Christina Hupman, MD
Neurology · San Juan, PRNPI 1407141716
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.9% of the total across 80 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 18 manufacturers, the largest accounting for just 16.7% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $478 and has fallen 72.2% since, to $133 in 2025. That places this record below the midpoint for neurology clinicians in PR, where the typical reported total is $1,610.
Across 80 payments — averaging $20.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$275
- E.r. Squibb & Sons, L.L.C.$217
- Sanofi$189
- Biogen$181
- UCB, Inc.$135
- AbbVie$124
- plus $523 from 12 others
What the payments were for
- Speaking & faculty fees$342%
- Food & beverage$1,61198%
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 | 13 | $275 |
| E.r. Squibb & Sons, L.L.C. | 10 | $217 |
| Sanofi | 10 | $189 |
| Biogen | 9 | $181 |
| UCB, Inc. | 6 | $135 |
| AbbVie | 5 | $124 |
| Eli Lilly Export S.A. Puerto Rico Branch | 5 | $104 |
| Sunovion Pharmaceuticals Inc. | 5 | $90 |
| Biohaven Pharmaceutical Holding Company Ltd. | 3 | $70 |
| PBG Puerto Rico LLC | 3 | $59 |
| Johnson & Johnson | 2 | $46 |
| Acorda Therapeutics, Inc | 2 | $34 |
| Teva Pharmaceuticals USA, Inc. | 2 | $26 |
| Biohaven Pharmaceuticals, Inc. | 1 | $25 |
| Amgen | 1 | $20 |
| Adamas Pharmaceuticals, Inc. | 1 | $19 |
| Pfizer Pharmaceuticals LLC | 1 | $16 |
| Genentech USA, Inc. | 1 | $15 |
How this compares
$1,645 in reported general payments places this provider in the 50th 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 |
|---|---|---|
| Rivastigmine | 58 | $8,335 |
| EliquisApixaban | 12 | $7,272 |
| Memantine Hcl | 114 | $2,707 |
| Carbidopa-LevodopaCarbidopa/Levodopa | 56 | $2,381 |
| Donepezil Hcl | 137 | $1,336 |
| Lacosamide | 11 | $693 |
| RivastigmineRivastigmine Tartrate | 14 | $620 |
| Gabapentin | 37 | $462 |
| Duloxetine Hcl | 35 | $366 |
| Primidone | 17 | $360 |
| Escitalopram Oxalate | 41 | $303 |
| Amlodipine Besylate | 17 | $168 |
| Quetiapine Fumarate | 17 | $140 |
| Bupropion XlBupropion Hcl | 12 | $122 |
| Clonazepam | 16 | $117 |
Paid to pharmacies, not to this prescriber.
Other neurology in San Juan
- Franchesca Fiorito-TorresSan Juan$453K
- Mari GarciaSan Juan$138K
- Cristina Cabret-AymatSan Juan$108K
- Gishlaine Alfonso MendezSan Juan$53K
- Carlos Luciano-RomanSan Juan$21K
- Maria Garcia-AyalaSan Juan$10K
- Marisol Mubarak PerdomoSan Juan$10K
- Enrique Rodriguez OlaverriSan Juan$8K
- Ricardo Alvarado MelendezSan Juan$6K
- Hector Miranda DelgadoSan Juan$6K
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.