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Edgardo Cartagena Ayala, MD

Pulmonary Disease · San Juan, PRNPI 1033262555

Payments from drug & device makers

$1,046,471in general payments, 2019–2025

Across 285 payments — averaging $3671.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Cerus Corporation$523K
  • Merck$475K
  • Teva Pharmaceuticals USA, Inc.$25K
  • Janssen Research & Development, LLC$14K
  • Boehringer Ingelheim International GmbH$4K
  • AstraZeneca$1K
  • plus $4K from 17 others

What the payments were for

  • Travel & lodging$2846%
  • Food & beverage$4,54792%
  • Education$1343%

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

$1,046,471 in reported general payments places this provider in the 95th percentile of 138 pulmonary disease providers in Puerto Rico.

See all pulmonary disease providers in Puerto Rico

Medicare billing

Part B allowed, 2024
$5,454
Medicare patients
20
Services billed
79

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
Trelegy ElliptaFluticasone/Umeclidin/Vilanter294$201,825
Breo ElliptaFluticasone/Vilanterol464$193,646
Stiolto RespimatTiotropium Br/Olodaterol Hcl221$110,740
Spiriva RespimatTiotropium Bromide177$94,623
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr195$93,462
Albuterol Sulfate HfaAlbuterol Sulfate1,718$65,743
Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate229$62,717
Wixela InhubFluticasone Propion/Salmeterol178$33,939
Atrovent HfaIpratropium Bromide70$33,259
SymbicortBudesonide/Formoterol Fumarate86$21,358
Montelukast Sodium1,832$16,555
Fluticasone Propionate HfaFluticasone Propionate66$16,547
Fluticasone Propionate896$14,941
Levalbuterol Tartrate HfaLevalbuterol Tartrate126$7,451
Fluticasone-SalmeterolFluticasone Propion/Salmeterol39$5,447

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
GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta$1,040$488,932953 claims
Boehringer IngelheimStiolto Respimat, Spiriva Respimat$508$205,363398 claims
AstraZenecaSymbicort$1,090$21,35886 claims
AbbVieSynthroid$123$85514 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 95th percentile of 138 pulmonary disease providers in Puerto Rico.

Other pulmonary disease in San Juan

See the full list for Puerto Rico

Where these figures come from

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