RxDoctor Payments Data

Arsenio Mestre, MD

Family Medicine · Orlando, FLNPI 1700869369

Payments from drug & device makers

$5,982in general payments, 2019–2025

Across 347 payments — averaging $17.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$894
  • Boehringer Ingelheim$618
  • AstraZeneca$608
  • Pfizer$443
  • Astellas Pharma US Inc$393
  • AbbVie$381
  • plus $3K from 29 others

What the payments were for

  • Food & beverage$5,78297%
  • Education$2003%

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.

How this compares

$5,982 in reported general payments places this provider in the 85th percentile of 7,282 family medicine providers in Florida.

See all family medicine providers in Florida

Medicare billing

Part B allowed, 2024
$106,544
Medicare patients
259
Services billed
2,080

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
JardianceEmpagliflozin82$94,351
EliquisApixaban67$66,867
FarxigaDapagliflozin Propanediol29$35,939
TrulicityDulaglutide19$19,474
MounjaroTirzepatide19$19,124
GlyxambiEmpagliflozin/Linagliptin17$14,972
OzempicSemaglutide14$13,957
XareltoRivaroxaban15$12,785
Breo ElliptaFluticasone/Vilanterol22$8,515
SynthroidLevothyroxine Sodium67$4,116
Rosuvastatin Calcium322$3,729
Atorvastatin Calcium381$2,457
Gabapentin124$2,110
Pantoprazole Sodium158$1,974
Levothyroxine Sodium189$1,832

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 IngelheimJardiance, Glyxambi$618$109,32399 claims
PfizerEliquis$443$66,86767 claims
Lilly USA, LLCTrulicity, Mounjaro$248$38,59738 claims
AstraZenecaFarxiga$608$35,93929 claims
Novo NordiskOzempic$894$13,95714 claims
Johnson & JohnsonXarelto$24$12,78515 claims
GSKBreo Ellipta$276$8,51522 claims
AbbVieSynthroid$381$4,11667 claims
Amneal Pharmaceuticals LLCLevothyroxine Sodium$13$1,832189 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 85th percentile of 7,282 family medicine providers in Florida.

Other family medicine in Orlando

See the full list for Florida

Where these figures come from

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