Medicare Enrolled
Alain Alvarez
Rheumatology · Naples, FL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Alvarez from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Alvarez
Alain Alvarez is a rheumatology specialist in Naples, FL, with 18 years of NPI registration. Based on federal Medicare data, Alvarez performed 230,873 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Alvarez received a total of $33,039 from 53 pharmaceutical and/or device companies across 1184 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Alvarez is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 18 years of NPI registration
▲ Top 6% volume in FL
$33,039 industry payments
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 97114 | Clear | January 31, 2027 | — |
Data from Florida Department of Health Medical Quality Assurance.
License records are public under Chapter 119, Florida Statutes.
Verify directly on FL DOH →
Medicare Practice Summary — 2023
Medicare Utilization ↗230,873
Medicare services
Top 6% in FL for rheumatology
Not available
Unique patients (not deduplicated)
$8
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Certolizumab injection (Cimzia) An injection of certolizumab pegol administered under the direct supervision of a physician. |
136,400 | $4 | $11 |
| Tocilizumab injection (Actemra) | 32,120 | $5 | $11 |
| Golimumab infusion (Simponi Aria) Administration of golimumab medication directly into a vein. This code specifies the dosage amount of 1 milligram for intravenous delivery. |
28,800 | $11 | $27 |
| Romosozumab injection (Evenity) for osteoporosis | 13,230 | $8 | $22 |
| Abatacept infusion (Orencia) An injection of abatacept administered under the direct supervision of a physician. This code is used for Medicare when the drug is not self-administered. |
10,775 | $34 | $85 |
| Denosumab injection (Prolia/Xgeva) | 4,200 | $18 | $43 |
| Infliximab infusion (Remicade) An injection of infliximab, excluding biosimilar versions, administered in a 10 mg dose. |
1,520 | $27 | $75 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
925 | $99 | $281 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
921 | $1 | $15 |
| Non-hormonal chemotherapy injection This procedure involves administering non-hormonal anti-neoplastic chemotherapy medication via injection into the skin or muscle tissue. |
828 | $60 | $140 |
| Intravenous chemotherapy infusion, 1 hour or less Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete. |
443 | $103 | $361 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
120 | $122 | $434 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
114 | $67 | $192 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
107 | $81 | $246 |
| Ultrasound-guided joint aspiration or injection Removal of fluid from or injection into a medium-sized joint using ultrasound guidance to ensure accurate placement. |
73 | $74 | $215 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
64 | $45 | $142 |
| Additional hour of intravenous chemotherapy This code represents the administration of chemotherapy medication into a vein for each additional hour beyond the initial period. |
55 | $22 | $115 |
| New patient office visit, complex (60-74 min) | 51 | $166 | $547 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
49 | $45 | $158 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
43 | $140 | $380 |
| Methylprednisolone acetate injection, 20 mg A 20 mg injection of methylprednisolone acetate, a corticosteroid medication. This code specifies the drug and dosage administered. |
35 | $4 | $26 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
18.0% high complexity
81.5% medium
0.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$33,039
Total received (2018-2024)
Avg $4,720/year across 7 years
Top 15% in FL for rheumatology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
53
Companies
1,184
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$4,823
2023
$7,226
2022
$5,510
2021
$4,983
2020
$4,190
2019
$3,303
2018
$3,004
Payments by company (2024)
Amgen Inc.
$1,397
Janssen Biotech, Inc.
$798
ABBVIE INC.
$536
Novartis Pharmaceuticals Corporation
$484
UCB, Inc.
$350
Lilly USA, LLC
$271
Mallinckrodt Hospital Products Inc.
$197
AstraZeneca Pharmaceuticals LP
$123
Janssen Scientific Affairs, LLC
$115
GlaxoSmithKline, LLC.
$103
PFIZER INC.
$101
E.R. Squibb & Sons, L.L.C.
$78
GENZYME CORPORATION
$69
Almatica Pharma LLC
$33
Radius Health, Inc.
$32
Organon Llc
$31
Biocon Biologics Inc
$24
Fresenius Kabi USA, LLC
$22
Boehringer Ingelheim Pharmaceuticals, Inc.
$21
Ultragenyx Pharmaceutical Inc.
$21
Teva Pharmaceuticals USA, Inc.
$18
Top 3 companies account for 56.6% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$5,858
Janssen Biotech, Inc.
$5,095
Horizon Therapeutics plc
$2,850
Novartis Pharmaceuticals Corporation
$2,439
GENZYME CORPORATION
$2,420
UCB, Inc.
$1,742
Lilly USA, LLC
$1,551
ABBVIE INC.
$1,231
E.R. Squibb & Sons, L.L.C.
$1,104
AbbVie, Inc.
$1,038
AstraZeneca Pharmaceuticals LP
$889
AbbVie Inc.
$831
PFIZER INC.
$790
Mallinckrodt Hospital Products Inc.
$687
Janssen Scientific Affairs, LLC
$647
GlaxoSmithKline, LLC.
$503
Boehringer Ingelheim Pharmaceuticals, Inc.
$460
Mallinckrodt Enterprises LLC
$313
Genentech, Inc.
$288
Genentech USA, Inc.
$274
Celgene Corporation
$261
Radius Health, Inc.
$227
Fresenius Kabi USA, LLC
$146
Antares Pharma, Inc.
$123
Fidia Pharma USA Inc.
$98
Flexion Therapeutics, Inc.
$97
Mallinckrodt LLC
$97
Johnson & Johnson Health Care Systems Inc.
$93
Stryker Corporation
$90
Aurinia Pharma U.S., Inc.
$83
Sobi, Inc
$64
Pacira Therapeutics, Inc.
$61
Ironwood Pharmaceuticals, Inc
$55
Horizon Pharma plc
$53
Alvogen Inc
$52
Sandoz Inc.
$36
SOBI, INC
$35
Almatica Pharma LLC
$33
West-Ward Pharmaceuticals
$33
Organon Llc
$31
FIDIA PHARMA USA INC.
$30
Biocon Biologics Inc
$24
Mylan Institutional Inc.
$24
Pacira Pharmaceuticals Incorporated
$22
Ultragenyx Pharmaceutical Inc.
$21
Takeda Pharmaceuticals U.S.A., Inc.
$20
Cumberland Pharmaceuticals, Inc.
$19
Nevro Corp.
$19
Teva Pharmaceuticals USA, Inc.
$18
Alexion Pharmaceuticals, Inc.
$18
Exeltis, USA Inc.
$17
Merck Sharp & Dohme Corporation
$16
MEDEXUS PHARMA, INC.
$15
Top 3 companies account for 41.8% of all-time payments
Associated products mentioned in payments ›
ACTHAR · AMJEVITA · AVSOLA · BENLYSTA · Bimzelx · COSENTYX · CYLTEZO · Cimzia · Crysvita · DUZALLO · EVENITY · EVUSHELD · Enbrel · FASENRA · FORTEO · HADLIMA · HUMIRA · HYMOVIS · HYRIMOZ · Hulio · Humira · Hymovis · IDACIO · ILARIS · INFLECTRA · Iovera · KEVZARA · KINERET · KRYSTEXXA · Kineret · LUPKYNIS · LYRICA · Mitigare · OCREVUS · OCTAGAM IMMUNE GLOBULIN (HUMAN) · OFEV · ORENCIA · OTREXUP · Ocrevus · Otezla · Otrexup · PENNSAID · PURIFIED CORTROPHIN GEL · Prolia · RAYOS · REDITREX · REMICADE · RENFLEXIS · RINVOQ · Rasuvo · Rinvoq · Rituxan · SAPHNELO · SIMLANDI · SIMPONI · SIMPONI ARIA · SKYRIZI · STAR · STELARA · Senza · Strensiq · TALTZ · TAVNEOS · TEPEZZA · TERIPARATIDE · TREMFYA · Tavneos · Tymlos · Uloric · XELJANZ · XYOSTED · Zilretta
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Rheumatologists in nearby ZIP areas
9
County median income
$86,173
Nearest hospital to ZIP centroid (approximate)
NAPLES COMMUNITY HOSPITAL
3.9 mi
3.9 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Alvarez is a mixed practice specialist, with above-average Medicare volume (top 6% in FL), with 18 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Alvarez experienced with certolizumab injection (cimzia)?
Based on Medicare claims data, Alvarez performed 136,400 certolizumab injection (cimzia) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Alvarez receive payments from pharmaceutical companies?
Yes. Alvarez received a total of $33,039 from 53 companies across 1,184 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Alvarez's costs compare to other rheumatologists in Naples?
Alvarez's average Medicare payment per service is $8. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Alvarez) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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