Who Paid My Doc
Rafael Alvarez
Obesity Medicine Saint Joseph, MO Medical Doctor
NPI 1487090858 CMS profile 11305158
802 N Riverside Rd Ste G50, Saint Joseph, MO 64507
General payments
$2,727
Research payments
$0
Ownership & investment interest
$0
Through program year 2025, Rafael Alvarez of Saint Joseph, MO is reported in the CMS Open Payments database as having received $2,727 across 27 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.
By program year
5 rows| Year | Kind | Relative to this record's peak year | Amount | Records |
|---|---|---|---|---|
| 2025 | General | $142 | 4 | |
| 2024 | General | $926 | 9 | |
| 2023 | General | $1,374 | 10 | |
| 2022 | General | $178 | 2 | |
| 2021 | General | $107 | 2 |
Beside peers
- Rafael Alvarez
- Obesity Medicine median
- Middle half of Obesity Medicine
- National median
In program year 2025, general payments to Rafael Alvarez were reported at $142. Among 30 Obesity Medicine profiles paid that year, the median was $190 and the middle half received between $125 and $2,258.
Show as a table
| Year | Rafael Alvarez | Obesity Medicine median | Middle half | National median |
|---|---|---|---|---|
| 2019 | $0 | $128 | $31–$684 | $163 |
| 2020 | $0 | — | — | $114 |
| 2021 | $107 | $140 | $105–$307 | $132 |
| 2022 | $178 | $94 | $36–$376 | $149 |
| 2023 | $1,374 | $118 | $44–$1,006 | $160 |
| 2024 | $926 | $122 | $75–$730 | $164 |
| 2025 | $142 | $190 | $125–$2,258 | $169 |
Breakdown
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 · 7 drugsPart D claims
241
Drug cost
$73,665
Branded share of claims
35.7%
| Drug | Type | Relative to their largest | Claims | Drug cost |
|---|---|---|---|---|
| Wegovy Semaglutide | Brand | 31 | $41,297 | |
| Mounjaro Tirzepatide | Brand | 18 | $20,476 | |
| Ozempic Semaglutide | Brand | 11 | $9,828 | |
| Omeprazole | Generic | 75 | $1,200 | |
| Oxycodone Hcl | Generic | 23 | $406 | |
| Ondansetron Odt Ondansetron | Brand | 26 | $300 | |
| Topiramate | Generic | 57 | $159 |
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 15,891 Part D prescribers listed as General Surgery; they describe a distribution and say nothing about conduct.
Billing to Medicare
Part B · data year 2024 · 25 billing codesPaid by Medicare
$43,935
Medicare patients
166
Services billed
431
| Condition among their Medicare patients | Relative to the most common | Share of patients |
|---|---|---|
| High blood pressure | 75% | |
| Arthritis | 72% | |
| Depression | 48% | |
| Diabetes | 37% | |
| Ischemic heart disease | 31% | |
| Atrial fibrillation | 23% | |
| Chronic kidney disease | 20% | |
| Heart failure | 19% |
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
1 product · payments 2024Two 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.
| Product | Paid by | Related payments | Part D claims | Part B services |
|---|---|---|---|---|
| Wegovy |
|
$39 | 31 | — |
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.
Records
27 reportedEvery 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.
Related records
Obesity Medicine in Missouri
Practitioners in the same specialty and state, ranked by reported value.
All Obesity Medicine
Everyone recorded under this specialty, nationwide.
Doctors in Missouri
Every practitioner in the state with a reported payment.
How to read this page
What each amount means, and what it does not mean.
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.