RxDoctor Payments Data

Denise Caro, MD

Endocrinology, Diabetes & Metabolism · Mayaguez, PRNPI 1134221724

Payments from drug & device makers

$2,637in general payments, 2019–2025

Across 113 payments — averaging $23.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Sanofi-aventis U.S. LLC$1K
  • Boehringer Ingelheim$392
  • AbbVie$365
  • AstraZeneca$243
  • Merck$199
  • Eli Lilly Export S.A. Puerto Rico Branch$125
  • plus $147 from 3 others

What the payments were for

  • Speaking & faculty fees$30011%
  • Food & beverage$2,33188%
  • Education$60%

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.

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

$2,637 in reported general payments places this provider in the 30th percentile of 143 endocrinology, diabetes & metabolism providers in Puerto Rico.

See all endocrinology, diabetes & metabolism providers in Puerto Rico

Medicare billing

Part B allowed, 2024
$10,544
Medicare patients
50
Services billed
105

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
FarxigaDapagliflozin Propanediol1,302$940,629
JardianceEmpagliflozin637$476,746
TrulicityDulaglutide421$445,037
SynthroidLevothyroxine Sodium3,139$317,872
SynjardyEmpagliflozin/Metformin Hcl375$271,111
Xigduo XrDapaglifloz Propaned/Metformin272$213,709
OzempicSemaglutide182$180,493
Trijardy XrEmpaglifloz/Linaglip/Metformin254$178,991
TradjentaLinagliptin210$156,286
JanuviaSitagliptin Phosphate112$94,366
ProliaDenosumab52$92,170
Humalog Mix 75-25Insulin Lispro Protamin/Lispro299$74,838
Humulin R U-500Insulin Regular, Human50$74,733
HumalogInsulin Lispro375$62,452
Humulin 70-30Insulin Nph Hum/Reg Insulin Hm378$46,922

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
Boehringer IngelheimJardiance, Synjardy, Trijardy Xr, Tradjenta, Synjardy Xr$392$1,140,2421,559 claims
AstraZenecaFarxiga$243$940,6291,302 claims
AbbVieSynthroid$365$317,8723,139 claims
Novo NordiskOzempic$23$180,493182 claims
MerckJanuvia, Janumet, Janumet Xr$199$152,144167 claims
Sanofi-aventis U.S. LLCLantus, Soliqua 100-33$1,166$61,897422 claims
Johnson & JohnsonXarelto$54$28,78929 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 30th percentile of 143 endocrinology, diabetes & metabolism providers in Puerto Rico.

Other endocrinology, diabetes & metabolism in Mayaguez

See the full list for Puerto Rico

Where these figures come from

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