RxDoctor Payments Data

Edna Melendez Reyes, MD

Endocrinology, Diabetes & Metabolism · Caguas, PRNPI 1922091784

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (51.0%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Merck at 54.6% of the total. Reporting peaked in 2019 at $7,296 and has fallen 97.4% since, to $187 in 2025.

$8,816in general payments, 2019–2025

Across 99 payments — averaging $89.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Merck$5K
  • Johnson & Johnson$2K
  • AstraZeneca$564
  • Boehringer Ingelheim$475
  • Abbott$253
  • Medtronic$236
  • plus $419 from 4 others

What the payments were for

  • Consulting fees$1,87021%
  • Speaking & faculty fees$4,50051%
  • Travel & lodging$220%
  • Food & beverage$2,41927%
  • Education$50%

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

$8,816 in reported general payments places this provider in the 70th 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
$20,768
Medicare patients
115
Services billed
182

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
JardianceEmpagliflozin1,114$907,102
FarxigaDapagliflozin Propanediol1,109$829,375
OzempicSemaglutide531$553,779
Trijardy XrEmpaglifloz/Linaglip/Metformin644$478,567
SynthroidLevothyroxine Sodium6,223$420,748
Janumet XrSitagliptin Phos/Metformin Hcl465$321,332
JanuviaSitagliptin Phosphate400$272,454
JanumetSitagliptin Phos/Metformin Hcl200$142,892
Synjardy XrEmpagliflozin/Metformin Hcl158$130,751
GlyxambiEmpagliflozin/Linagliptin163$116,066
TrulicityDulaglutide93$109,833
Humalog Mix 75-25Insulin Lispro Protamin/Lispro463$103,994
HumalogInsulin Lispro585$102,555
ProliaDenosumab51$90,064
TradjentaLinagliptin105$76,876

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, Trijardy Xr, Synjardy Xr, Glyxambi, Tradjenta$475$1,793,7522,300 claims
AstraZenecaFarxiga, Brilinta$564$839,6661,122 claims
MerckJanumet Xr, Januvia, Janumet$4,817$736,6791,065 claims
Novo NordiskOzempic, Rybelsus$143$571,108543 claims
Sanofi-aventis U.S. LLCLantus$161$64,034552 claims
Johnson & JohnsonInvokana, Xarelto$2,052$51,23161 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 143 endocrinology, diabetes & metabolism providers in Puerto Rico.

Other endocrinology, diabetes & metabolism in Caguas

See the full list for Puerto Rico

Where these figures come from

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