Sandra Alvarez
Pediatrics · Boca Raton, FLNPI 1881874931
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 148 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 32 manufacturers, the largest accounting for just 16.5% — the pattern of someone who eats at a lot of different presentations. Among pediatrics clinicians in FL 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 148 payments — averaging $20.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Exact Sciences$503
- Otsuka America Pharmaceutical, Inc.$328
- Lilly USA, LLC$279
- Vanda Pharmaceuticals Inc.$213
- Novo Nordisk$187
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$162
- plus $1K from 26 others
What the payments were for
- Food & beverage$3,045100%
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 |
|---|---|---|
| Exact Sciences | 25 | $503 |
| Otsuka America Pharmaceutical, Inc. | 14 | $328 |
| Lilly USA, LLC | 15 | $279 |
| Vanda Pharmaceuticals Inc. | 7 | $213 |
| Novo Nordisk | 10 | $187 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 9 | $162 |
| AstraZeneca | 7 | $145 |
| Bayer | 6 | $128 |
| Eisai Inc. | 8 | $127 |
| Adlon Therapeutics L.p. | 7 | $121 |
| Takeda Pharmaceuticals U.S.A., Inc. | 5 | $118 |
| Lundbeck LLC | 4 | $103 |
| GSK | 4 | $88 |
| Cranial Technologies, Inc | 4 | $58 |
| Supernus Pharmaceuticals, Inc. | 3 | $57 |
| Saluda Medical Americas, Inc. | 1 | $53 |
| Abbott | 2 | $43 |
| Corium, LLC | 2 | $39 |
| Bausch Health US, LLC | 2 | $38 |
| Sanofi-aventis U.S. LLC | 1 | $31 |
| Linus Health, Inc. | 1 | $26 |
| Noven Therapeutics, LLC | 1 | $24 |
| Kowa Pharmaceuticals America, Inc. | 1 | $22 |
| Paratek Pharmaceuticals, Inc. | 1 | $21 |
| Axsome Therapeutics, Inc. | 1 | $21 |
| Dexcom, Inc. | 1 | $19 |
| Johnson & Johnson | 1 | $18 |
| Jazz Pharmaceuticals Inc. | 1 | $17 |
| Arbor Pharmaceuticals, Inc. | 1 | $15 |
| Idorsia Pharmaceuticals US Inc | 1 | $15 |
| Amgen | 1 | $14 |
| Novartis | 1 | $11 |
How this compares
$3,045 in reported general payments places this provider in the 95th percentile of 3,964 pediatrics providers in Florida.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Levothyroxine Sodium | 12 | $39 |
| Atorvastatin Calcium | 11 | $34 |
| Lisinopril | 11 | $14 |
Paid to pharmacies, not to this prescriber.
Other pediatrics in Boca Raton
- Todd RothBoca Raton$11K
- Melissa SheinkerBoca Raton$6K
- Jorge Lujan-ZilbermanTampa$378K
- Bonnie SmeryageHollywood$153K
- Patricia DeanMiami$92K
- Ryan CantvilleJacksonville$87K
- Christina CanodyTampa$87K
- Sofia MirandaMiami$67K
- Jose HerreraMiami$61K
- Joanna DavisMiami$59K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.