Manrique Alvarez, MD
Interventional Cardiology · Winston Salem, NCNPI 1235397431
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,735 of the $2,671 with a category attached, or 64.9%. 10 manufacturers reported payments, led by Boston Scientific at 47.3% of the total. Reporting peaked in 2019 at $1,176 and has fallen 72.0% since, to $330 in 2025. That places this record below the midpoint for interventional cardiology clinicians in NC, where the typical reported total is $5,390.
Across 49 payments — averaging $54.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$1K
- Abiomed$315
- Inari Medical, Inc.$263
- Angiodynamics, Inc.$198
- Recor Medical Inc$179
- Abbott$155
- plus $296 from 4 others
Across 1 payment — averaging $10,528 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.
- Inari Medical, Inc.$11K
What the payments were for
- Travel & lodging$93635%
- Food & beverage$1,73565%
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 |
|---|---|---|
| Boston Scientific | 9 | $1,265 |
| Abiomed | 8 | $315 |
| Inari Medical, Inc. | 4 | $263 |
| Angiodynamics, Inc. | 1 | $198 |
| Recor Medical Inc | 2 | $179 |
| Abbott | 8 | $155 |
| Amgen | 6 | $83 |
| Medtronic | 5 | $82 |
| Edwards Lifesciences | 3 | $74 |
| E.r. Squibb & Sons, L.L.C. | 3 | $56 |
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
$2,671 in reported general payments places this provider in the 25th percentile of 180 interventional cardiology providers in North Carolina.
See all interventional cardiology providers in North Carolina →
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 | 145 | $147,161 |
| Repatha SureclickEvolocumab | 71 | $60,400 |
| EntrestoSacubitril/Valsartan | 34 | $50,490 |
| JardianceEmpagliflozin | 38 | $34,145 |
| Praluent PenAlirocumab | 21 | $11,349 |
| Atorvastatin Calcium | 158 | $1,893 |
| Metoprolol Succinate | 128 | $1,627 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 37 | $1,369 |
| Carvedilol | 89 | $1,252 |
| Losartan Potassium | 91 | $1,066 |
| Rosuvastatin Calcium | 93 | $913 |
| Isosorbide Mononitrate ErIsosorbide Mononitrate | 55 | $692 |
| ClopidogrelClopidogrel Bisulfate | 51 | $597 |
| Spironolactone | 92 | $588 |
| Metoprolol Tartrate | 69 | $569 |
Paid to pharmacies, not to this prescriber.
Other interventional cardiology in Winston Salem
- David ZhaoWinston Salem$78K
- Samuel TurnerWinston Salem$60K
- Nizar NoureddineWinston Salem$22K
- Peter BelfordWinston Salem$14K
- Robert PreliWinston Salem$12K
- Frances WoodWinston Salem$10K
- George AdamsGarner$4.1M
- Paul MahoneyGreenville$1.7M
- Ravish SacharRaleigh$1.6M
- Patrick SimpsonPinehurst$579K
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.