RxDoctor Payments Data

Alfred Romero, MD

Cardiovascular Disease · Palatka, FLNPI 1063597912

Payments from drug & device makers

$2,937in general payments, 2019–2025

Across 63 payments — averaging $46.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$2K
  • Novartis$166
  • ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$117
  • Collegium Pharmaceutical, Inc.$92
  • Abbott$91
  • Philips North America LLC$59
  • plus $270 from 10 others

What the payments were for

  • Travel & lodging$70%
  • Food & beverage$2,930100%

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

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.

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

$2,937 in reported general payments places this provider in the 45th percentile of 1,740 cardiovascular disease providers in Florida.

See all cardiovascular disease providers in Florida

Medicare billing

Part B allowed, 2024
$162,712
Medicare patients
376
Services billed
1,895

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
EliquisApixaban59$66,927
EntrestoSacubitril/Valsartan42$42,451
JardianceEmpagliflozin21$29,331
Prasugrel Hcl17$2,441
Ranolazine ErRanolazine15$2,078
Metoprolol Succinate162$1,499
Potassium Chloride51$1,103
Losartan Potassium104$801
Bumetanide35$788
Famotidine34$734
Amiodarone Hcl41$684
Amlodipine Besylate95$670
ClopidogrelClopidogrel Bisulfate89$635
Spironolactone49$463
Nitroglycerin30$422

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.

CompanyPaid to this providerPart D cost of their drugs
PfizerEliquis$16$66,92759 claims
NovartisEntresto$166$42,45142 claims
Boehringer IngelheimJardiance$35$29,33121 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 45th percentile of 1,740 cardiovascular disease providers in Florida.

Other cardiovascular disease in Palatka

See the full list for Florida

Where these figures come from

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