Payment overview · 2025
General Payments
$177.33
10 reported records · 5 companies
Healthcare provider profile · identity verified
Aleithe N Alvarez, ARNP
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · JENSEN BEACH, FL · NPI 1790223154
Verified facts
What the public records show
CMS Open Payments records show Aleithe N Alvarez, ARNP received $177.33 in general payments during 2025 across 10 reported records.
Amgen Inc. accounted for 39.6% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 7 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Mounjaro.
AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported FARXIGA as an associated drug or biological on 106133 records involving 42906 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Farxiga by this doctor in 2024.
Lilly USA, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported MOUNJARO as an associated drug or biological on 186719 records involving 66436 distinct recipient NPIs. Public Medicare Part D data also shows 40 claims for Mounjaro by this doctor in 2024.
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 |
|---|---|---|---|---|---|
| Amgen Inc. | Unresolved — no canonical attribution shown | $70.17 | 39.6% | 4 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $50.85 | 28.7% | 3 | 2025 |
| Dexcom, Inc. | Unresolved — no canonical attribution shown | $22.40 | 12.6% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $18.29 | 10.3% | 1 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$15.62 | 8.8% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $177.33 | 10 |
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 |
|---|---|---|---|---|---|
| EVENITY Normalized: evenity |
Biological | Amgen Inc. | $70.17 | 4 | 2025 |
Source payment records
|
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $34.18 | 2 | 2025 |
Source payment records
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| Dexcom G6 Transmitter Normalized: dexcom g6 transmitter |
Medical Supply | Dexcom, Inc. | $22.40 | 1 | 2025 |
Source payment records
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| BREZTRI Normalized: breztri |
Drug | AstraZeneca Pharmaceuticals LP | $18.29 | 1 | 2025 |
Source payment records
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| JARDIANCE Normalized: jardiance |
Drug | Lilly USA, LLC | $16.67 | 1 | 2025 |
Source payment records
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| INTELLIS ADAPTIVESTIM Normalized: intellis adaptivestim |
Device | Medtronic, Inc. | $15.62 | 1 | 2025 |
Source payment records
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| PROLIA Normalized: prolia |
Biological | Amgen Inc. | $14.13 | 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
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| MOUNJARO mounjaro |
2025 | Mounjaro | 2024 | 40 Beneficiary count suppressed |
exact normalized | Medicare Part D |
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.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | FARXIGA open payments reported associated product |
CMS Open Payments — General Payments 106133 supporting records · 42906 recipient NPIs · example record 1206131362 |
Farxiga · 2024 Exact normalized brand match · 1 Part D row |
11 | suppressed by CMS |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | MOUNJARO open payments reported associated product |
CMS Open Payments — General Payments 186719 supporting records · 66436 recipient NPIs · example record 1186464455 |
Mounjaro · 2024 Exact normalized brand match · 1 Part D row |
40 | suppressed by CMS |
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 |
|---|---|---|---|
| Amlodipine Besylate | Amlodipine Besylate | 231 | 100 |
| Levothyroxine Sodium | Levothyroxine Sodium | 201 | 86 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 181 | 71 |
| Atorvastatin Calcium | Atorvastatin Calcium | 175 | 77 |
| Losartan Potassium | Losartan Potassium | 156 | 65 |
| Metformin Hcl | Metformin Hcl | 136 | 52 |
| Lisinopril | Lisinopril | 126 | 48 |
| Omeprazole | Omeprazole | 125 | 51 |
| Gabapentin | Gabapentin | 115 | 47 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 95 | 34 |
| Metoprolol Succinate | Metoprolol Succinate | 93 | 36 |
| Simvastatin | Simvastatin | 82 | 33 |
| Metoprolol Tartrate | Metoprolol Tartrate | 81 | 37 |
| Azithromycin | Azithromycin | 78 | 67 |
| Furosemide | Furosemide | 74 | 38 |
| Hydrochlorothiazide | Hydrochlorothiazide | 63 | 29 |
| Pravastatin Sodium | Pravastatin Sodium | 63 | 22 |
| Carvedilol | Carvedilol | 58 | 26 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 57 | 48 |
| Tamsulosin Hcl | Tamsulosin Hcl | 56 | 20 |
| Pantoprazole Sodium | Pantoprazole Sodium | 55 | 29 |
| Trazodone Hcl | Trazodone Hcl | 53 | 22 |
| Famotidine | Famotidine | 51 | 24 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 51 | 44 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 50 | 22 |
| Clopidogrel | Clopidogrel Bisulfate | 48 | 21 |
| Citalopram Hbr | Citalopram Hydrobromide | 45 | 17 |
| Escitalopram Oxalate | Escitalopram Oxalate | 44 | 17 |
| Fluticasone Propionate | Fluticasone Propionate | 44 | 23 |
| Potassium Chloride | Potassium Chloride | 44 | 24 |
| Meloxicam | Meloxicam | 43 | 28 |
| Sertraline Hcl | Sertraline Hcl | 43 | 23 |
| Montelukast Sodium | Montelukast Sodium | 42 | 16 |
| Alprazolam | Alprazolam | 41 | 17 |
| Mounjaro | Tirzepatide | 40 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 40 | 25 |
| Ibandronate Sodium | Ibandronate Sodium | 38 | 17 |
| Naproxen | Naproxen | 37 | 17 |
| Prednisone | Prednisone | 36 | 32 |
| Synthroid | Levothyroxine Sodium | 36 | suppressed |
| Nifedipine Er | Nifedipine | 34 | suppressed |
| Atenolol | Atenolol | 33 | 15 |
| Eliquis | Apixaban | 33 | 16 |
| Glimepiride | Glimepiride | 33 | 11 |
| Ozempic | Semaglutide | 32 | suppressed |
| Glipizide | Glipizide | 31 | 13 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 31 | 13 |
| Irbesartan-Hydrochlorothiazide | Irbesartan/Hydrochlorothiazide | 30 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 30 | 18 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 29 | 25 |
| Januvia | Sitagliptin Phosphate | 28 | 11 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 27 | 13 |
| Lorazepam | Lorazepam | 27 | 16 |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 27 | 12 |
| Hydrocortisone | Hydrocortisone | 25 | 11 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 24 | 12 |
| Duloxetine Hcl | Duloxetine Hcl | 24 | suppressed |
| Allopurinol | Allopurinol | 23 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 23 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 22 | 13 |
| Ezetimibe | Ezetimibe | 22 | 12 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 22 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 21 | 13 |
| Methylprednisolone | Methylprednisolone | 21 | 19 |
| Tramadol Hcl | Tramadol Hcl | 20 | 14 |
| Amitriptyline Hcl | Amitriptyline Hcl | 19 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 19 | suppressed |
| Mirtazapine | Mirtazapine | 19 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 19 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 19 | suppressed |
| Celecoxib | Celecoxib | 18 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 18 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 17 | suppressed |
| Finasteride | Finasteride | 17 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 17 | suppressed |
| Myrbetriq | Mirabegron | 17 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 17 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 16 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 16 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 15 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 15 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 14 | suppressed |
| Linzess | Linaclotide | 14 | suppressed |
| Methimazole | Methimazole | 14 | suppressed |
| Olmesartan-Hydrochlorothiazide | Olmesartan/Hydrochlorothiazide | 14 | suppressed |
| Cephalexin | Cephalexin | 13 | 13 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 13 | suppressed |
| Clonazepam | Clonazepam | 13 | suppressed |
| Lidocaine | Lidocaine | 13 | suppressed |
| Lovastatin | Lovastatin | 13 | suppressed |
| Nystatin | Nystatin | 13 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 13 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 13 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 12 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 12 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 11 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 11 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 11 | suppressed |
| Mupirocin | Mupirocin | 11 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 11 | suppressed |
| Xarelto | Rivaroxaban | 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 | $177.33 · 10 records | Amgen Inc. | BREZTRI, Dexcom G6 Transmitter, EVENITY, INTELLIS ADAPTIVESTIM, JARDIANCE, MOUNJARO, PROLIA | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Mounjaro play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with AstraZeneca Pharmaceuticals LP?
- 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