Jane Zivalich
Family Medicine · Orlando, FLNPI 1902889561
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.4% of the total across 94 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 29 manufacturers reported payments, led by AbbVie at 25.5% of the total. Reporting peaked in 2020 at $565 and has fallen 97.6% since, to $14 in 2024.
Across 94 payments — averaging $23.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$564
- Amgen$426
- Novo Nordisk$139
- GSK$131
- Lilly USA, LLC$119
- Abbott$109
- plus $726 from 23 others
What the payments were for
- Food & beverage$2,19999%
- Education$141%
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 |
|---|---|---|
| AbbVie(2 entities) | 18 | $564 |
| Amgen | 7 | $426 |
| Novo Nordisk | 8 | $139 |
| GSK | 2 | $131 |
| Lilly USA, LLC | 8 | $119 |
| Abbott | 6 | $109 |
| Amarin Pharma, Inc. | 6 | $105 |
| AstraZeneca | 6 | $93 |
| Boehringer Ingelheim | 5 | $67 |
| Esperion Therapeutics, Inc. | 3 | $59 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $34 |
| Bayer | 2 | $33 |
| Sanofi Pasteur Inc. | 2 | $30 |
| Kowa Pharmaceuticals America, Inc. | 1 | $29 |
| Eisai Inc. | 2 | $27 |
| Vistapharm, Inc. | 2 | $26 |
| Johnson & Johnson | 2 | $24 |
| Upsher-smith Laboratories LLC | 1 | $21 |
| Astellas Pharma US Inc | 1 | $21 |
| Medtronic | 1 | $18 |
| Biohaven Pharmaceuticals, Inc. | 1 | $18 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $17 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $17 |
| Pfizer | 1 | $15 |
| Teva Pharmaceuticals USA, Inc. | 1 | $15 |
| Merck | 1 | $15 |
| Novartis | 1 | $14 |
| Genentech USA, Inc. | 1 | $14 |
| Amneal Pharmaceuticals LLC | 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.
How this compares
$2,212 in reported general payments places this provider in the 75th percentile of 7,282 family medicine providers in Florida.
Other family medicine in Orlando
- Richard LappOrlando$702K
- Asim RahmanOrlando$124K
- Arilda MargjoniOrlando$71K
- Rafael PineroOrlando$61K
- Noah LeeOakland Park$1.2M
- Angela RosselotBelle Isle$977K
- Hal BrownVero Beach$477K
- Lisa EvansBoca Raton$473K
- Giovana Rene CrooksBoca Raton$407K
- Edward BraunSt Petersburg$364K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.