Physician profile

Joseph Toothaker Alvarez

Pain Medicine (Anesthesiology) · Webster, TX

NPI 1336193903

$23,430.35

in general payments reported to CMS, 2019-2025

36 companies · $3,992 in 2025

The $3,992 reported for 2025 was more than what 91% of Pain Medicine (Anesthesiology) providers received nationally (typical 2025 total: $458).

See the full distribution for Pain Medicine (Anesthesiology)

Payments by year

General payments by program year, as reported to CMS.

What the payments were for

Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.

View as a table
Payment typeAmount (2023-2025)
Food and Beverage$9,136.62
Compensation For Services Other Than Consulting, Including Serving As Faculty Or As A Speaker At A Venue Other Than A Continuing Education Program$1,250.00

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.

CompanyGeneral paymentsYearsTop products
Medtronic, INC. $12,680.49 2021-2025 Intellis Adaptivestim, Accurian, Synchromedii
Medtronic USA, INC. $3,075.50 2019-2020
Abbott Laboratories $2,145.73 2019-2023 Proclaim
Vertiflex, INC. $1,412.27 2019
Boston Scientific Corporation $1,173.85 2019-2024
Nevro Corp. $822.62 2019-2023 Senza
Biotronik Nro, INC. $477.07 2025 Prospera
Si-Bone, INC. $258.64 2019-2025
Flowonix Medical Incorporated $248.16 2019
Horizon Therapeutics Plc $170.63 2019
Abbvie INC. $168.82 2021-2025
Saluda Medical Americas, INC. $146.26 2022-2024 Evoke
Vertos Medical, INC. $113.41 2019
Allergan, INC. $50.40 2020
Sentynl Therapeutics, INC. $43.04 2019
Show all 36 companies
CompanyGeneral paymentsYearsTop products
Tersera Therapeutics LLC $40.65 2022-2025 Prialt
Salix Pharmaceuticals, A Division of Bausch Health US, LLC $36.04 2019-2022
Collegium Pharmaceutical, INC. $30.15 2019-2023 Belbuca
Pacira Therapeutics, INC. $27.05 2020
Grt US Holding, INC. $25.85 2020
Vertex Pharmaceuticals Incorporated $25.14 2024
Inspire Medical Systems, INC. $21.58 2025 Inspire
Bioventus LLC $20.94 2024 Durolane
Daiichi Sankyo INC. $20.70 2019
Nalu Medical, INC. $20.28 2024 Nalu Neurostimulation System
Vertical Pharmaceuticals, LLC $19.44 2019
Electronic Waveform Lab, INC. $19.00 2021
Azurity Pharmaceuticals, INC. $18.40 2025 Horizant
Painteq LLC $17.75 2023 Painteq
Scilex Pharmaceuticals INC. $16.88 2019
Lilly USA, LLC $16.46 2022
Amgen INC. $15.97 2020
Almatica Pharma LLC $15.71 2021
Baudax Bio INC. $12.30 2020
Biodelivery Sciences International, INC. $12.01 2019
Arbor Pharmaceuticals, INC. $11.16 2019

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.

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Payment summary

Joseph Toothaker Alvarez

$23,430.35

in general payments reported 2019-2025

Years
2019-2025
Top company
Medtronic, INC.
Context
The $3,992 reported for 2025 was more than what 91% of Pain Medicine (Anesthesiology) providers received nationally (typical 2025 total: $458).

https://glasscript.com/doctor/196305/joseph-toothaker-alvarez

Source: CMS Open Payments, program years 2019-2025. Payments are legal and often routine.

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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.