Jaime Alvarez, MD
Neurological Surgery · Fort Myers, FLNPI 1760445167
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 45 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 23 manufacturers reported payments, led by Orthofix Medical, Inc. at 28.9% of the total. Reporting peaked in 2021 at $491 and has fallen 90.5% since, to $47 in 2025. That places this record below the midpoint for neurological surgery clinicians in FL, where the typical reported total is $5,245.
Across 45 payments — averaging $38.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Orthofix Medical, Inc.$503
- Nutech Spine, Inc.$261
- Relievant Medsystems, Inc.$140
- GSK$112
- Spine Wave, Inc.$97
- Portola Pharmaceuticals, LLC$82
- plus $550 from 17 others
What the payments were for
- Food & beverage$1,745100%
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 |
|---|---|---|
| Orthofix Medical, Inc. | 7 | $503 |
| Nutech Spine, Inc. | 2 | $261 |
| Relievant Medsystems, Inc. | 1 | $140 |
| GSK | 5 | $112 |
| Spine Wave, Inc. | 2 | $97 |
| Portola Pharmaceuticals, LLC | 1 | $82 |
| Zimmer Biomet | 4 | $69 |
| Arbor Pharmaceuticals, Inc. | 3 | $52 |
| AstraZeneca | 3 | $52 |
| Globus Medical | 1 | $47 |
| Johnson & Johnson | 3 | $45 |
| Integrity Implants Inc. Dba Accelus | 1 | $35 |
| Baxter Healthcare | 2 | $33 |
| Boston Scientific | 1 | $33 |
| Radius Health, Inc. | 1 | $29 |
| Pfizer | 1 | $27 |
| Ceribell, Inc. | 1 | $23 |
| Life Spine, Inc. | 1 | $23 |
| Si-bone, Inc. | 1 | $22 |
| Kerecis Limited | 1 | $17 |
| Biedermann Motech, Inc. | 1 | $15 |
| Medtronic | 1 | $14 |
| Solventum Corporation | 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.
- Intracept$560
- Cervical-STIM$239
- SiFix$194
- Spinal-Stim$144
How this compares
$1,745 in reported general payments places this provider in the 30th percentile of 556 neurological surgery 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 57 | $821 |
| Carbamazepine | 11 | $152 |
| Methocarbamol | 12 | $117 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 12 | $98 |
| Tramadol Hcl | 18 | $42 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Fort Myers
- Jeffrey HennFort Myers$237K
- Reginald DavisFort Myers$211K
- Stephen ParkerJacksonville$18.7M
- Eric PetersonMiami$10.1M
- Brian SnellingBoca Raton$10M
- Kim ManwaringOrlando$5M
- Paul SawinWinter Park$3M
- John MainOcala$2.8M
- Michael WangMiami$2.2M
- Andrew CannestraJacksonville$1.6M
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.