Josue Alvarez Casas, MD
Surgery · Baltimore, MDNPI 1013235084
Payments from drug & device makers
What this record shows
This record is dominated by education: $3,627 of the $5,661 with a category attached, or 64.1%. Intuitive Surgical accounts for 68.3% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2021 at $3,475 and has fallen 97.8% since, to $77 in 2025.
Across 21 payments — averaging $269.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$4K
- Paragonix Technologies, Inc.$610
- Organox Ltd$509
- Davol Inc.$186
- AbbVie$120
- Johnson & Johnson$113
- plus $257 from 4 others
Across 2 payments — averaging $10,104 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.
- Organox Ltd$20K
What the payments were for
- Travel & lodging$67112%
- Food & beverage$1,36324%
- Education$3,62764%
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 |
|---|---|---|
| Intuitive Surgical | 8 | $3,866 |
| Paragonix Technologies, Inc. | 1 | $610 |
| Organox Ltd | 1 | $509 |
| Davol Inc. | 2 | $186 |
| AbbVie | 1 | $120 |
| Johnson & Johnson | 2 | $113 |
| Xvivo Perfusion Inc. | 2 | $102 |
| Sanofi-aventis U.S. LLC | 1 | $95 |
| Merck | 2 | $33 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $27 |
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.
- Da Vinci Surgical System$3,746
- METRA$509
How this compares
$5,661 in reported general payments places this provider in the 75th percentile of 493 surgery providers in Maryland.
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.
Other surgery in Baltimore
- Dorry SegevBaltimore$1.2M
- Thomas SwopeBaltimore$775K
- Alisa CokerBaltimore$702K
- John LedonneBaltimore$329K
- Martin MakaryBaltimore$135K
- Murtaza DawoodBaltimore$82K
- Christopher YouBaltimore$79K
- Daniel LubelskiBaltimore$67K
- Stephen YangBaltimore$45K
- Amelia PasleyBaltimore$32K
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.