Medicare Enrolled

Dr. Maria Alvarez, M.D.

Neurology · San Antonio, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Speaking/Promotional
255 E SONTERRA BLVD, San Antonio, TX 78258
2106562333
In practice since 2006 (20 years)
NPI: 1396710539 verify on NPPES ↗
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 Dr. 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 →
Are you Dr. Alvarez? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Alvarez

Dr. Maria Alvarez is a neurology in San Antonio, TX, with 20 years in practice. Based on federal Medicare data, Dr. Alvarez performed 1,372 Medicare services across 1,058 unique beneficiaries.

Between the years covered by Open Payments, Dr. Alvarez received a total of $108,188 from 87 pharmaceutical and/or device companies across 2746 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Alvarez is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice▲ Top 24% volume in TX$ $108,188 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,372
Medicare services
Top 24% in TX for neurology
1,058
Unique beneficiaries
$88
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~69 Medicare services per year of practice

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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (30-39 min)654$86$180
Office visit, established patient (20-29 min)194$59$120
New patient office visit (45-59 min)134$111$275
Office visit, established patient, complex (40-54 min)125$123$201
New patient office visit, complex (60-74 min)101$153$365
Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional76$35$110
Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional63$31$90
Measurement of brain wave activity (eeg), awake and drowsy13$43$150
Measurement of brain wave activity with video (veeg), 61-84 hours with review and report by health care professional12$243$680
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. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$108,188
Total received (2018-2024)
Avg $15,455/year across 7 years
Top 6% in TX for neurology
87
Companies
2,746
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$71,325 (65.9%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$36,863 (34.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$5,952
2023
$5,758
2022
$5,653
2021
$6,131
2020
$6,655
2019
$33,174
2018
$44,867

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Teva Pharmaceuticals USA, Inc.
$22,625
Acorda Therapeutics, Inc
$14,577
Neurocrine Biosciences, Inc.
$12,606
ACADIA Pharmaceuticals Inc
$10,812
Promius Pharma LLC
$7,947
UCB, Inc.
$7,472
Lundbeck LLC
$5,852
Adamas Pharmaceuticals, Inc.
$2,696
Nevro Corp.
$1,396
Abbott Laboratories
$1,356
Neurelis, Inc.
$1,307
Amneal Pharmaceuticals LLC
$1,164
Medtronic, Inc.
$1,093
ABBVIE INC.
$976
MDD US Operations, LLC
$956
Kyowa Kirin, Inc.
$906
Lilly USA, LLC
$877
PFIZER INC.
$712
AbbVie Inc.
$698
Amgen Inc.
$664
Supernus Pharmaceuticals, Inc.
$644
Novartis Pharmaceuticals Corporation
$633
Allergan Inc.
$594
Eisai Inc.
$564
EMD Serono, Inc.
$550
CATALYST PHARMACEUTICALS, INC.
$441
GE HEALTHCARE
$438
Sunovion Pharmaceuticals Inc.
$404
Allergan, Inc.
$365
SK Life Science, Inc.
$340
CSL Behring
$332
Upsher-Smith Laboratories LLC
$309
Medtronic USA, Inc.
$304
ARGENX US, INC.
$296
Biohaven Pharmaceutical Holding Company Ltd.
$276
GE HealthCare
$248
UPSHER-SMITH LABORATORIES LLC
$228
Octapharma USA, Inc.
$228
Alexion Pharmaceuticals, Inc.
$224
EISAI INC.
$224
Biohaven Pharmaceuticals, Inc.
$217
US WorldMeds, LLC
$202
Takeda Pharmaceuticals U.S.A., Inc.
$199
Impax Laboratories, Inc.
$191
Corium, LLC
$161
Otsuka America Pharmaceutical, Inc.
$155
MITSUBISHI TANABE PHARMA AMERICA, INC.
$147
Grifols USA, LLC
$139
Egalet US Inc
$133
Avion Pharmaceuticals
$133
Assertio Therapeutics, Inc.
$132
ARBOR PHARMACEUTICALS, INC.
$127
Vertical Pharmaceuticals, LLC
$124
Amylyx Pharmaceuticals, Inc.
$108
Azurity Pharmaceuticals, Inc.
$105
Biogen, Inc.
$105
JAZZ PHARMACEUTICALS INC.
$96
Merz North America, Inc.
$94
Shire North American Group Inc
$89
GRT US Holding, Inc.
$89
Avanir Pharmaceuticals, Inc.
$88
Merz Pharmaceuticals, LLC
$86
MERZ NORTH AMERICA, INC.
$86
Alnylam Pharmaceuticals Inc.
$79
GE Healthcare
$71
InSightec,Inc
$70
SCILEX PHARMACEUTICALS INC.
$63
Horizon Therapeutics plc
$56
Scilex Pharmaceuticals Inc.
$49
Boston Scientific Corporation
$44
Bausch Health US, LLC
$44
Catalyst Pharmaceuticals, Inc.
$41
Mallinckrodt Hospital Products Inc.
$41
Averitas Pharma Inc.
$39
Validus Pharmaceuticals LLC
$36
CONMED Corporation
$31
GENZYME CORPORATION
$23
Axsome Therapeutics, Inc.
$20
Life Molecular Imaging Ltd
$19
Arbor Pharmaceuticals, Inc.
$18
Genentech USA, Inc.
$17
Currax Pharmaceuticals LLC
$17
Ipsen Biopharmaceuticals, Inc
$15
AQUESTIVE THERAPEUTICS, INC.
$15
Ultragenyx Pharmaceutical Inc.
$14
Aprecia Pharmaceuticals, LLC
$13
Zyla Life Sciences
$12
Top 3 companies account for 46.0% of total payments
Associated products mentioned in payments ›
ACTHAR · ACTIVA · ADLARITY · ADUHELM · AGAMREE · AIMOVIG · AJOVY · AMYVID · APOKYN · APTIOM · AUBAGIO · AUSTEDO · Adlarity · Aimovig · Apokyn · Aptiom · Austedo XR · BIONIC NAVIGATOR · BOTOX · BOTOX THERAPEUTIC · BYSTOLIC · Briviact · COMIRNATY · CONMED BILIARY · COPAXONE · CUTAQUIG · Cambia · DIVIGEL · DUOPA · DURYSTA · Deep Brain Stimulation · Dhivy · Dysport · EMGALITY · Edarbi · Equetro · Exablate · FIRDAPSE · FYCOMPA · Fycompa · GAMMAGARD · GENERAL - DBS · GOCOVRI · Gamunex-C · Gocovri · HORIZANT · HYQVIA · Hizentra · Horizant · INBRIJA · INFINITY · INGREZZA · Infinity DBS Pulse Generators · KESIMPTA · KYNMOBI · LINZESS · Leqembi · MAYZENT · MIGRANAL · MYOBLOC · Mavenclad · NAMZARIC · NEURACEQ · NORTHERA · NOURIANZ · NUEDEXTA · NUPLAZID · NURTEC ODT · Neupro · Nourianz · Nuedexta · O-ARM-ST · OCREVUS · OCTAGAM IMMUNE GLOBULIN (HUMAN) · ONGENTYS · ONGENTYS 50MG CAPSULES 30 · ONPATTRO · ONZETRA XSAIL · OSMOLEX ER · OXTELLAR XR · Omnia · Ongentys · PANZYGA · PAXLOVID · PERCEPT PC BRAINSENSE · Privigen · QUDEXY XR Topiramate Extended Release Capsules · QULIPTA · QUTENZA · Qutenza · RADICAVA · RELYVRIO · REXULTI · REYVOW · RYTARY · Rystiggo · SENSIGHT · SOLIRIS · SPINRAZA · SPRIX · SUNOSI · SYMPAZAN · SenSight · Senza Spinal Cord Stimulation System · Soliris · Spritam · Sunosi · TOPIRAMATE Extended Release Capsules · TOSYMRA · TOSYMRA SUMATRIPTAN NASAL SPRAY · TROKENDI XR · UBRELVY · ULTOMIRIS · UPLIZNA · VALTOCO · VERCISE · VIIBRYD · VRAYLAR · VUMERITY · VYALEV · VYEPTI · VYVGART · VYVGART HYTRULO · Vimpat · WELLBUTRIN · XADAGO · XEOMIN · XYREM · XYWAV · Xadago · Xeomin · ZAVZPRET · ZEMBRACE SYMTOUCH · ZTLido · Zembrace
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →

The majority of payments (66%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in neurology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 6% for neurology in TX.

Equivalent to $7,885 per 100 Medicare services performed
Looking for a neurology in San Antonio?
Compare neurologys in the San Antonio area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Neurologys within 10 mi
119
Per 100K population
5.8
County median income
$70,571
Nearest hospital
SOUTH TEXAS SPINE AND SURGICAL HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Alvarez is a clinical cardiology specialist, with above-average Medicare volume (top 24% in TX), and high industry engagement (speaking/promotional, top 6%), with 20 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Alvarez experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Alvarez performed 654 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Alvarez receive payments from pharmaceutical companies?
Yes. Dr. Alvarez received a total of $108,188 from 87 companies across 2,746 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Alvarez's costs compare to other neurologys in San Antonio?
Dr. Alvarez's average Medicare payment per service is $88. 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 Dr. 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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. The Transparency Score measures 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →