Aristides Sastre, MD
Family Medicine · Jacksonville, FLNPI 1689818494
Payments from drug & device makers
Across 197 payments — averaging $19.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$581
- AstraZeneca$538
- Pfizer$353
- Amgen$315
- Lilly USA, LLC$303
- GSK$273
- plus $2K from 27 others
What the payments were for
- Food & beverage$3,87499%
- Education$301%
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 | 28 | $581 |
| AstraZeneca | 25 | $538 |
| Pfizer | 15 | $353 |
| Amgen | 18 | $315 |
| Lilly USA, LLC | 18 | $303 |
| GSK | 13 | $273 |
| AbbVie | 9 | $166 |
| Boehringer Ingelheim | 9 | $159 |
| Novartis | 6 | $100 |
| Sanofi-aventis U.S. LLC | 5 | $100 |
| Bayer | 5 | $100 |
| Antares Pharma, Inc. | 3 | $93 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 6 | $87 |
| Exact Sciences | 4 | $80 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $78 |
| Merck | 6 | $78 |
| Amarin Pharma, Inc. | 4 | $71 |
| Dynavax Technologies Corporation | 2 | $62 |
| Shield Therapeutics Inc | 1 | $58 |
| Radius Health, Inc. | 2 | $56 |
| Vivus LLC | 2 | $31 |
| Phathom Pharmaceuticals, Inc. | 1 | $28 |
| Coloplast | 1 | $27 |
| Daiichi Sankyo Inc. | 1 | $24 |
| Johnson & Johnson | 2 | $24 |
| Astellas Pharma US Inc | 1 | $20 |
| Sanofi Pasteur Inc. | 1 | $20 |
| Mannkind Corporation | 1 | $15 |
| Metuchen Pharmaceuticals | 1 | $14 |
| Arbor Pharmaceuticals, Inc. | 1 | $13 |
| Kowa Pharmaceuticals America, Inc. | 1 | $13 |
| Idorsia Pharmaceuticals US Inc | 1 | $13 |
| Ironwood Pharmaceuticals, Inc | 1 | $11 |
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.
- Saxenda$100
How this compares
$3,904 in reported general payments places this provider in the 80th percentile of 7,282 family 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 | 95 | $100,373 |
| EliquisApixaban | 67 | $83,288 |
| FarxigaDapagliflozin Propanediol | 72 | $76,402 |
| JardianceEmpagliflozin | 48 | $54,112 |
| MounjaroTirzepatide | 35 | $41,848 |
| JanuviaSitagliptin Phosphate | 23 | $29,391 |
| EntrestoSacubitril/Valsartan | 12 | $23,833 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 26 | $19,585 |
| Repatha SureclickEvolocumab | 20 | $16,268 |
| JanumetSitagliptin Phos/Metformin Hcl | 11 | $15,821 |
| Xigduo XrDapaglifloz Propaned/Metformin | 17 | $15,589 |
| VascepaIcosapent Ethyl | 17 | $11,856 |
| Humalog Kwikpen U-200Insulin Lispro | 13 | $11,693 |
| Tresiba Flextouch U-100Insulin Degludec | 18 | $9,015 |
| SynthroidLevothyroxine Sodium | 48 | $5,376 |
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 | $581 | $100,37395 claims |
| PfizerEliquis | $353 | $83,28867 claims |
| AstraZenecaFarxiga | $538 | $76,40272 claims |
| MerckJanuvia, Janumet, Belsomra, Janumet Xr | $78 | $54,98356 claims |
| Boehringer IngelheimJardiance | $159 | $54,11248 claims |
| Lilly USA, LLCMounjaro | $303 | $41,84835 claims |
| NovartisEntresto | $100 | $23,83312 claims |
| GSKTrelegy Ellipta | $273 | $19,58526 claims |
| AbbVieSynthroid | $166 | $5,37648 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Vyvanse | $78 | $5,30513 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 80th percentile of 7,282 family medicine providers in Florida.
Other family medicine in Jacksonville
- Jeffry JacqmeinJacksonville$8.7M
- Herman DowneyJacksonville$4.1M
- Hugh ColemanDaytona Beach$115.5M
- Alexander WhiteDaytona Beach$69.7M
- Ronald SurowitzJupiter$38.3M
- Bruce RankinDeland$36.7M
- Keila HooverMiami$33.7M
- John NardandreaOcala$30.8M
- Jorge CasoMiami$22.6M
- Sharrell CooperPalm Coast$16.9M
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.