Cesar Ayala Rodriguez, MD
Internal Medicine · Brooklyn, NYNPI 1104156728
Payments from drug & device makers
Across 321 payments — averaging $24.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$1K
- AstraZeneca$820
- Boston Scientific$576
- E.r. Squibb & Sons, L.L.C.$523
- Merck$508
- Alnylam Pharmaceuticals Inc.$467
- plus $4K from 27 others
What the payments were for
- Food & beverage$7,48693%
- Education$5277%
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 |
|---|---|---|
| Novartis | 68 | $1,411 |
| AstraZeneca | 38 | $820 |
| Boston Scientific | 5 | $576 |
| E.r. Squibb & Sons, L.L.C. | 29 | $523 |
| Merck | 22 | $508 |
| Alnylam Pharmaceuticals Inc. | 17 | $467 |
| Actelion Pharmaceuticals US, Inc. | 8 | $412 |
| Bayer | 15 | $383 |
| Amgen | 23 | $374 |
| Johnson & Johnson | 10 | $367 |
| Boehringer Ingelheim | 8 | $223 |
| Novo Nordisk | 9 | $210 |
| Pfizer | 9 | $187 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 8 | $187 |
| Bridgebio Pharma, Inc. | 7 | $186 |
| Astellas Pharma US Inc | 5 | $150 |
| Sanofi-aventis U.S. LLC | 5 | $130 |
| Medtronic(2 entities) | 4 | $117 |
| Xeris Pharmaceuticals, Inc. | 3 | $111 |
| Kestra Medical Technology Services, Inc. | 3 | $110 |
| Scpharmaceuticals Inc. | 4 | $109 |
| Abbott | 3 | $79 |
| GE HealthCare | 6 | $65 |
| Cardiva Medical, Inc. | 2 | $60 |
| Abiomed | 1 | $41 |
| Lilly USA, LLC | 2 | $40 |
| Medicomp Inc | 1 | $38 |
| Daiichi Sankyo Inc. | 1 | $28 |
| Amryt Pharma Holdings Ltd | 1 | $24 |
| Kiniksa Pharmaceuticals, Ltd. | 1 | $22 |
| Hologic Sales And Service, LLC | 1 | $20 |
| Kiniksa Pharmaceuticals International, PLC | 1 | $19 |
| Vifor Pharma, Inc. | 1 | $14 |
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
$8,013 in reported general payments places this provider in the 90th percentile of 9,771 internal medicine providers in New York.
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 |
|---|---|---|
| EntrestoSacubitril/Valsartan | 790 | $883,720 |
| VyndamaxTafamidis | 29 | $665,289 |
| MounjaroTirzepatide | 597 | $608,042 |
| OzempicSemaglutide | 369 | $383,920 |
| EliquisApixaban | 382 | $359,353 |
| JardianceEmpagliflozin | 339 | $336,985 |
| TrulicityDulaglutide | 304 | $301,172 |
| FarxigaDapagliflozin Propanediol | 285 | $268,476 |
| LeqvioInclisiran Sodium | 77 | $238,330 |
| Synjardy XrEmpagliflozin/Metformin Hcl | 165 | $175,803 |
| XareltoRivaroxaban | 105 | $90,172 |
| RybelsusSemaglutide | 56 | $88,009 |
| KerendiaFinerenone | 80 | $79,843 |
| MultaqDronedarone Hcl | 33 | $40,972 |
| BrilintaTicagrelor | 57 | $33,112 |
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 |
|---|---|---|
| NovartisEntresto, Leqvio | $1,411 | $1,122,050867 claims |
| PfizerVyndamax, Eliquis | $187 | $1,024,642411 claims |
| Lilly USA, LLCMounjaro, Trulicity | $40 | $909,215901 claims |
| Boehringer IngelheimJardiance, Synjardy Xr, Synjardy, Combivent Respimat | $223 | $551,508549 claims |
| Novo NordiskOzempic, Rybelsus, Wegovy | $210 | $485,890436 claims |
| AstraZenecaFarxiga, Brilinta, Lokelma | $820 | $315,342360 claims |
| Johnson & JohnsonXarelto | $367 | $90,172105 claims |
| BayerKerendia | $383 | $79,84380 claims |
| Sanofi-aventis U.S. LLCMultaq | $130 | $40,97233 claims |
| MerckVerquvo | $508 | $11,13918 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 90th percentile of 9,771 internal medicine providers in New York.
Other internal medicine in Brooklyn
- Bruce BergerBrooklyn$3.4M
- Nelly CohenBrooklyn$2.8M
- Jorge SerjeBrooklyn$1.3M
- Helena YuNew York$50.9M
- Neha KordeNew York$21.2M
- Karen AutioNew York$18.5M
- Ingo MellinghoffNew York$16.1M
- Gopakumar IyerNew York$12.4M
- David DoveEast Hampton$12.3M
- Robert CupeloEast Syracuse$10.6M
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.