Carlos Torres-Rivera, MD
Nephrology · St Augustine, FLNPI 1215032446
Payments from drug & device makers
Across 137 payments — averaging $19.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$652
- OPKO Pharmaceuticals, LLC$433
- Otsuka America Pharmaceutical, Inc.$324
- AstraZeneca$292
- Vifor Pharma, Inc.$128
- Bayer$125
- plus $680 from 10 others
What the payments were for
- Food & beverage$2,43793%
- Education$1967%
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 |
|---|---|---|
| Amgen(2 entities) | 42 | $652 |
| OPKO Pharmaceuticals, LLC | 21 | $433 |
| Otsuka America Pharmaceutical, Inc. | 16 | $324 |
| AstraZeneca | 12 | $292 |
| Vifor Pharma, Inc. | 8 | $128 |
| Bayer | 6 | $125 |
| Mallinckrodt Hospital Products Inc. | 6 | $117 |
| Travere Therapeutics, Inc. | 7 | $109 |
| Calliditas Therapeutics US Inc. | 4 | $103 |
| Mallinckrodt Enterprises LLC | 5 | $95 |
| Baxter Healthcare | 1 | $88 |
| GSK | 3 | $55 |
| Akebia Therapeutics Inc | 2 | $40 |
| Fresenius USA Marketing, Inc. | 2 | $27 |
| Aurinia Pharma U.S., Inc. | 1 | $23 |
| Novo Nordisk | 1 | $23 |
How this compares
$2,634 in reported general payments places this provider in the 55th percentile of 756 nephrology 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 | 43 | $43,837 |
| Calcium Acetate | 25 | $1,281 |
| Amlodipine Besylate | 135 | $1,261 |
| Calcitriol | 65 | $1,224 |
| Bumetanide | 30 | $1,127 |
| Nifedipine ErNifedipine | 36 | $999 |
| Atorvastatin Calcium | 89 | $989 |
| Rosuvastatin Calcium | 49 | $965 |
| Lisinopril | 68 | $940 |
| Losartan Potassium | 70 | $904 |
| Levothyroxine Sodium | 100 | $901 |
| Valsartan | 21 | $888 |
| Midodrine Hcl | 18 | $757 |
| SynthroidLevothyroxine Sodium | 12 | $668 |
| Potassium Chloride | 38 | $587 |
Paid to pharmacies, not to this prescriber.
Other nephrology in St Augustine
- Thomas MarburyOrlando$41.1M
- Julio VijilHollywood$16.1M
- Steven ZeigHollywood$14.3M
- Oscar GalvezMiami$14.2M
- Jesus NavarroTampa$13.3M
- Arvind MadanOrlando$9.7M
- David HalpertAtlantis$4.2M
- Wayne KotzkerFort Lauderdale$3.4M
- Edouard MartinLauderdale Lakes$2.7M
- Jorge PosadaCoral Gables$2.5M
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.