RxDoctor Payments Data

Rony Alvarado, MD

Family Medicine · Lakeland, FLNPI 1932370632

Payments from drug & device makers

$16,914in general payments, 2019–2025

Across 944 payments — averaging $17.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$3K
  • Novo Nordisk$2K
  • AbbVie$2K
  • Lilly USA, LLC$2K
  • Pfizer$1K
  • Boehringer Ingelheim$992
  • plus $6K from 39 others

What the payments were for

  • Food & beverage$16,68799%
  • Education$2271%

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

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.

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

$16,914 in reported general payments places this provider in the 95th percentile of 7,282 family medicine providers in Florida.

See all family medicine providers in Florida

Medicare billing

Part B allowed, 2024
$183,468
Medicare patients
442
Services billed
2,445

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
EliquisApixaban266$256,924
OzempicSemaglutide177$207,546
JardianceEmpagliflozin109$131,853
MounjaroTirzepatide75$106,187
FarxigaDapagliflozin Propanediol83$84,674
Soliqua 100-33Insulin Glargine/Lixisenatide52$56,930
RybelsusSemaglutide32$54,772
TrulicityDulaglutide40$53,036
XareltoRivaroxaban37$49,944
Trelegy ElliptaFluticasone/Umeclidin/Vilanter47$36,994
JanuviaSitagliptin Phosphate27$25,621
Synjardy XrEmpagliflozin/Metformin Hcl26$24,989
Xigduo XrDapaglifloz Propaned/Metformin29$21,841
MyrbetriqMirabegron14$14,920
ArexvyRsvpref3 Antigen/As01e/Pf47$14,184

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
Novo NordiskOzempic, Rybelsus$2,260$262,317209 claims
PfizerEliquis$1,140$256,924266 claims
Lilly USA, LLCMounjaro, Trulicity$1,685$159,224115 claims
Boehringer IngelheimJardiance, Synjardy Xr$992$156,842135 claims
AstraZenecaFarxiga, Byetta$2,813$94,67995 claims
GSKTrelegy Ellipta, Arexvy, Shingrix$630$65,074157 claims
Sanofi-aventis U.S. LLCSoliqua 100-33$284$56,93052 claims
Johnson & JohnsonXarelto$110$49,94437 claims
MerckJanuvia, Janumet Xr, Janumet$124$45,28052 claims
Astellas Pharma US IncMyrbetriq$235$14,92014 claims
Amneal Pharmaceuticals LLCLevothyroxine Sodium$16$5,075566 claims
AbbVieSynthroid$1,921$4,49058 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 95th percentile of 7,282 family medicine providers in Florida.

Other family medicine in Lakeland

See the full list for Florida

Where these figures come from

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