Silverio Alvarez
Physician Assistant · Palm Springs, CANPI 1740758416
Payments from drug & device makers
Across 142 payments — averaging $38.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$1K
- Amgen$1K
- AstraZeneca$579
- Daiichi Sankyo Inc.$474
- Lilly USA, LLC$315
- Bayer$276
- plus $1K from 16 others
What the payments were for
- Food & beverage$5,500100%
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 | 46 | $1,461 |
| Amgen | 28 | $1,315 |
| AstraZeneca | 8 | $579 |
| Daiichi Sankyo Inc. | 10 | $474 |
| Lilly USA, LLC | 5 | $315 |
| Bayer | 9 | $276 |
| Biohaven Pharmaceuticals, Inc. | 2 | $249 |
| Johnson & Johnson | 2 | $192 |
| Boehringer Ingelheim | 5 | $146 |
| GSK | 4 | $84 |
| Amarin Pharma, Inc. | 4 | $70 |
| Boston Scientific | 3 | $69 |
| Merck | 3 | $54 |
| AbbVie | 3 | $47 |
| Shield Therapeutics Inc | 2 | $40 |
| Pfizer | 1 | $22 |
| Neurocrine Biosciences, Inc. | 1 | $22 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $20 |
| Xeris Pharmaceuticals, Inc. | 1 | $18 |
| Phathom Pharmaceuticals, Inc. | 2 | $18 |
| Medtronic | 1 | $18 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $12 |
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
$5,500 in reported general payments places this provider in the 90th percentile of 10,423 physician assistant providers in California.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| JardianceEmpagliflozin | 83 | $116,349 |
| TrulicityDulaglutide | 37 | $56,564 |
| OzempicSemaglutide | 24 | $30,110 |
| JanuviaSitagliptin Phosphate | 14 | $20,665 |
| EliquisApixaban | 19 | $18,055 |
| FarxigaDapagliflozin Propanediol | 16 | $14,078 |
| Atorvastatin Calcium | 339 | $3,291 |
| Pregabalin | 37 | $2,206 |
| Olmesartan Medoxomil | 165 | $2,067 |
| Chlorthalidone | 69 | $1,648 |
| Metformin Hcl | 189 | $1,606 |
| Lisinopril | 208 | $1,505 |
| Tamsulosin Hcl | 69 | $1,115 |
| Duloxetine Hcl | 16 | $1,006 |
| Gabapentin | 85 | $969 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance | $146 | $116,34983 claims |
| Lilly USA, LLCTrulicity | $315 | $56,56437 claims |
| Novo NordiskOzempic | $1,461 | $30,11024 claims |
| MerckJanuvia | $54 | $20,66514 claims |
| PfizerEliquis | $22 | $18,05519 claims |
| AstraZenecaFarxiga | $579 | $14,07816 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 90th percentile of 10,423 physician assistant providers in California.
Other physician assistant in Palm Springs
- John QuigleyDowney$2.9M
- Andrea NguyenIrvine$1M
- Mikhail AlperMadera$889K
- Erin JensenUpland$716K
- Franklin ClineSacramento$458K
- Carla CrespoMarina del Rey$297K
- Katherine OsakiEl Centro$274K
- Shawna JonesFountain Valley$266K
- Heather AustinSalinas$219K
- Eric CheungLos Angeles$213K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.