RxDoctor Payments Data

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.

$15,732in general payments, 2019–2025

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

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
AbbVie(2 entities)61$11,837
Sanofi2$1,815
E.r. Squibb & Sons, L.L.C.21$498
Johnson & Johnson(2 entities)12$354
Madrigal Pharmaceuticals2$143
Gilead5$143
Merck2$141
Eisai Inc.1$125
Olympus Latin America, Inc.1$125
Organon5$112
Janssen Scientific Affairs, LLC1$100
Intercept Pharmaceuticals, Inc.4$90
PBG Puerto Rico LLC4$77
Biogen4$76
Pfizer Pharmaceuticals LLC3$37
Exact Sciences1$25
Eli Lilly Export S.A. Puerto Rico Branch1$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.

See all gastroenterology providers in Puerto Rico

Medicare billing

Part B allowed, 2024
$17,119
Medicare patients
49
Services billed
123

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

DrugClaimsCost to plans & patients
Sucralfate234$22,736
Mesalamine34$21,820
SuprepSodium, Potassium,mag Sulfates147$17,351
Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates157$12,874
Mesalamine DrMesalamine12$3,334
ClenpiqSod Picosulf/Mag Ox/Citric Ac11$2,272
Famotidine160$1,527
Pantoprazole Sodium148$1,089
Dicyclomine Hcl80$953
Omeprazole93$743
CholestyramineCholestyramine (With Sugar)13$721
Fentanyl CitrateFentanyl Citrate/Pf136$448
Midazolam HclMidazolam Hcl/Pf147$420
Midazolam Hcl147$400
Chlordiazepoxide-ClidiniumChlordiazepoxide/Clidinium Br11$369

Paid to pharmacies, not to this prescriber.

Other gastroenterology in San Juan

See the full list for Puerto Rico

Where these figures come from

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