RxDoctor Payments Data

Ricardo Alvarez, MD

Medical Oncology · Houston, TXNPI 1649441601

Payments from drug & device makers

$4,069,810in general payments, 2019–2025

Across 1,121 payments — averaging $3630.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Merck$1.3M
  • Daiichi Sankyo Inc.$631K
  • Daiichi Sankyo Company LTD$569K
  • AstraZeneca$288K
  • Gilead$275K
  • Sanofi US Services Inc.$225K
  • plus $769K from 54 others

What the payments were for

  • Consulting fees$38,5747%
  • Speaking & faculty fees$414,59175%
  • Grants$2500%
  • Travel & lodging$80,63115%
  • Food & beverage$18,2423%
  • Education$2390%

General payments by program year

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Merck87$1,313,217
Daiichi Sankyo Inc.57$630,589
Daiichi Sankyo Company LTD17$569,387
AstraZeneca(2 entities)56$287,673
Gilead(2 entities)195$274,668
Sanofi US Services Inc.26$225,193
Deciphera Pharmaceuticals Inc.109$133,731
Amgen26$117,868
Stemline Therapeutics Inc.98$112,786
Janssen Research & Development, LLC6$69,623
Puma Biotechnology, Inc.36$60,604
Boehringer Ingelheim6$58,512
Seagen Inc.8$51,291
Mirati Therapeutics, Inc.6$48,823
Eisai Inc.42$46,320
Roche Products Limited9$21,719
Novartis60$15,849
Pfizer27$9,290
R-pharm US LLC9$7,579
Immunomedics, Inc.3$3,638
Hoffmann-la Roche Limited3$3,496
Heron Therapeutics, Inc.2$2,050
Johnson & Johnson(2 entities)34$684
E.r. Squibb & Sons, L.L.C.28$504
Boehringer Ingelheim International GmbH2$503
Bristol Myers Squibb24$487
Eli Lilly1$373
Myriad Genetic Laboratories, Inc.3$291
Genentech USA, Inc.14$273
GSK10$240
Biontech SE2$184
Sanofi11$181
Taiho Oncology, Inc.3$167
Morphosys, US Inc.8$166
Tempus AI, Inc8$144
Pharmacyclics LLC, An Abbvie Company6$130
Bayer4$122
AbbVie(2 entities)6$112
Astellas Pharma US Inc6$99
Pharmaessentia USA Corporation4$95
Incyte Corporation4$81
Jazz Pharmaceuticals Inc.3$80
Rigel Pharmaceuticals, Inc.4$73
Lilly USA, LLC4$71
Ipsen Biopharmaceuticals, Inc4$71
Boston Scientific3$59
Springworks Therapeutics, Inc.3$50
Takeda Pharmaceuticals U.S.A., Inc.2$47
ADC Therapeutics America, Inc.2$46
Tersera Therapeutics LLC2$45
Beigene USA, Inc.2$45
Adaptive Biotechnologies Corporation2$39
Sanofi-aventis U.S. LLC1$29
Pharmacosmos Therapeutics Inc.1$26
AMAG Pharmaceuticals, Inc.2$25
Array Biopharma Inc1$25
Syndax Pharmaceuticals, Inc.1$24
Acceleron Pharma, Inc.1$24
Apellis Pharmaceuticals, Inc.1$23
Kyowa Kirin, Inc.1$23

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

$4,069,810 in reported general payments places this provider in the 85th percentile of 495 medical oncology providers in Texas.

See all medical oncology providers in Texas

Medicare billing

Part B allowed, 2024
$375,383
Medicare patients
56
Services billed
10,837

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

DrugClaimsCost to plans & patients
ErleadaApalutamide48$683,248
OrserduElacestrant Hcl12$261,708
TagrissoOsimertinib Mesylate15$242,596
KisqaliRibociclib Succinate13$194,954
Sandostatin Lar DepotOctreotide Acetate,mi-Spheres13$179,000
ImbruvicaIbrutinib12$173,512
Abiraterone Acetate13$40,655
Granisetron Hcl18$9,909
Aprepitant22$8,172
Anastrozole80$1,574
Tamoxifen Citrate18$825
Dexamethasone46$800
Letrozole29$769
Alendronate Sodium60$559
Ondansetron OdtOndansetron28$531

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.

CompanyPaid to this providerPart D cost of their drugs
Johnson & JohnsonErleada$684$683,24848 claims
NovartisKisqali, Sandostatin Lar Depot$15,849$373,95426 claims
Stemline Therapeutics Inc.Orserdu$112,786$261,70812 claims
AstraZenecaTagrisso$287,673$242,59615 claims
Pharmacyclics LLC, An Abbvie CompanyImbruvica$130$173,51212 claims
Lilly USA, LLCOlanzapine$71$22239 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 85th percentile of 495 medical oncology providers in Texas.

Other medical oncology in Houston

See the full list for Texas

Where these figures come from

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