Michael Alvarado, MD
Anesthesiology · Myrtle Beach, SCNPI 1750801841
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,748 of the $3,967 with a category attached, or 69.3%. 17 manufacturers reported payments, led by Medtronic at 59.9% of the total. Reporting peaked in 2022 at $2,525 and has fallen 90.0% since, to $253 in 2025. Among anesthesiology clinicians in SC 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 68 payments — averaging $58.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$2K
- Abbott$220
- Boston Scientific$202
- Nalu Medical, Inc.$167
- Relievant Medsystems, Inc.$163
- Nevro Corp.$152
- plus $688 from 11 others
What the payments were for
- Travel & lodging$1,22031%
- Food & beverage$2,74869%
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 |
|---|---|---|
| Medtronic | 31 | $2,375 |
| Abbott | 5 | $220 |
| Boston Scientific | 5 | $202 |
| Nalu Medical, Inc. | 3 | $167 |
| Relievant Medsystems, Inc. | 1 | $163 |
| Nevro Corp. | 3 | $152 |
| SPR Therapeutics, Inc | 4 | $126 |
| Curonix LLC | 2 | $119 |
| Stimwave Technologies Incorporated | 1 | $109 |
| Forte Bio-pharma LLC | 4 | $77 |
| Si-bone, Inc. | 3 | $76 |
| Edwards Lifesciences | 1 | $62 |
| AbbVie | 1 | $34 |
| Painteq LLC | 1 | $33 |
| Bioventus LLC | 1 | $22 |
| Spinal Simplicity, LLC | 1 | $19 |
| Vertos Medical, Inc. | 1 | $12 |
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.
- VANTA ADAPTIVESTIM$1,463
- Intracept$651
- Nalu Neurostimulation System$122
- Superion Indirect Decompression System$118
- INCEPTIV$111
- Omnia$111
- INTELLIS ADAPTIVESTIM$109
- PROCLAIM$104
How this compares
$3,967 in reported general payments places this provider in the 95th percentile of 609 anesthesiology providers in South 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 |
|---|---|---|
| NucyntaTapentadol Hcl | 13 | $14,336 |
| Xtampza ErOxycodone Myristate | 21 | $7,673 |
| Nucynta ErTapentadol Hcl | 11 | $7,356 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 219 | $4,769 |
| Hysingla ErHydrocodone Bitartrate | 12 | $4,268 |
| OxycontinOxycodone Hcl | 13 | $3,088 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 87 | $2,808 |
| Gabapentin | 117 | $1,537 |
| Pregabalin | 94 | $1,377 |
| Celecoxib | 52 | $837 |
| Morphine Sulfate | 31 | $766 |
| Cyclobenzaprine Hcl | 73 | $523 |
| Tramadol Hcl | 54 | $422 |
| Oxycodone Hcl | 31 | $372 |
| Methocarbamol | 21 | $320 |
Paid to pharmacies, not to this prescriber.
Other anesthesiology in Myrtle Beach
- Bryan LeeMyrtle Beach$2K
- Derek HorstemeyerMyrtle Beach$2K
- Keeland WilliamsMyrtle Beach$2K
- Frank OverdykCharleston$131K
- Frank HumblesConway$74K
- Joseph RodrigoCharleston$54K
- Jeffrey FrohockCharleston$48K
- Eric LoudermilkAnderson$21K
- David ArcellaCharleston$18K
- William HandGreenville$16K
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.