Michael Alavian, MD
Urology · Johnston, RINPI 1538489364
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 94.6% of the total across 301 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 31 manufacturers, the largest accounting for just 17.7% — the pattern of someone who eats at a lot of different presentations.
Across 301 payments — averaging $20.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$1K
- Pfizer$704
- Sumitomo Pharma America, Inc.$504
- Bayer$491
- AbbVie$450
- Johnson & Johnson$380
- plus $2K from 25 others
What the payments were for
- Food & beverage$5,76095%
- Education$3295%
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 |
|---|---|---|
| Astellas Pharma US Inc | 62 | $1,076 |
| Pfizer | 44 | $704 |
| Sumitomo Pharma America, Inc. | 26 | $504 |
| Bayer | 19 | $491 |
| AbbVie(2 entities) | 22 | $450 |
| Johnson & Johnson(2 entities) | 18 | $380 |
| Endo Pharmaceuticals Inc. | 15 | $287 |
| Teleflex LLC | 11 | $261 |
| Progenics Pharmaceuticals, Inc. | 8 | $202 |
| Antares Pharma, Inc. | 8 | $179 |
| Tolmar, Inc. | 7 | $167 |
| Tolmar Pharmaceuticals, Inc. | 7 | $161 |
| Endo USA, Inc. | 5 | $141 |
| Coloplast | 9 | $138 |
| Myriad Genetic Laboratories, Inc. | 8 | $133 |
| Boston Scientific | 1 | $118 |
| Dendreon Pharmaceuticals LLC | 5 | $115 |
| Olympus America Inc. | 3 | $88 |
| Verity Pharmaceuticals Inc. | 4 | $77 |
| Dentsply IH AB | 2 | $76 |
| Ferring Pharmaceuticals Inc. | 3 | $59 |
| 180 Medical, Inc. | 2 | $47 |
| Myovant Sciences Inc. | 2 | $36 |
| Telix Pharmaceuticals | 2 | $33 |
| Halozyme Inc | 2 | $31 |
| Profound Medical Corp. | 1 | $30 |
| Blue Earth Diagnostics | 1 | $28 |
| C. R. Bard, Inc. & Subsidiaries | 1 | $25 |
| Otsuka America Pharmaceutical, Inc. | 1 | $24 |
| BD | 1 | $14 |
| Acerus Pharmaceuticals Corporation | 1 | $13 |
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
$6,089 in reported general payments places this provider in the 75th percentile of 55 urology providers in Rhode Island.
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 |
|---|---|---|
| GemtesaVibegron | 67 | $51,123 |
| MyrbetriqMirabegron | 98 | $50,205 |
| EligardLeuprolide Acetate | 13 | $34,765 |
| OrgovyxRelugolix | 11 | $30,595 |
| Tamsulosin Hcl | 808 | $14,792 |
| XyostedTestosterone Enanthate | 12 | $7,061 |
| Finasteride | 435 | $6,096 |
| Silodosin | 73 | $6,054 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 152 | $4,024 |
| Methenamine Hippurate | 34 | $1,729 |
| Potassium Citrate ErPotassium Citrate | 30 | $1,504 |
| Solifenacin Succinate | 19 | $1,143 |
| Oxybutynin Chloride ErOxybutynin Chloride | 23 | $1,101 |
| Estradiol | 17 | $1,075 |
| Fesoterodine Fumarate ErFesoterodine Fumarate | 11 | $824 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Sumitomo Pharma America, Inc.Gemtesa, Orgovyx | $504 | $81,71878 claims |
| Astellas Pharma US IncMyrbetriq | $1,076 | $50,20598 claims |
| Tolmar Pharmaceuticals, Inc.Eligard | $161 | $34,76513 claims |
| Antares Pharma, Inc.Xyosted | $179 | $7,06112 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 75th percentile of 55 urology providers in Rhode Island.
Other urology in Johnston
- Leif OlssonJohnston$5K
- Steven ColagiovanniJohnston$3K
- Dicken KoProvidence$158K
- Gyan PareekProvidence$83K
- Joseph RenzulliProvidence$81K
- Simone ThavaseelanProvidence$16K
- Boris GershmanProvidence$13K
- Mark LeoWest Warwick$13K
- Janice Santos CortesProvidence$12K
- Joseph CambioWest Warwick$11K
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.