Adrian Rivera-Flores, MD
Family Medicine · Belleview, FLNPI 1861472706
Payments from drug & device makers
Across 206 payments — averaging $17.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$504
- Novo Nordisk$428
- Pfizer$322
- Lilly USA, LLC$290
- Sanofi-aventis U.S. LLC$201
- Exact Sciences$199
- plus $2K from 21 others
What the payments were for
- Consulting fees$1003%
- Speaking & faculty fees$722%
- Food & beverage$3,45295%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| AbbVie(2 entities) | 24 | $504 |
| Novo Nordisk | 41 | $428 |
| Pfizer | 20 | $322 |
| Lilly USA, LLC | 18 | $290 |
| Sanofi-aventis U.S. LLC | 8 | $201 |
| Exact Sciences | 9 | $199 |
| Boehringer Ingelheim | 10 | $195 |
| Amgen | 11 | $188 |
| Johnson & Johnson | 10 | $143 |
| Astellas Pharma US Inc | 6 | $131 |
| Bayer | 5 | $114 |
| Abbott | 5 | $108 |
| GSK | 5 | $101 |
| Comsort, Inc | 1 | $100 |
| Novartis | 5 | $86 |
| Amarin Pharma, Inc. | 4 | $85 |
| Idorsia Pharmaceuticals US Inc | 5 | $85 |
| Otsuka America Pharmaceutical, Inc. | 4 | $82 |
| AstraZeneca | 3 | $56 |
| Esperion Therapeutics, Inc. | 3 | $45 |
| Merck | 3 | $41 |
| Biohaven Pharmaceuticals, Inc. | 1 | $29 |
| Boston Scientific | 1 | $23 |
| Medtronic | 1 | $22 |
| Axsome Therapeutics, Inc. | 1 | $19 |
| Ultragenyx Pharmaceutical Inc. | 1 | $14 |
| Phathom Pharmaceuticals, Inc. | 1 | $13 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- SIVEXTRO$100
How this compares
$3,624 in reported general payments places this provider in the 80th percentile of 7,282 family medicine providers in Florida.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| JanuviaSitagliptin Phosphate | 115 | $142,208 |
| TradjentaLinagliptin | 61 | $64,439 |
| EliquisApixaban | 50 | $56,627 |
| OzempicSemaglutide | 35 | $52,643 |
| XareltoRivaroxaban | 27 | $29,464 |
| MounjaroTirzepatide | 23 | $24,732 |
| Tresiba Flextouch U-100Insulin Degludec | 15 | $23,931 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 27 | $18,356 |
| LinzessLinaclotide | 14 | $15,787 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 14 | $11,916 |
| Omeprazole | 274 | $5,669 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 32 | $5,046 |
| Rosuvastatin Calcium | 368 | $4,912 |
| Levothyroxine Sodium | 467 | $4,314 |
| Amlodipine Besylate | 657 | $3,944 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| MerckJanuvia | $41 | $142,208115 claims |
| Boehringer IngelheimTradjenta | $195 | $64,43961 claims |
| PfizerEliquis | $322 | $56,62750 claims |
| Novo NordiskOzempic | $428 | $52,64335 claims |
| Johnson & JohnsonXarelto | $143 | $29,46427 claims |
| Lilly USA, LLCMounjaro | $290 | $24,73223 claims |
| AbbVieLinzess, Synthroid | $504 | $17,76355 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 80th percentile of 7,282 family medicine providers in Florida.
Other family medicine in Belleview
- Hugh ColemanDaytona Beach$115.5M
- Alexander WhiteDaytona Beach$69.7M
- Ronald SurowitzJupiter$38.3M
- Bruce RankinDeland$36.7M
- Keila HooverMiami$33.7M
- John NardandreaOcala$30.8M
- Jorge CasoMiami$22.6M
- Sharrell CooperPalm Coast$16.9M
- Christopher GallowayMelbourne$15.6M
- Dario AltamiranoHialeah$15.5M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.