Avid Muniz, MD
Nephrology · Santurce, PRNPI 1417919804
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.2% of the total across 140 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 26 manufacturers, the largest accounting for just 23.4% — the pattern of someone who eats at a lot of different presentations.
Across 140 payments — averaging $37.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$1K
- Bayer$595
- Bayer Puerto Rico Inc.$567
- E.r. Squibb & Sons, L.L.C.$351
- Boston Scientific$257
- Boehringer Ingelheim$247
- plus $2K from 20 others
What the payments were for
- Food & beverage$5,10497%
- Education$1493%
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(2 entities) | 45 | $1,228 |
| Bayer | 16 | $595 |
| Bayer Puerto Rico Inc. | 22 | $567 |
| E.r. Squibb & Sons, L.L.C. | 3 | $351 |
| Boston Scientific | 4 | $257 |
| Boehringer Ingelheim | 9 | $247 |
| Novo Nordisk | 2 | $184 |
| Mallinckrodt Hospital Products Inc. | 4 | $181 |
| Amgen | 7 | $163 |
| GSK | 2 | $157 |
| Johnson & Johnson | 3 | $145 |
| Vifor Pharma, Inc. | 2 | $144 |
| Otsuka America Pharmaceutical, Inc. | 1 | $125 |
| Sanofi | 2 | $118 |
| Mallinckrodt Enterprises LLC | 1 | $116 |
| Medtronic | 1 | $115 |
| Sanofi-aventis U.S. LLC | 5 | $100 |
| Merck | 1 | $88 |
| Calliditas Therapeutics US Inc. | 2 | $82 |
| Bard Peripheral Vascular, Inc. | 1 | $82 |
| Abbott | 1 | $59 |
| ANI Pharmaceuticals, Inc. | 2 | $46 |
| Travere Therapeutics, Inc. | 1 | $33 |
| Kyowa Kirin, Inc. | 1 | $30 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $23 |
| PBG Puerto Rico LLC | 1 | $20 |
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
$5,253 in reported general payments places this provider in the 85th percentile of 161 nephrology 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 |
|---|---|---|
| FarxigaDapagliflozin Propanediol | 166 | $106,539 |
| JardianceEmpagliflozin | 35 | $28,263 |
| Sevelamer Carbonate | 111 | $18,768 |
| LokelmaSodium Zirconium Cyclosilicate | 29 | $18,335 |
| KerendiaFinerenone | 20 | $14,627 |
| Lanthanum Carbonate | 36 | $14,047 |
| TradjentaLinagliptin | 15 | $11,057 |
| Sodium Polystyrene Sulfonate | 84 | $9,060 |
| Calcium Acetate | 58 | $6,081 |
| Calcitriol | 210 | $2,502 |
| Doxazosin Mesylate | 95 | $1,739 |
| Candesartan Cilexetil | 16 | $1,658 |
| Losartan Potassium | 123 | $1,461 |
| SynthroidLevothyroxine Sodium | 11 | $1,311 |
| Irbesartan | 48 | $1,153 |
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 |
|---|---|---|
| AstraZenecaFarxiga, Lokelma | $1,228 | $124,875195 claims |
| Boehringer IngelheimJardiance, Tradjenta | $247 | $39,32050 claims |
| BayerKerendia | $595 | $14,62720 claims |
| ANI Pharmaceuticals, Inc.Valsartan | $46 | $72620 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 161 nephrology providers in Puerto Rico.
Other nephrology in Santurce
- Pedro ColtonSanturce$12K
- Luis QuesadaSanturce$9K
- Eddie Rodriguez CastroToa Baja$591K
- William Hurtado-SantiagoMayaguez$191K
- William Vega OcasioCayey$40K
- Felix Perez RamosPonce$27K
- Antonio JimenezGuaynabo$16K
- Cesar Hernandez-ArroyoTrujillo Alto$13K
- Stephanie Colon-LopezBayamon$13K
- Rafael Burgos CalderonBayamon$12K
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.