RxDoctor Payments Data

Carlos Luciano-Roman, MD

Neurology · San Juan, PRNPI 1699820431

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (55.2%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 24 manufacturers reported payments, led by Sanofi at 51.3% of the total. Reporting peaked in 2019 at $10,190 and has fallen 91.7% since, to $848 in 2025. Among neurology clinicians in PR with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$20,624in general payments, 2019–2025

Across 130 payments — averaging $158.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Sanofi$11K
  • Akcea Therapeutics, Inc.$6K
  • Biogen$608
  • Novartis$586
  • AstraZeneca$574
  • Davol Inc.$290
  • plus $2K from 18 others
$2,250in research payments, 2019–2025

Across 2 payments — averaging $1125.00 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.

  • AstraZeneca$2K

What the payments were for

  • Consulting fees$4,80523%
  • Speaking & faculty fees$11,38155%
  • Travel & lodging$120%
  • Food & beverage$4,42621%

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.

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

$20,624 in reported general payments places this provider in the 90th percentile of 129 neurology providers in Puerto Rico.

See all neurology providers in Puerto Rico

Medicare billing

Part B allowed, 2024
$7,558
Medicare patients
27
Services billed
62

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
Pyridostigmine Bromide52$3,464
Levocarnitine14$2,068
Pregabalin58$1,164
Riluzole18$1,104
Gabapentin90$963
Lacosamide12$600
Baclofen20$510
Duloxetine Hcl31$498
Prednisone44$436
Diazepam23$363
Donepezil Hcl21$115
Tizanidine Hcl12$102
Lamotrigine11$92

Paid to pharmacies, not to this prescriber.

Other neurology in San Juan

See the full list for Puerto Rico

Where these figures come from

Is this you, or does something look wrong? →