Karem Alvarez, MD
Obstetrics & Gynecology · Brandon, FLNPI 1134531676
Payments from drug & device makers
Across 38 payments — averaging $165.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$3K
- Organon$3K
- Aspira Women's Health Inc$143
- AbbVie$134
- Mayne Pharma Commercial LLC$65
- Sumitomo Pharma America, Inc.$47
- plus $268 from 12 others
What the payments were for
- Speaking & faculty fees$5,50087%
- Food & beverage$79613%
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 |
|---|---|---|
| Merck | 7 | $2,834 |
| Organon | 5 | $2,805 |
| Aspira Women's Health Inc | 1 | $143 |
| AbbVie | 7 | $134 |
| Mayne Pharma Commercial LLC | 2 | $65 |
| Sumitomo Pharma America, Inc. | 2 | $47 |
| Hologic Sales And Service, LLC | 2 | $38 |
| Coopersurgical, Inc. | 2 | $37 |
| Meditrina | 1 | $24 |
| Dexcom, Inc. | 1 | $24 |
| Astellas Pharma US Inc | 1 | $23 |
| Bayer | 1 | $23 |
| Medtronic | 1 | $20 |
| Evofem Biosciences, Inc. | 1 | $19 |
| Daiichi Sankyo Inc. | 1 | $18 |
| Pfizer | 1 | $16 |
| Shield Therapeutics Inc | 1 | $14 |
| Mylan Pharmaceuticals 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.
How this compares
$6,296 in reported general payments places this provider in the 85th percentile of 2,438 obstetrics & gynecology 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 |
|---|---|---|
| Estradiol | 16 | $618 |
| Mometasone Furoate | 15 | $122 |
| Fluconazole | 19 | $70 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Brandon
- Samuel LedermanLake Worth$13.4M
- Richard MyersJacksonville$2.7M
- Guillermo LievanoMiami$2.5M
- Steven McCarusCelebration$2.3M
- Samuel WolfPanama City$2.1M
- Rafael Garcia-OcasioHialeah$2M
- Douglas MoffettLeesburg$1.7M
- Harvey GlasserAventura$1.6M
- Jorge PandoMiami Lakes$1.5M
- Victoria BedellMiami$1.4M
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.