Physician profile
Joan A Alvarez
NPI 1104122670
$2,667.80
in general payments reported to CMS, 2019-2025
14 companies · $51.42 in 2025
The $51.42 reported for 2025 was less than what a typical Obstetrics & Gynecology provider received nationally (typical 2025 total: $158).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $431 · 2020: $301 · 2021: $419 · 2022: $788 · 2023: $401 · 2024: $277 · 2025: $51.42.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $729.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $729.43 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Abbvie INC. | $935.52 | 2019-2025 | Lo Loestrin Fe |
| Allergan, INC. | $694.89 | 2019-2022 | |
| Merz North America, INC. | $375.84 | 2023-2024 | Xeomin |
| Therapeuticsmd, INC. | $188.25 | 2019-2022 | |
| Mayne Pharma Commercial LLC | $125.36 | 2021-2023 | |
| Exeltis, USA INC. | $111.01 | 2020-2022 | |
| Evofem Biosciences, INC. | $102.54 | 2021-2025 | Phexxi, Solosec, Phexx |
| Hologic Sales and Service, LLC | $39.18 | 2019-2024 | Thinprep 2000 Processor, Aptima |
| Avanos Medical | $20.91 | 2020 | |
| Bayer Healthcare Pharmaceuticals INC. | $20.38 | 2019 | |
| Lupin INC. | $15.12 | 2020 | |
| Avion Pharmaceuticals | $13.62 | 2020 | |
| Duchesnay USA Incorporated | $13.33 | 2019 | |
| Ethicon US, LLC | $11.85 | 2020 |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Joan Alvarez listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.