RxDoctor Payments Data

Andrea del Toro Diez, MD

Endocrinology, Diabetes & Metabolism · San Juan, PRNPI 1437551314

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $6,144 of the $6,934 with a category attached, or 88.6%. It is spread thinly across 17 manufacturers, the largest accounting for just 19.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $1,570 and has fallen 81.8% since, to $286 in 2025.

$6,934in general payments, 2019–2025

Across 185 payments — averaging $37.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$1K
  • AstraZeneca$1K
  • Boehringer Ingelheim$914
  • Novo Nordisk$785
  • Sanofi-aventis U.S. LLC$671
  • Lilly USA, LLC$356
  • plus $1K from 11 others

What the payments were for

  • Travel & lodging$79011%
  • Food & beverage$6,14489%

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

$6,934 in reported general payments places this provider in the 65th percentile of 143 endocrinology, diabetes & metabolism providers in Puerto Rico.

See all endocrinology, diabetes & metabolism providers in Puerto Rico

Medicare billing

Part B allowed, 2024
$8,401
Medicare patients
30
Services billed
80

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
TrulicityDulaglutide437$443,205
OzempicSemaglutide410$408,088
Trijardy XrEmpaglifloz/Linaglip/Metformin258$226,073
Xigduo XrDapaglifloz Propaned/Metformin176$131,804
Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog178$128,548
Synjardy XrEmpagliflozin/Metformin Hcl164$127,757
FarxigaDapagliflozin Propanediol91$89,303
Soliqua 100-33Insulin Glargine/Lixisenatide87$80,906
RybelsusSemaglutide50$79,180
TradjentaLinagliptin77$72,536
JardianceEmpagliflozin73$71,015
GlyxambiEmpagliflozin/Linagliptin67$62,782
MounjaroTirzepatide59$62,664
Jentadueto XrLinagliptin/Metformin Hcl75$57,321
SynthroidLevothyroxine Sodium644$48,515

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
Boehringer IngelheimTrijardy Xr, Synjardy Xr, Tradjenta, Jardiance, Glyxambi$914$631,484727 claims
Lilly USA, LLCTrulicity, Mounjaro, Humalog, Insulin Lispro, Humulin 70-30$356$518,209629 claims
Novo NordiskOzempic, Rybelsus$785$487,268460 claims
AstraZenecaFarxiga$1,344$89,30391 claims
Sanofi-aventis U.S. LLCSoliqua 100-33, Lantus$671$88,163153 claims
MerckJanumet Xr, Januvia$106$35,67758 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 65th percentile of 143 endocrinology, diabetes & metabolism providers in Puerto Rico.

Other endocrinology, diabetes & metabolism in San Juan

See the full list for Puerto Rico

Where these figures come from

Is this you, or does something look wrong? →