Carlos Berrios Rosado, MD
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 91.6% of the total across 111 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 18 manufacturers reported payments, led by Teva Pharmaceuticals USA, Inc. at 49.4% of the total.
Across 111 payments — averaging $21.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Teva Pharmaceuticals USA, Inc.$1K
- Biohaven Pharmaceutical Holding Company Ltd.$276
- Kyowa Kirin, Inc.$205
- Biohaven Pharmaceuticals, Inc.$185
- Amgen$136
- AbbVie$106
- plus $288 from 12 others
What the payments were for
- Food & beverage$2,16392%
- Education$1998%
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 |
|---|---|---|
| Teva Pharmaceuticals USA, Inc. | 41 | $1,167 |
| Biohaven Pharmaceutical Holding Company Ltd. | 17 | $276 |
| Kyowa Kirin, Inc. | 9 | $205 |
| Biohaven Pharmaceuticals, Inc. | 16 | $185 |
| Amgen | 6 | $136 |
| AbbVie | 6 | $106 |
| Biogen | 2 | $41 |
| Sunovion Pharmaceuticals Inc. | 1 | $32 |
| Acadia Pharmaceuticals Inc | 2 | $30 |
| Amneal Pharmaceuticals LLC | 2 | $29 |
| Adamas Pharmaceuticals, Inc. | 2 | $26 |
| Lilly USA, LLC | 1 | $24 |
| Pfizer | 1 | $24 |
| Impel Pharmaceuticals Inc. | 1 | $20 |
| Neurocrine Biosciences, Inc. | 1 | $19 |
| Argenx US, Inc. | 1 | $18 |
| Grifols USA, LLC | 1 | $13 |
| Novartis | 1 | $11 |
How this compares
$2,362 in reported general payments places this provider in the 60th percentile of 129 neurology 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 |
|---|---|---|
| AustedoDeutetrabenazine | 23 | $115,900 |
| Teriflunomide | 14 | $80,725 |
| Aimovig AutoinjectorErenumab-Aooe | 43 | $53,384 |
| FingolimodFingolimod Hcl | 19 | $48,834 |
| Nurtec OdtRimegepant Sulfate | 34 | $45,334 |
| RytaryCarbidopa/Levodopa | 46 | $38,582 |
| EliquisApixaban | 33 | $35,461 |
| Emgality PenGalcanezumab-Gnlm | 23 | $32,511 |
| NeuproRotigotine | 30 | $29,331 |
| XareltoRivaroxaban | 26 | $24,807 |
| NourianzIstradefylline | 11 | $23,235 |
| ZonegranZonisamide | 11 | $20,525 |
| LamictalLamotrigine | 11 | $14,280 |
| Memantine Hcl ErMemantine Hcl | 69 | $10,033 |
| Topiramate ErTopiramate | 19 | $10,013 |
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 |
|---|---|---|
| Teva Pharmaceuticals USA, Inc.Austedo | $1,167 | $115,90023 claims |
| PfizerNurtec Odt, Eliquis | $24 | $80,79667 claims |
| Amneal Pharmaceuticals LLCRytary, Pyridostigmine Bromide | $29 | $41,36684 claims |
| Kyowa Kirin, Inc.Nourianz | $205 | $23,23511 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 60th percentile of 129 neurology providers in Puerto Rico.
Other neurology in Ponce
- Jessica Abreu-GarciaPonce$30K
- Javier OteroPonce$2K
- Angel ChineaGuaynabo$1.7M
- Jose Avila OrnelasCaguas$538K
- Franchesca Fiorito-TorresSan Juan$453K
- Patricia de JesusCaguas$310K
- Mari GarciaSan Juan$138K
- Cristina Cabret-AymatSan Juan$108K
- Gishlaine Alfonso MendezSan Juan$53K
- Laura Surillo-DahdahGuaynabo$31K
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.