RxDoctor Payments Data

Derek Almendares, DO

Internal Medicine · Miami Lakes, FLNPI 1144885526

Payments from drug & device makers

$1,120in general payments, 2019–2025

Across 50 payments — averaging $22.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Bayer$255
  • Lilly USA, LLC$202
  • AstraZeneca$139
  • Amgen$117
  • Scpharmaceuticals Inc.$70
  • Boehringer Ingelheim$55
  • plus $282 from 12 others

What the payments were for

  • Food & beverage$1,120100%

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

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

$1,120 in reported general payments places this provider in the 70th percentile of 8,530 internal medicine providers in Florida.

See all internal medicine providers in Florida

Medicare billing

Part B allowed, 2024
$76,825
Medicare patients
193
Services billed
1,007

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
EliquisApixaban127$95,939
OzempicSemaglutide97$93,621
MounjaroTirzepatide83$83,626
XareltoRivaroxaban62$51,582
EntrestoSacubitril/Valsartan68$46,862
JardianceEmpagliflozin60$42,929
RybelsusSemaglutide31$38,972
LinzessLinaclotide41$33,534
TrulicityDulaglutide30$28,589
FarxigaDapagliflozin Propanediol46$28,449
TradjentaLinagliptin22$20,271
Xigduo XrDapaglifloz Propaned/Metformin25$18,879
Trelegy ElliptaFluticasone/Umeclidin/Vilanter27$17,352
BrilintaTicagrelor39$17,018
JanuviaSitagliptin Phosphate21$14,953

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
Novo NordiskOzempic, Rybelsus$26$132,592128 claims
Lilly USA, LLCMounjaro, Trulicity$202$112,215113 claims
PfizerEliquis$18$95,939127 claims
Boehringer IngelheimJardiance, Tradjenta, Spiriva Respimat$55$69,41494 claims
AstraZenecaFarxiga, Brilinta, Breztri Aerosphere$139$55,527101 claims
Johnson & JohnsonXarelto$15$51,58262 claims
NovartisEntresto$16$46,86268 claims
AbbVieLinzess, Restasis, Synthroid$22$44,51777 claims
MerckJanuvia, Janumet$14$24,88236 claims
GSKTrelegy Ellipta$38$17,35227 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 70th percentile of 8,530 internal medicine providers in Florida.

Other internal medicine in Miami Lakes

See the full list for Florida

Where these figures come from

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