Alex Pulido
Internal Medicine · Palatka, FLNPI 1629218474
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 92.0% of the total across 156 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 18 manufacturers reported payments, led by Novo Nordisk at 44.9% of the total. Reporting peaked in 2021 at $798 and has fallen 94.9% since, to $41 in 2022.
Across 156 payments — averaging $13.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$979
- Lilly USA, LLC$533
- GSK$132
- AstraZeneca$116
- Astellas Pharma US Inc$100
- Philips North America LLC$54
- plus $266 from 12 others
What the payments were for
- Food & beverage$2,00692%
- Education$1738%
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 |
|---|---|---|
| Novo Nordisk | 74 | $979 |
| Lilly USA, LLC | 44 | $533 |
| GSK | 9 | $132 |
| AstraZeneca | 5 | $116 |
| Astellas Pharma US Inc | 1 | $100 |
| Philips North America LLC | 3 | $54 |
| AbbVie | 4 | $54 |
| Merck | 2 | $29 |
| Kowa Pharmaceuticals America, Inc. | 2 | $26 |
| Johnson & Johnson | 2 | $25 |
| Boehringer Ingelheim | 2 | $23 |
| Novartis | 2 | $23 |
| Biohaven Pharmaceuticals, Inc. | 1 | $16 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $15 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $14 |
| Sanofi-aventis U.S. LLC | 1 | $14 |
| Sunovion Pharmaceuticals Inc. | 1 | $13 |
| Daiichi Sankyo Inc. | 1 | $12 |
How this compares
$2,179 in reported general payments places this provider in the 80th percentile of 8,530 internal medicine providers in Florida.
Other internal medicine in Palatka
- Haytham ElgammalMiami$2.2M
- Keith RubinFort Lauderdale$2M
- Michael SensionFort Lauderdale$1M
- Quang NguyenOcala$434K
- Luis Correa LunaSanford$412K
- Michael OleksykFort Myers$365K
- Andrew KuykendallTampa$322K
- Howard FederoffCoconut Grove$302K
- Bianka EperjesiovaGainesville$260K
- Julio ConradoFort Myers$247K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.