Antonio Padua-Ramos, MD
Pulmonary Disease · Mayaguez, PRNPI 1811978018
Payments from drug & device makers
Across 63 payments — averaging $28.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$545
- Boehringer Ingelheim$413
- Genentech USA, Inc.$231
- GSK$196
- Harmony Biosciences LLC$145
- Jazz Pharmaceuticals Inc.$63
- plus $208 from 6 others
What the payments were for
- Food & beverage$1,65792%
- Education$1458%
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 |
|---|---|---|
| AstraZeneca | 18 | $545 |
| Boehringer Ingelheim | 16 | $413 |
| Genentech USA, Inc. | 8 | $231 |
| GSK | 11 | $196 |
| Harmony Biosciences LLC | 2 | $145 |
| Jazz Pharmaceuticals Inc. | 1 | $63 |
| United Therapeutics Corporation | 2 | $56 |
| Grifols USA, LLC | 1 | $44 |
| Merck | 1 | $39 |
| Olympus Latin America, Inc. | 1 | $33 |
| PBG Puerto Rico LLC | 1 | $21 |
| Pfizer Pharmaceuticals LLC | 1 | $15 |
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.
- AIRSUPRA$119
How this compares
$1,802 in reported general payments places this provider in the 35th percentile of 138 pulmonary disease 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 |
|---|---|---|
| OfevNintedanib Esylate | 65 | $850,177 |
| WakixPitolisant Hcl | 13 | $206,639 |
| FasenraBenralizumab | 31 | $178,341 |
| AdempasRiociguat | 12 | $169,347 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 451 | $129,586 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 222 | $109,089 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 139 | $93,447 |
| Fluticasone Propionate HfaFluticasone Propionate | 236 | $58,693 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 1,023 | $48,058 |
| Breo ElliptaFluticasone/Vilanterol | 81 | $33,395 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 51 | $33,207 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 53 | $25,455 |
| Ambrisentan | 13 | $22,041 |
| SymbicortBudesonide/Formoterol Fumarate | 84 | $21,118 |
| Pirfenidone | 12 | $20,782 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Boehringer IngelheimOfev, Stiolto Respimat, Spiriva Respimat | $413 | $971,557310 claims |
| AstraZenecaFasenra, Breztri Aerosphere, Symbicort, Farxiga | $545 | $239,685178 claims |
| Harmony Biosciences LLCWakix | $145 | $206,63913 claims |
| GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta | $196 | $152,297273 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 35th percentile of 138 pulmonary disease providers in Puerto Rico.
Other pulmonary disease in Mayaguez
- Rosa Roman-CarloMayaguez$4K
- Monica Egozcue DionisiMayaguez$3K
- Danessa Vazquez RamosMayaguez$3K
- Alvaro Aranda RodriguezGuaynabo$1.9M
- Edgardo Cartagena AyalaSan Juan$1M
- Luis Garcia BarretoCoamo$393K
- Domingo Chardon FelicianoPonce$152K
- Luis Nieves GarrasteguiRio Piedras$121K
- Jahaira Serrano DominguezArecibo$102K
- Ramon FloresSan Juan$86K
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.