Ariadna Valdes
Adult Medicine · Miami, FLNPI 1841451929
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 18 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 9 manufacturers, the largest accounting for just 20.9% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $164, 9.7 times the $17 reported in 2021. That places this record below the midpoint for adult medicine clinicians in FL, where the typical reported total is $365.
Across 18 payments — averaging $20.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$77
- Kowa Pharmaceuticals America, Inc.$71
- AstraZeneca$56
- Lilly USA, LLC$46
- AbbVie$42
- Amgen$22
- plus $54 from 3 others
Across 1 payment — averaging $3250.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Astrazeneca UK Limited$3K
What the payments were for
- Food & beverage$367100%
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 |
|---|---|---|
| Novo Nordisk | 3 | $77 |
| Kowa Pharmaceuticals America, Inc. | 3 | $71 |
| AstraZeneca | 3 | $56 |
| Lilly USA, LLC | 3 | $46 |
| AbbVie | 2 | $42 |
| Amgen | 1 | $22 |
| Pfizer | 1 | $19 |
| Gilead | 1 | $18 |
| Abbott | 1 | $17 |
How this compares
$367 in reported general payments places this provider in the 50th percentile of 195 adult medicine providers in Florida.
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 |
|---|---|---|
| OzempicSemaglutide | 12 | $11,421 |
| JanuviaSitagliptin Phosphate | 11 | $8,748 |
| JardianceEmpagliflozin | 12 | $7,205 |
| Rosuvastatin Calcium | 75 | $1,390 |
| Levothyroxine Sodium | 45 | $407 |
| Gabapentin | 61 | $346 |
| Metoprolol Succinate | 44 | $334 |
| Escitalopram Oxalate | 34 | $305 |
| Metformin Hcl | 73 | $219 |
| Pantoprazole Sodium | 31 | $216 |
| Atorvastatin Calcium | 45 | $208 |
| Olmesartan Medoxomil | 13 | $183 |
| Wixela InhubFluticasone Propion/Salmeterol | 11 | $153 |
| ClopidogrelClopidogrel Bisulfate | 31 | $144 |
| Ezetimibe | 18 | $112 |
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 |
|---|---|---|
| Novo NordiskOzempic | $77 | $11,42112 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 50th percentile of 195 adult medicine providers in Florida.
Other adult medicine in Miami
- Steven SantiagoMiami$290K
- Hernando ChongMiami$9K
- Agustin AlfonsoMiami$1K
- Tammy DsouzaKissimmee$191K
- Eric SchertzerPlantation$26K
- Ricardo SerranoMerritt Island$20K
- Marlene JarinMiami Beach$18K
- Myra ReedPanama City Beach$16K
- Joshua RycusCoral Springs$13K
- Frederick WeigandDeltona$9K
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.