Alexandra Vargas
Family · West Palm Beach, FLNPI 1235571076
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.7% of the total across 209 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 14 manufacturers reported payments, led by Gilead at 35.0% of the total. Reporting peaked in 2022 at $2,286 and has fallen 99.3% since, to $16 in 2025. Among family clinicians in FL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 209 payments — averaging $19.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Gilead$1K
- Viiv Healthcare Company$763
- Johnson & Johnson$596
- Merck$338
- Melinta Therapeutics, LLC$196
- Insmed, Inc.$182
- plus $555 from 8 others
What the payments were for
- Food & beverage$4,038100%
- Education$110%
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 |
|---|---|---|
| Gilead | 76 | $1,419 |
| Viiv Healthcare Company | 37 | $763 |
| Johnson & Johnson(2 entities) | 39 | $596 |
| Merck | 15 | $338 |
| Melinta Therapeutics, LLC | 11 | $196 |
| Insmed, Inc. | 7 | $182 |
| Paratek Pharmaceuticals, Inc. | 8 | $176 |
| Theratechnologies Inc. | 5 | $131 |
| AbbVie | 5 | $109 |
| Janssen Scientific Affairs, LLC | 2 | $52 |
| La Jolla Pharmaceutical Company | 1 | $25 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $23 |
| Vyera Pharmaceuticals, LLC | 1 | $22 |
| CSL Behring | 1 | $17 |
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.
How this compares
$4,048 in reported general payments places this provider in the 90th percentile of 14,618 family providers in Florida.
Other family in West Palm Beach
- Katharine TamburroWest Palm Beach$67K
- Lewis HarringtonTampa$954K
- Danielle PharesFt Lauderdale$713K
- Donna OrtizOrlando$417K
- Patrick SzarazMiami$327K
- Deena RodneyMaitland$323K
- Yamila MelendezMiami$212K
- Holly BoydLand O Lakes$200K
- Rachael BuschLoxahatchee$189K
- Victor Tatis de la NuezMiramar$161K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.