Payment overview · 2025
General Payments
$16.31
1 reported records · 1 companies
Healthcare provider profile · identity verified
German Alvarez, M.D.
Allopathic & Osteopathic Physicians|Family Medicine · BRANDON, FL · NPI 1619141231
Verified facts
What the public records show
CMS Open Payments records show German Alvarez, M.D. received $16.31 in general payments during 2025 across 1 reported records.
Phadia US Inc. accounted for 100.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 1 associated product.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Phadia US Inc. | Unresolved — no canonical attribution shown | $16.31 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $16.31 | 1 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| ImmunoCAP Normalized: immunocap |
Device | Phadia US Inc. | $16.31 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
None of this doctor’s payer companies has same-entity product evidence that passes the publication threshold. The site does not infer company ownership, affiliates, or generic manufacturers.
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 301 | 84 |
| Eliquis | Apixaban | 204 | 53 |
| Metoprolol Tartrate | Metoprolol Tartrate | 173 | 53 |
| Gabapentin | Gabapentin | 161 | 46 |
| Amlodipine Besylate | Amlodipine Besylate | 157 | 41 |
| Trazodone Hcl | Trazodone Hcl | 147 | 38 |
| Levothyroxine Sodium | Levothyroxine Sodium | 141 | 29 |
| Tamsulosin Hcl | Tamsulosin Hcl | 116 | 35 |
| Pantoprazole Sodium | Pantoprazole Sodium | 113 | 51 |
| Clopidogrel | Clopidogrel Bisulfate | 105 | 32 |
| Carvedilol | Carvedilol | 91 | 24 |
| Losartan Potassium | Losartan Potassium | 91 | 38 |
| Potassium Chloride | Potassium Chloride | 82 | 35 |
| Warfarin Sodium | Warfarin Sodium | 80 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 79 | 17 |
| Furosemide | Furosemide | 76 | 34 |
| Levetiracetam | Levetiracetam | 73 | 20 |
| Nifedipine Er | Nifedipine | 64 | 21 |
| Lisinopril | Lisinopril | 62 | 15 |
| Metoprolol Succinate | Metoprolol Succinate | 62 | 33 |
| Baclofen | Baclofen | 60 | suppressed |
| Cefdinir | Cefdinir | 58 | 55 |
| Oxcarbazepine | Oxcarbazepine | 55 | 12 |
| Metformin Hcl | Metformin Hcl | 54 | 11 |
| Memantine Hcl | Memantine Hcl | 52 | 11 |
| Azithromycin | Azithromycin | 50 | 37 |
| Finasteride | Finasteride | 48 | 12 |
| Ceftriaxone | Ceftriaxone Sodium | 47 | 25 |
| Ipratropium-Albuterol | Ipratropium/Albuterol Sulfate | 47 | 13 |
| Allopurinol | Allopurinol | 43 | suppressed |
| Ertapenem | Ertapenem Sodium | 42 | 22 |
| Prednisone | Prednisone | 40 | 34 |
| Sertraline Hcl | Sertraline Hcl | 39 | 16 |
| Midodrine Hcl | Midodrine Hcl | 37 | 19 |
| Montelukast Sodium | Montelukast Sodium | 35 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 32 | 26 |
| Divalproex Sodium | Divalproex Sodium | 32 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 32 | suppressed |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 32 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 30 | suppressed |
| Lidocaine Hcl | Lidocaine Hcl | 30 | 15 |
| Mirtazapine | Mirtazapine | 28 | 11 |
| Diltiazem Hcl | Diltiazem Hcl | 27 | 11 |
| Simvastatin | Simvastatin | 27 | suppressed |
| Valsartan | Valsartan | 27 | suppressed |
| Xarelto | Rivaroxaban | 27 | suppressed |
| Sucralfate | Sucralfate | 25 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 24 | suppressed |
| Ketoconazole | Ketoconazole | 24 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 23 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 22 | suppressed |
| Bumetanide | Bumetanide | 21 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 20 | 15 |
| Ondansetron Hcl | Ondansetron Hcl | 20 | 16 |
| Spironolactone | Spironolactone | 20 | suppressed |
| Vancomycin Hcl | Vancomycin Hcl | 20 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 19 | 15 |
| Glipizide | Glipizide | 19 | suppressed |
| Rasagiline Mesylate | Rasagiline Mesylate | 19 | suppressed |
| Jardiance | Empagliflozin | 18 | suppressed |
| Lactulose | Lactulose | 18 | suppressed |
| Santyl | Collagenase Clostridium Hist. | 18 | 11 |
| Sodium Chloride | 0.9 % Sodium Chloride | 18 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 17 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 16 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 16 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 15 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 14 | suppressed |
| Famotidine | Famotidine | 14 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 14 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 14 | 14 |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 13 | suppressed |
| Carbidopa-Levodopa Er | Carbidopa/Levodopa | 13 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 13 | suppressed |
| Entresto | Sacubitril/Valsartan | 13 | suppressed |
| Gemfibrozil | Gemfibrozil | 13 | suppressed |
| Insulin Aspart Prot Mix 70-30 | Insulin Aspart Prot/Insuln Asp | 13 | suppressed |
| Isosorbide Dinitrate | Isosorbide Dinitrate | 13 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 13 | suppressed |
| Admelog | Insulin Lispro | 12 | suppressed |
| Budesonide | Budesonide | 12 | suppressed |
| Dexamethasone | Dexamethasone | 12 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 12 | suppressed |
| Digoxin | Digoxin | 12 | suppressed |
| Dovato | Dolutegravir Sodium/Lamivudine | 12 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 12 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 12 | suppressed |
| Lithostat | Acetohydroxamic Acid | 12 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 12 | suppressed |
| Mycophenolate Mofetil | Mycophenolate Mofetil | 12 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 12 | suppressed |
| Albuterol Sulfate | Albuterol Sulfate | 11 | suppressed |
| Cinacalcet Hcl | Cinacalcet Hcl | 11 | suppressed |
| Methylprednisolone | Methylprednisolone | 11 | 11 |
| Potassium Citrate Er | Potassium Citrate | 11 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $16.31 · 1 records | Phadia US Inc. | ImmunoCAP | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error