Sasha Alvarado
Allergy · Murphy, TXNPI 1417377839
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 130 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 23 manufacturers, the largest accounting for just 16.1% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2022 at $834 and has fallen 60.8% since, to $327 in 2025. That places this record below the midpoint for allergy clinicians in TX, where the typical reported total is $5,140.
Across 130 payments — averaging $23.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$501
- Regeneron Healthcare Solutions, Inc.$348
- GSK$343
- Sanofi$312
- ARS Pharmaceuticals Operations, Inc.$287
- Takeda Pharmaceuticals U.S.A., Inc.$284
- plus $1K from 17 others
What the payments were for
- Food & beverage$3,111100%
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 |
|---|---|---|
| AstraZeneca | 24 | $501 |
| Regeneron Healthcare Solutions, Inc. | 11 | $348 |
| GSK | 25 | $343 |
| Sanofi | 13 | $312 |
| ARS Pharmaceuticals Operations, Inc. | 2 | $287 |
| Takeda Pharmaceuticals U.S.A., Inc. | 11 | $284 |
| Octapharma USA, Inc. | 3 | $131 |
| Biocryst US Sales Co., LLC | 1 | $125 |
| Teva Pharmaceuticals USA, Inc. | 4 | $118 |
| Genentech USA, Inc. | 7 | $114 |
| Alk-abello, Inc | 5 | $89 |
| Grifols USA, LLC | 3 | $67 |
| Sanofi-aventis U.S. LLC | 3 | $67 |
| Amgen(2 entities) | 3 | $64 |
| Optinose US, Inc. | 3 | $53 |
| CSL Behring | 2 | $48 |
| Kaleo, Inc. | 2 | $33 |
| Shire North American Group Inc | 2 | $32 |
| Boehringer Ingelheim | 2 | $29 |
| Sunovion Pharmaceuticals Inc. | 1 | $24 |
| AbbVie | 1 | $20 |
| Pfizer | 1 | $12 |
| Covis Pharma GmbH | 1 | $11 |
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
$3,111 in reported general payments places this provider in the 30th percentile of 69 allergy providers in Texas.
Other allergy in Murphy
- Gary GrossDallas$602K
- Rene LeonSouthlake$48K
- Christina HuddlestonDallas$26K
- Alireza ShakouriSouthlake$17K
- Zachary MarshallRoanoke$17K
- Stuart AbramsonSan Angelo$16K
- Patricia DingerSan Antonio$15K
- Brian MillerGeorgetown$15K
- Carlos VitalHouston$14K
- David FuentesBoerne$13K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.