Alexis Gonzalez Rivera, MD
Gastroenterology · San Juan, PRNPI 1609214618
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (52.5%), food and beverage and speaking fees — rather than concentrated in one kind of arrangement. AbbVie accounts for 75.2% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2023 at $9,760 and has fallen 92.3% since, to $750 in 2025. Among gastroenterology clinicians in PR 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 131 payments — averaging $120.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$12K
- Sanofi$2K
- E.r. Squibb & Sons, L.L.C.$498
- Johnson & Johnson$354
- Madrigal Pharmaceuticals$143
- Gilead$143
- plus $942 from 12 others
What the payments were for
- Consulting fees$8,25552%
- Speaking & faculty fees$3,10020%
- Travel & lodging$140%
- Food & beverage$4,29627%
- Education$670%
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) | 61 | $11,837 |
| Sanofi | 2 | $1,815 |
| E.r. Squibb & Sons, L.L.C. | 21 | $498 |
| Johnson & Johnson(2 entities) | 12 | $354 |
| Madrigal Pharmaceuticals | 2 | $143 |
| Gilead | 5 | $143 |
| Merck | 2 | $141 |
| Eisai Inc. | 1 | $125 |
| Olympus Latin America, Inc. | 1 | $125 |
| Organon | 5 | $112 |
| Janssen Scientific Affairs, LLC | 1 | $100 |
| Intercept Pharmaceuticals, Inc. | 4 | $90 |
| PBG Puerto Rico LLC | 4 | $77 |
| Biogen | 4 | $76 |
| Pfizer Pharmaceuticals LLC | 3 | $37 |
| Exact Sciences | 1 | $25 |
| Eli Lilly Export S.A. Puerto Rico Branch | 1 | $18 |
| Sunovion Pharmaceuticals Inc. | 1 | $16 |
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
$15,732 in reported general payments places this provider in the 90th percentile of 198 gastroenterology providers in Puerto Rico.
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 |
|---|---|---|
| Sucralfate | 234 | $22,736 |
| Mesalamine | 34 | $21,820 |
| SuprepSodium, Potassium,mag Sulfates | 147 | $17,351 |
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 157 | $12,874 |
| Mesalamine DrMesalamine | 12 | $3,334 |
| ClenpiqSod Picosulf/Mag Ox/Citric Ac | 11 | $2,272 |
| Famotidine | 160 | $1,527 |
| Pantoprazole Sodium | 148 | $1,089 |
| Dicyclomine Hcl | 80 | $953 |
| Omeprazole | 93 | $743 |
| CholestyramineCholestyramine (With Sugar) | 13 | $721 |
| Fentanyl CitrateFentanyl Citrate/Pf | 136 | $448 |
| Midazolam HclMidazolam Hcl/Pf | 147 | $420 |
| Midazolam Hcl | 147 | $400 |
| Chlordiazepoxide-ClidiniumChlordiazepoxide/Clidinium Br | 11 | $369 |
Paid to pharmacies, not to this prescriber.
Other gastroenterology in San Juan
- Marcia Cruz CorreaSan Juan$62K
- Loscar SantiagoSan Juan$39K
- Henry Gonzalez RiveraSan Juan$34K
- Hector LozanoSan Juan$28K
- Rafael Rodriguez LopezSan Juan$20K
- Sulimar Rodriguez SantiagoSan Juan$11K
- Esther TorresSan Juan$9K
- Yahaira Moreno DenizardSan Juan$9K
- Ricky Jimenez CarloSan Juan$8K
- Suzette Rivera MacmurraySan Juan$8K
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.