Medicare Enrolled
Dr. Nitza Alvarez Torres, M.D.
Internal Medicine · The Villages, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Alvarez Torres from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Alvarez Torres
Dr. Nitza Alvarez Torres is an internal medicine specialist in The Villages, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Alvarez Torres performed 29,135 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Alvarez Torres received a total of $14,266 from 18 pharmaceutical and/or device companies across 225 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Alvarez Torres is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years of NPI registration
▲ Top 1% volume in FL
$14,266 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗29,135
Medicare services
Top 1% in FL for internal medicine
Not available
Unique patients (not deduplicated)
$51
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Adenosine injection, 1 mg Administration of a 1 mg dose of adenosine medication. This code is specifically for adenosine and excludes adenosine phosphate compounds. |
10,718 | $0 | $2 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
2,703 | $92 | $219 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
1,804 | $11 | $34 |
| Remote cardiac rhythm monitor evaluation, up to 30 days Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days. |
1,206 | $20 | $55 |
| Remote monitoring of implantable heart rhythm device Evaluation of data transmitted remotely from an implantable cardiovascular monitor, such as a loop recorder or subcutaneous cardiac rhythm monitor, over a period up to 30 days. |
1,200 | $27 | $70 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
1,030 | $128 | $294 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
945 | $135 | $405 |
| Technetium Tc-99m sestamibi diagnostic injection A diagnostic injection of technetium Tc-99m sestamibi used for imaging studies. |
944 | $88 | $241 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
883 | $47 | $88 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
669 | $36 | $76 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
646 | $48 | $141 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
644 | $61 | $166 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
477 | $327 | $925 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
380 | $4 | $20 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
369 | $94 | $211 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
364 | $16 | $45 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
344 | $17 | $47 |
| External counterpulsation, per treatment session | 324 | $77 | $269 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
321 | $101 | $192 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
308 | $32 | $113 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
284 | $23 | $65 |
| New patient office visit, complex (60-74 min) | 240 | $153 | $421 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
218 | $117 | $333 |
| 2-day continuous ECG with review and report A two-day continuous electrocardiogram recording that includes a professional review and written report of the results. |
209 | $50 | $173 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
195 | $139 | $388 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
129 | $135 | $408 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
115 | $10 | $25 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
106 | $63 | $146 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
101 | $45 | $121 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
94 | $68 | $150 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
86 | $142 | $382 |
| Insertion of implantable heart rhythm monitor A small device is placed under the skin to continuously record the heart's electrical activity. This helps detect irregular heart rhythms that may not appear during a standard office visit. |
75 | $879 | $1,669 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
75 | $54 | $121 |
| Vein catheterization, first order branch Insertion of a tube into a vein that is a primary branch of a larger vessel. |
73 | $612 | $1,654 |
| Injection of chemical agent into single incompetent vein | 73 | $45 | $302 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
67 | $20 | $55 |
| 30-day continuous ECG with patient-triggered event transmission and review This procedure involves continuous electrocardiogram monitoring for up to 30 days, including the transmission of patient-triggered events. A healthcare professional reviews the data and provides a report. |
67 | $623 | $1,359 |
| Remote evaluation of implantable defibrillator system Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation. |
60 | $29 | $105 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
53 | $95 | $152 |
| Cardiac catheterization | 51 | $229 | $1,000 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
43 | $174 | $494 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
38 | $87 | $238 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
37 | $103 | $278 |
| Chronic care management services Comprehensive assessment and care planning for patients requiring ongoing chronic care management. |
37 | $48 | $126 |
| Laser vein destruction with imaging guidance This procedure uses laser energy to destroy a faulty vein in the arm or leg. Imaging guidance is used to ensure accurate placement during the treatment. |
34 | $740 | $2,406 |
| Ultrasound of abdominal aorta An imaging test that uses sound waves to create pictures of the abdominal aorta, the large blood vessel that carries blood from the heart to the lower body. |
32 | $102 | $183 |
| Chemical injection for multiple incompetent leg veins A procedure involving the injection of a chemical agent into several non-functioning veins in the leg. |
28 | $145 | $355 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
24 | $69 | $194 |
| Pacemaker insertion with heart chamber electrodes A surgical procedure to implant a pacemaker device and place electrodes into the upper and lower chambers of the heart to regulate heart rhythm. |
23 | $405 | $1,140 |
| Pacemaker system evaluation Assessment of a pacemaker device, including single, dual, multiple lead, or leadless systems. |
23 | $39 | $78 |
| Removal of subcutaneous heart rhythm monitor This procedure involves the removal of a heart rhythm monitor that has been implanted under the skin. It is a minor surgical intervention to extract the device. |
20 | $60 | $200 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
17 | $78 | $262 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
17 | $14 | $53 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
17 | $2 | $50 |
| Cardiac rhythm monitor evaluation Review and analysis of data recorded by a cardiac rhythm monitoring device to assess heart activity. |
16 | $38 | $67 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
15 | $79 | $256 |
| Additional chronic care management time, 60 minutes This service covers an additional 60 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions, billed per calendar month. |
15 | $54 | $92 |
| Programming of dual lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with two leads to ensure proper function. |
14 | $76 | $155 |
| Permanent leadless pacemaker insertion A small, self-contained pacemaker is placed directly into the heart without using wires. The procedure is guided by imaging to ensure correct positioning. |
12 | $382 | $1,021 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
12 | $40 | $80 |
| Removal and replacement of dual lead permanent pacemaker This procedure involves removing an existing permanent pacemaker with two leads and replacing it with a new device. It is performed to update or repair the heart rhythm management system. |
11 | $271 | $779 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
6.6% high complexity
49.5% medium
43.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$14,266
Total received (2018-2024)
Avg $2,038/year across 7 years
Top 5% in FL for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
18
Companies
225
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,391
2023
$5,144
2022
$1,734
2021
$174
2020
$284
2019
$765
2018
$2,775
Payments by company (2024)
Medtronic, Inc.
$3,164
Abbott Laboratories
$107
Kestra Medical Technology Services, Inc.
$49
Boston Scientific Corporation
$37
Penumbra, Inc.
$19
Esperion Therapeutics, Inc.
$15
Top 3 companies account for 97.9% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic, Inc.
$9,666
Medtronic Vascular, Inc.
$2,903
Boston Scientific Corporation
$497
Abbott Laboratories
$476
CVRx, Inc.
$147
Edwards Lifesciences Corporation
$117
Impulse Dynamics (USA) Inc.
$104
Cardiovascular Systems Inc.
$68
Amgen Inc.
$56
Kestra Medical Technology Services, Inc.
$49
AstraZeneca Pharmaceuticals LP
$44
BOSTON SCIENTIFIC CORPORATION
$37
Kowa Pharmaceuticals America, Inc.
$30
Penumbra, Inc.
$19
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$16
Esperion Therapeutics, Inc.
$15
E.R. Squibb & Sons, L.L.C.
$12
ARBOR PHARMACEUTICALS, INC.
$12
Top 3 companies account for 91.6% of all-time payments
Associated products mentioned in payments ›
AMPLIA MRI QUAD CRT-D SURESCAN · AVEIR · AZURE XT DR MRI SURESCAN · Advisa · Amplia MRI · Assure WCD · Azure · BRILINTA · Barostim Neo System · COBALT DR MRI SURESCAN · CareLink · Corlanor · DYNAGEN · ELIQUIS · ESSENTIO · Edarbyclor · Edwards SAPIEN 3 Transcatheter Heart Valve · Ellipse ICD · FARXIGA · Fortify Assura · GENERAL - BRADY · LATITUDE · LINQ II · LUX-DX · LUX-Dx Insertable Cardiac Monitor · LifeVest · Livalo · MICRA · MYCARELINK · Micra · MyCareLink · NEXLETOL · Optimizer · Penumbra System · Peripheral Orbital Atherectomy System · Quadra Assura CRT Defibrillator · Quartet CRT Lead · RESOLUTE ONYX · RESONATE · REVEAL LINQ · Repatha · Resolute · Reveal LINQ · SPRINT QUATTRO SECURE S MRI SURESCAN · SQ RX PULSE GENERATOR · SQ-RX PULSE GENERATOR · SYMPLICITY G3 · SelectSecure · SureScan · VENASEAL · VIGILANT X4 CRT-D · Varithena Administration Pack · Visia AF · WATCHMAN · WATCHMAN FLX · myLUX Patient Kit with mobile device
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Internal medicine physicians in nearby ZIP areas
345
County median income
$69,956
Nearest hospital to ZIP centroid (approximate)
VILLAGES REGIONAL HOSPITAL, THE
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Alvarez Torres is a clinical cardiology specialist, with above-average Medicare volume (top 1% in FL), with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Alvarez Torres experienced with adenosine injection, 1 mg?
Based on Medicare claims data, Dr. Alvarez Torres performed 10,718 adenosine injection, 1 mg services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Alvarez Torres receive payments from pharmaceutical companies?
Yes. Dr. Alvarez Torres received a total of $14,266 from 18 companies across 225 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Alvarez Torres's costs compare to other internal medicine physicians in The Villages?
Dr. Alvarez Torres's average Medicare payment per service is $51. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Alvarez Torres) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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