Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Luis Alvarez

Nephrology Palo Alto, CA Medical Doctor

NPI 1487685368 CMS profile 113039

795 El Camino Real, Palo Alto, CA 94301

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General payments

$1,814,956

1,645 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Luis Alvarez of Palo Alto, CA is reported in the CMS Open Payments database as having received $1,814,956 across 1,645 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 99th percentile of Nephrology profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $370,261 477
2024 General $274,215 382
2023 General $209,993 229
2022 General $240,358 197
2021 General $101,291 116
2020 General $461,913 61
2019 General $156,923 183

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Luis Alvarez
  • Nephrology median
  • Middle half of Nephrology
  • National median

In program year 2025, general payments to Luis Alvarez were reported at $370,261. Among 8,186 Nephrology profiles paid that year, the median was $310 and the middle half received between $104 and $880.

Show as a table
Year Luis Alvarez Nephrology median Middle half National median
2019 $156,923 $236 $90–$588 $163
2020 $461,913 $135 $46–$364 $114
2021 $101,291 $202 $67–$551 $132
2022 $240,358 $242 $77–$695 $149
2023 $209,993 $254 $84–$766 $160
2024 $274,215 $300 $99–$852 $164
2025 $370,261 $310 $104–$880 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Outset Medical Inc $719,291 41 payments
  2. Amgen Inc. $413,803 491 payments
  3. Bayer HealthCare Pharmaceuticals Inc. $200,197 204 payments
  4. Fresenius USA Marketing, Inc. $123,591 225 payments
  5. Calliditas Therapeutics US Inc. $117,837 136 payments
  6. Akebia Therapeutics Inc $75,397 103 payments
  7. Relypsa, Inc. $59,319 165 payments
  8. Retrophin, Inc. $45,752 100 payments
  9. Novartis Pharmaceuticals Corporation $22,599 38 payments
  10. Kyowa Kirin, Inc. $18,757 26 payments
  11. Other $18,414 116 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Consulting Fee $741,919 72 payments
  2. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $679,136 295 payments
  3. Honoraria $198,430 91 payments
  4. Travel and Lodging $153,010 582 payments
  5. Food and Beverage $33,889 592 payments
  6. Compensation for serving as faculty or as a speaker for a medical education program $8,200 5 payments
  7. Education $371 8 payments
Products named General payments · program years 2019–2025
  1. TAVNEOS Inflammation $315,764 339 payments
  2. Kerendia $182,222 189 payments
  3. Velphoro $121,352 222 payments
  4. TARPEYO Nephrology $88,239 94 payments
  5. Vafseo $56,677 95 payments
  6. Tavneos Not Applicable $55,898 75 payments
  7. Veltassa $47,435 121 payments
  8. TARPEYO Nephrology $29,598 42 payments
  9. Fabhalta $20,472 33 payments
  10. Filspari $11,021 26 payments
  11. Other $42,135 206 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 · 47 drugs

Part D claims

1,692

Median for Nephrology: 954

Drug cost

$368,631

Median for Nephrology: $127,050

Branded share of claims

16.8%

Median for Nephrology: 17.9%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Veltassa Patiromer Calcium Sorbitex Brand 32 $77,069
Velphoro Sucroferric Oxyhydroxide Brand 24 $70,721
Kerendia Finerenone Brand 35 $56,785
Farxiga Dapagliflozin Propanediol Brand 33 $41,631
Eliquis Apixaban Brand 30 $27,323
Jardiance Empagliflozin Brand 12 $21,045
Sevelamer Carbonate Generic 47 $19,366
Cinacalcet Hcl Generic 12 $17,207
Prosol Parenteral Amino Acid 20% No.1 Brand 71 $7,770
Tacrolimus Generic 13 $4,426

The 10 drugs with the highest cost, of 47 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 9,003 Part D prescribers listed as Nephrology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 23 billing codes

Paid by Medicare

$179,237

Of which drugs: $15,497

Medicare patients

352

Average age 78

Services billed

7,993

133 women, 219 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Chronic kidney disease 75%
Diabetes 48%
Ischemic heart disease 39%
Arthritis 38%
Atrial fibrillation 28%
Heart failure 24%
Cancer 22%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Injection, darbepoetin alfa, 1 microgram (non-esrd use) J0881 Office 12 6,740 $15,497

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 18 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
TAVNEOS
$113,948 — —
Kerendia
$47,569 35 —
Velphoro
$33,814 24 —
TARPEYO
$29,598 — —
Crysvita
$9,082 — —

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 18 in the dashboard with a free account

Records

1,645 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 Nephrology in California

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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