Aleithe N Alvarez, ARNP

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

• St Lucie Medical Center Hospital · Port Saint Lucie, FL
• Cleveland Clinic Martin North Hospital Hospital · Stuart, FL
• Hca Florida Healthcare At Home Home health agency · Fort Pierce, FL

Colleagues at St Lucie Medical Specialists LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 39 clinicians in the practice; 12 are shown here.

• Dr. Dinesh Kumar Arora, MD Surgery Physician · Lake Wales, FL
• MS. Nicole Barlett Nurse Practitioner · Port St Lucie, FL
• Tisha L Bridge, PA-C Medical Physician Assistant · Fort Pierce, FL
• Dr. Tahir Chaudhri, MD Orthopaedic Surgery Physician · Sebring, FL
• Cara Elizabeth Donnelly, DO Student in an Organized Health Care Education/Training Program · Port Saint Lucie, FL
• Dr. Julia Lyn Fashner, MD Family Medicine Physician · Avon Park, FL
• Darron Lewis, MD Internal Medicine Physician · Port St Lucie, FL
• Stefanie Nicole Navarrete, DO Family Medicine Physician · Port St Lucie, FL
• Dr. Agustin C Sanz, MD Internal Medicine Physician · Port Saint Lucie, FL
• Dr. Pablo H Tirado, MD Family Medicine Physician · Port St Lucie, FL
• Bharat Upadhyay, MD Pulmonary Disease Physician · Port St Lucie, FL
• Andrei Yankovich, MD Critical Care Medicine (Internal Medicine) Physician · Vero Beach, FL

Other providers in Jensen Beach

• Mrs. Rhiannon Noel Boswell, APRN, FNP-BC

  Individual Nurse Practitioner · NPI 1114700200

  2730 NE Breezeway Cir, Jensen Beach, FL 34957-5719 · (954) 383-3329

• Samvah Wellness & Diagnostic

  Organization Nurse Practitioner · NPI 1184587248

  3183 NW Federal Hwy, Jensen Beach, FL 34957-4443 · (954) 706-0022

• Dr. Melissa Zsiga, DNPAPRN

  Individual Nurse Practitioner · NPI 1225876436

  3704 NW Pin Oak Dr, Jensen Beach, FL 34957-3409 · (772) 678-2473