Roberto Alvarez, MD
Family Medicine · Houston, TXNPI 1427065283
Payments from drug & device makers
Across 400 payments — averaging $17.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$1K
- AbbVie$925
- AstraZeneca$782
- Lilly USA, LLC$386
- Pfizer$370
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$356
- plus $3K from 32 others
What the payments were for
- Food & beverage$6,918100%
- Education$120%
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 |
|---|---|---|
| Novo Nordisk | 91 | $1,278 |
| AbbVie(2 entities) | 54 | $925 |
| AstraZeneca | 34 | $782 |
| Lilly USA, LLC | 21 | $386 |
| Pfizer | 22 | $370 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 18 | $356 |
| GSK | 20 | $348 |
| Bayer | 21 | $328 |
| Astellas Pharma US Inc | 13 | $231 |
| Amarin Pharma, Inc. | 12 | $227 |
| Takeda Pharmaceuticals U.S.A., Inc. | 8 | $181 |
| Boehringer Ingelheim | 8 | $161 |
| Abbott | 6 | $131 |
| Gilead | 9 | $128 |
| Corium, LLC | 6 | $119 |
| Amgen | 7 | $117 |
| Merck | 9 | $112 |
| Inspire Medical Systems, Inc. | 4 | $107 |
| Eisai Inc. | 5 | $85 |
| Dexcom, Inc. | 3 | $57 |
| Exact Sciences | 3 | $52 |
| Antares Pharma, Inc. | 3 | $52 |
| Biohaven Pharmaceuticals, Inc. | 3 | $47 |
| Jazz Pharmaceuticals Inc. | 2 | $36 |
| Johnson & Johnson | 2 | $34 |
| Nevro Corp. | 1 | $33 |
| IBSA Pharma Inc. | 2 | $32 |
| Paratek Pharmaceuticals, Inc. | 2 | $32 |
| Arbor Pharmaceuticals, Inc. | 2 | $29 |
| Novartis | 1 | $23 |
| Sanofi Pasteur Inc. | 1 | $20 |
| Dynavax Technologies Corporation | 1 | $19 |
| Verity Pharmaceuticals Inc. | 1 | $18 |
| Esperion Therapeutics, Inc. | 1 | $18 |
| Supernus Pharmaceuticals, Inc. | 1 | $17 |
| Currax Pharmaceuticals LLC | 1 | $14 |
| Mylan Specialty L.p. | 1 | $13 |
| Amneal Pharmaceuticals LLC | 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
$6,929 in reported general payments places this provider in the 85th percentile of 8,760 family medicine providers in Texas.
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 |
|---|---|---|
| FarxigaDapagliflozin Propanediol | 36 | $43,188 |
| MounjaroTirzepatide | 36 | $42,115 |
| OzempicSemaglutide | 25 | $36,205 |
| JardianceEmpagliflozin | 20 | $25,520 |
| XareltoRivaroxaban | 14 | $17,925 |
| ShingrixVaricella-Zoster Ge/As01b/Pf | 63 | $14,029 |
| Atorvastatin Calcium | 583 | $5,085 |
| Rosuvastatin Calcium | 269 | $4,731 |
| SynthroidLevothyroxine Sodium | 42 | $3,488 |
| SymbicortBudesonide/Formoterol Fumarate | 11 | $3,279 |
| Lisinopril | 320 | $2,083 |
| Gabapentin | 100 | $2,079 |
| Levothyroxine Sodium | 237 | $1,694 |
| Omeprazole | 118 | $1,667 |
| Metformin Hcl | 251 | $1,579 |
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 |
|---|---|---|
| AstraZenecaFarxiga, Symbicort | $782 | $46,46647 claims |
| Lilly USA, LLCMounjaro | $386 | $42,11536 claims |
| Novo NordiskOzempic | $1,278 | $36,20525 claims |
| Boehringer IngelheimJardiance | $161 | $25,52020 claims |
| Johnson & JohnsonXarelto | $34 | $17,92514 claims |
| GSKShingrix | $348 | $14,02963 claims |
| AbbVieSynthroid | $925 | $3,48842 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $13 | $1,694237 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 8,760 family medicine providers in Texas.
Other family medicine in Houston
- Lisa HollowayHouston$30.1M
- Veronica FragosoHouston$24.5M
- Bonnie ColvilleHouston$19.6M
- Oscar de ValleHouston$12.8M
- van TranHouston$11M
- Joe PouzarHouston$10.7M
- Aalia Al-BarwaniHouston$6.8M
- Terence ChangHouston$3.3M
- Douglas DenhamSan Antonio$68.5M
- Vicki MillerPasadena$58.3M
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.