Medical Doctor Program year 2025 Reported 2020–2025 Source: CMS Open Payments, 2026 publication

Alvaro Lacayo

Neurology Miami, FL Medical Doctor

NPI 1275693335 CMS profile 1254138

9380 Sunset Dr, Suite # B-185, Miami, FL 33173

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General payments

$7,077

300 records reported · program years 2020–2025

Research payments

$0

Paid to them · None reported · program years 2020–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Alvaro Lacayo of Miami, FL is reported in the CMS Open Payments database as having received $7,077 across 300 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 70th percentile of Neurology profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

6 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $1,258 57
2024 General $1,564 67
2023 General $1,922 79
2022 General $1,530 61
2021 General $719 31
2020 General $84 5

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Alvaro Lacayo
  • Neurology median
  • Middle half of Neurology
  • National median

In program year 2025, general payments to Alvaro Lacayo were reported at $1,258. Among 11,022 Neurology profiles paid that year, the median was $457 and the middle half received between $118 and $2,344.

Show as a table
Year Alvaro Lacayo Neurology median Middle half National median
2019 $0 $474 $118–$2,177 $163
2020 $84 $367 $82–$2,309 $114
2021 $719 $438 $104–$2,547 $132
2022 $1,530 $442 $103–$2,388 $149
2023 $1,922 $464 $119–$2,312 $160
2024 $1,564 $468 $119–$2,323 $164
2025 $1,258 $457 $118–$2,344 $169

Breakdown

Who paid General payments · program years 2020–2025
  1. Vanda Pharmaceuticals Inc. $1,288 52 payments
  2. Otsuka America Pharmaceutical, Inc. $805 25 payments
  3. Supernus Pharmaceuticals, Inc. $775 44 payments
  4. Takeda Pharmaceuticals U.S.A., Inc. $726 25 payments
  5. Teva Pharmaceuticals USA, Inc. $616 24 payments
  6. AbbVie, Inc. $569 38 payments
  7. Ironshore Pharmaceuticals Inc. $420 17 payments
  8. ITI, Inc. $313 9 payments
  9. Corium, Inc. $234 7 payments
  10. Janssen Pharmaceuticals, Inc $199 9 payments
  11. Other $1,133 50 payments

Every payment, record by record

What the payments were for General payments · program years 2020–2025
  1. Food and Beverage $6,905 296 payments
  2. Education $171 4 payments
Products named General payments · program years 2020–2025
  1. FANAPT $1,288 52 payments
  2. HETLIOZ $894 40 payments
  3. TRINTELLIX $663 23 payments
  4. VRAYLAR $569 38 payments
  5. Qelbree Viloxazine Hydrochloride $429 22 payments
  6. QELBREE Psychology $346 22 payments
  7. ABILIFY MAINTENA $341 7 payments
  8. ABILIFY ASIMTUFII $295 10 payments
  9. UZEDY $293 15 payments
  10. REXULTI $292 9 payments
  11. Other $3,262 133 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 33 drugs

Part D claims

1,168

Median for Neurology: 833

Drug cost

$29,177

Median for Neurology: $202,670

Branded share of claims

15.2%

Median for Neurology: 25.9%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Trintellix Vortioxetine Hydrobromide Brand 20 $12,440
Quetiapine Fumarate Generic 139 $2,261
Clobazam Generic 12 $1,646
Citalopram Hbr Citalopram Hydrobromide Brand 50 $1,556
Bupropion Xl Bupropion Hcl Brand 36 $1,368
Aripiprazole Generic 16 $1,200
Clonazepam Generic 122 $880
Divalproex Sodium Generic 35 $833
Fluoxetine Hcl Generic 96 $621
Risperidone Generic 38 $619

The 10 drugs with the highest cost, of 33 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 13,695 Part D prescribers listed as Neurology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 3 billing codes

Paid by Medicare

$8,166

Medicare's payments for the services billed

Medicare patients

22

Average age 47

Services billed

88

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
Depression 59%

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 20 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
FANAPT
  • Vanda Pharmaceuticals Inc. $358
$358 — —
Dyanavel XR
  • Tris Pharma Inc $144
$144 — —
JORNAY PM
  • Ironshore Pharmaceuticals Inc. $140
$140 — —
VRAYLAR
  • AbbVie, Inc. $138
$138 — —
Qelbree
  • Supernus Pharmaceuticals, Inc. $127
$127 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

See all 20 in the dashboard with a free account

Records

300 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Neurology in Florida

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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