Aurelio Varona Berdial, MD
Internal Medicine · Miami, FLNPI 1659804458
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 41 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 11 manufacturers reported payments, led by Johnson & Johnson at 35.3% of the total. 2025 is the largest year on record at $562, more than ten times the $23 reported in 2019.
Across 41 payments — averaging $45.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$665
- Abbott$325
- Atricure, Inc.$289
- Penumbra, Inc.$143
- AbbVie$141
- Medtronic$97
- plus $222 from 5 others
Across 17 payments — averaging $6575.18 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.
- Genentech, Inc.$94K
- Sanofi US Services Inc.$18K
What the payments were for
- Food & beverage$1,883100%
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 |
|---|---|---|
| Johnson & Johnson | 28 | $665 |
| Abbott | 2 | $325 |
| Atricure, Inc. | 2 | $289 |
| Penumbra, Inc. | 1 | $143 |
| AbbVie | 2 | $141 |
| Medtronic | 1 | $97 |
| Teva Pharmaceuticals USA, Inc. | 1 | $86 |
| Intuitive Surgical | 1 | $80 |
| Regeneron Healthcare Solutions, Inc. | 1 | $23 |
| GSK | 1 | $20 |
| AstraZeneca | 1 | $13 |
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
$1,883 in reported general payments places this provider in the 80th percentile of 8,530 internal 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 |
|---|---|---|
| EliquisApixaban | 31 | $16,343 |
| Cefdinir | 56 | $637 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 20 | $154 |
| Atorvastatin Calcium | 54 | $145 |
| Pantoprazole Sodium | 24 | $141 |
| Levofloxacin | 40 | $131 |
| Metoprolol Succinate | 27 | $130 |
| Metronidazole | 16 | $104 |
| Losartan Potassium | 20 | $102 |
| ClopidogrelClopidogrel Bisulfate | 33 | $95 |
| Doxycycline Hyclate | 16 | $53 |
| Carvedilol | 21 | $49 |
| Spironolactone | 15 | $37 |
| Amlodipine Besylate | 24 | $28 |
| Furosemide | 13 | $28 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Miami
- Haytham ElgammalMiami$2.2M
- Richard AguilarMiami$239K
- Maria Delgado LelievreMiami$80K
- Marlow HernandezMiami$58K
- Steven CohnMiami$47K
- Joseph PiperatoMiami$45K
- Simon AbelsonMiami$44K
- Joel Brooks TamayoMiami$42K
- Keith RubinFort Lauderdale$2M
- Michael SensionFort Lauderdale$1M
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.