Juan Alvarez, MD
Orthopaedic Surgery · Sebring, FLNPI 1356458707
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $459,479 of the $496,235 with a category attached, or 92.6%. Ortho Development Corporation accounts for 99.6% of it on its own, with 10 other manufacturers making up the rest. Among orthopaedic surgery 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 147 payments — averaging $3375.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Ortho Development Corporation$494K
- Stryker$2K
- Curonix LLC$109
- Avanos Medical$65
- Zimmer Biomet$40
- Bioventus LLC$34
- plus $111 from 5 others
What the payments were for
- Royalty or licence$459,47993%
- Consulting fees$2,6251%
- Speaking & faculty fees$13,0003%
- Travel & lodging$19,1384%
- Food & beverage$1,9480%
- Education$450%
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 |
|---|---|---|
| Ortho Development Corporation | 121 | $494,362 |
| Stryker | 11 | $1,514 |
| Curonix LLC | 3 | $109 |
| Avanos Medical | 3 | $65 |
| Zimmer Biomet | 1 | $40 |
| Bioventus LLC | 2 | $34 |
| Heraeus Medical, LLC. | 2 | $31 |
| Boston Scientific | 1 | $28 |
| Johnson & Johnson | 1 | $23 |
| Coastal Medical Technologies LLC | 1 | $15 |
| Heron Therapeutics, Inc. | 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.
- Entrada Hip Stem$339,020
- ENTRADA$123,465
- MAKO$1,086
- BKS TriMax$265
- PANGEA$174
How this compares
$496,235 in reported general payments places this provider in the 95th percentile of 1,263 orthopaedic 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 |
|---|---|---|
| Pregabalin | 364 | $3,453 |
| Cefadroxil | 457 | $3,135 |
| Oxycodone Hcl | 498 | $1,721 |
| Celecoxib | 111 | $1,596 |
| Doxycycline Hyclate | 118 | $1,264 |
| Naproxen | 156 | $1,257 |
| Amoxicillin | 447 | $617 |
| Gabapentin | 48 | $225 |
| Duloxetine Hcl | 24 | $203 |
| Tramadol Hcl | 38 | $157 |
| Baclofen | 21 | $113 |
| Clindamycin Hcl | 79 | $94 |
| Tranexamic Acid | 12 | $77 |
| Meloxicam | 33 | $61 |
| Zolpidem Tartrate | 19 | $57 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Sebring
- Andrew CooperClearwater$102M
- Richard HynesMelbourne$34.8M
- Mark FrankleTemple Terrace$31M
- Roy SandersTemple Terrace$19.6M
- George HaidukewychOrlando$10M
- Robert SantrockFernandina Beach$7.3M
- Martin RocheFt. Lauderdale$7.1M
- Steven LyonsTampa$6.7M
- Thomas BernasekTemple Terrace$6.4M
- Bryan SpringerJacksonville$6.3M
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.