Jose Alvarez, MD
General Practice · Miami, FLNPI 1205873817
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $6,600 of the $7,618 with a category attached, or 86.6%. AbbVie accounts for 90.4% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2020 at $5,048 and has fallen 99.4% since, to $29 in 2025. Among general practice clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 29 payments — averaging $262.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$7K
- Sunovion Pharmaceuticals Inc.$159
- Otsuka America Pharmaceutical, Inc.$143
- Boston Scientific$125
- Biosense Webster, Inc.$104
- Siemens Medical Solutions USA, Inc.$66
- plus $134 from 4 others
Across 64 payments — averaging $4796.61 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Teva Pharmaceuticals USA, Inc.$166K
- Sanofi US Services Inc.$43K
- AstraZeneca$43K
- Lexicon Pharmaceuticals, Inc.$20K
- Novo Nordisk AS$18K
- Chiesi USA, Inc.$10K
- plus $7K from 1 others
What the payments were for
- Speaking & faculty fees$6,60087%
- Food & beverage$1,01813%
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 | 8 | $6,886 |
| Sunovion Pharmaceuticals Inc. | 7 | $159 |
| Otsuka America Pharmaceutical, Inc. | 2 | $143 |
| Boston Scientific | 2 | $125 |
| Biosense Webster, Inc. | 2 | $104 |
| Siemens Medical Solutions USA, Inc. | 3 | $66 |
| Impulse Dynamics (USA) Inc. | 1 | $51 |
| Abbott | 2 | $31 |
| Lundbeck LLC | 1 | $29 |
| Exact Sciences | 1 | $23 |
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.
- VRAYLAR$6,850
- ABILIFY MAINTENA$122
- ABILIFY ASIMTUFII$122
- ELUVIA$102
How this compares
$7,618 in reported general payments places this provider in the 95th percentile of 6,901 general practice 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 |
|---|---|---|
| EliquisApixaban | 88 | $56,162 |
| OzempicSemaglutide | 25 | $24,361 |
| XareltoRivaroxaban | 16 | $20,065 |
| JanuviaSitagliptin Phosphate | 30 | $17,645 |
| MounjaroTirzepatide | 14 | $16,175 |
| FarxigaDapagliflozin Propanediol | 20 | $11,822 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 327 | $9,424 |
| TradjentaLinagliptin | 18 | $9,063 |
| SymbicortBudesonide/Formoterol Fumarate | 36 | $8,183 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 60 | $6,344 |
| Rosuvastatin Calcium | 615 | $3,554 |
| Insulin Aspart FlexpenInsulin Aspart | 11 | $2,628 |
| Levothyroxine Sodium | 378 | $2,454 |
| Dabigatran EtexilateDabigatran Etexilate Mesylate | 14 | $2,098 |
| Oxybutynin Chloride ErOxybutynin Chloride | 115 | $1,941 |
Paid to pharmacies, not to this prescriber.
Other general practice in Miami
- Idalia AcostaMiami$99K
- Eddie GomezMiami$59K
- Aladino ValienteMiami$24K
- Viviana WaichMiami$20K
- Libia RiosMiami$15K
- Jose CardonaMiami$15K
- Rosa HuguetMiami$15K
- Robert VogelPalm Beach Gardens$1M
- Bruce OuelletteWest Palm Beach$724K
- Caley CasteleinMiami Beach$586K
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.