RxDoctor Payments Data

Claude Romulus, MD

Internal Medicine · Miramar, FLNPI 1609818277

Payments from drug & device makers

$575in general payments, 2019–2025

Across 29 payments — averaging $19.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Pfizer$88
  • AstraZeneca$88
  • Novo Nordisk$74
  • Boehringer Ingelheim$58
  • GSK$35
  • Amgen$35
  • plus $197 from 9 others

What the payments were for

  • Food & beverage$575100%

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

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.

How this compares

$575 in reported general payments places this provider in the 55th percentile of 8,530 internal medicine providers in Florida.

See all internal medicine providers in Florida

Medicare billing

Part B allowed, 2024
$8,582
Medicare patients
19
Services billed
66

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
JanuviaSitagliptin Phosphate38$38,617
JardianceEmpagliflozin25$27,790
OzempicSemaglutide20$20,612
MounjaroTirzepatide11$11,751
Lantus SolostarInsulin Glargine,hum.Rec.Anlog11$3,886
Humalog Kwikpen U-100Insulin Lispro11$2,375
Nifedipine ErNifedipine119$2,104
Albuterol Sulfate HfaAlbuterol Sulfate43$1,668
Lovastatin142$1,550
Losartan Potassium90$1,517
Omeprazole81$1,086
Tadalafil12$1,038
Gabapentin62$837
Atorvastatin Calcium74$785
Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip29$781

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.

CompanyPaid to this providerPart D cost of their drugs
MerckJanuvia$19$38,61738 claims
Boehringer IngelheimJardiance$58$27,79025 claims
Novo NordiskOzempic$74$20,61220 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 55th percentile of 8,530 internal medicine providers in Florida.

Other internal medicine in Miramar

See the full list for Florida

Where these figures come from

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