDapagliflozin Propanediol34$23,332
Sevelamer Carbonate34$9,530
LokelmaSodium Zirconium Cyclosilicate14$5,589
Calcitriol164$2,809
Nifedipine ErNifedipine58$1,615
Losartan Potassium66$512
Bumetanide29$485
Potassium Chloride36$443
Hydralazine Hcl48$413
Potassium Citrate ErPotassium Citrate11$377
Furosemide87$286
Tamsulosin Hcl15$208
Amlodipine Besylate37$186

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.

CompanyPaid to this providerPart D cost of their drugs
Boehringer IngelheimJardiance$113$53,22645 claims
BayerKerendia$259$43,56146 claims
AstraZenecaFarxiga, Lokelma$140$28,92148 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 50th percentile of 756 nephrology providers in Florida.

Other nephrology in Wesley Chapel

See the full list for Florida

Where these figures come from

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