Efrain Gonzalez, MD
Clinical Cardiac Electrophysiology · Miami, FLNPI 1184687329
Payments from drug & device makers
Across 929 payments — averaging $60.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$13K
- Abbott$10K
- Biotronik Inc.$7K
- Pfizer$7K
- E.r. Squibb & Sons, L.L.C.$4K
- Sanofi-aventis U.S. LLC$3K
- plus $13K from 31 others
What the payments were for
- Consulting fees$1,7223%
- Speaking & faculty fees$8,02516%
- Travel & lodging$8,68517%
- Food & beverage$31,35663%
- Education$2561%
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
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.
| Company | Payments | Total |
|---|---|---|
| Medtronic(3 entities) | 161 | $12,868 |
| Abbott | 111 | $9,926 |
| Biotronik Inc. | 54 | $6,835 |
| Pfizer | 57 | $6,581 |
| E.r. Squibb & Sons, L.L.C. | 46 | $3,700 |
| Sanofi-aventis U.S. LLC | 53 | $2,789 |
| Atricure, Inc. | 34 | $2,781 |
| Amgen | 85 | $1,551 |
| Shockwave Medical, Inc | 29 | $1,364 |
| Novo Nordisk | 72 | $1,197 |
| Philips North America LLC | 7 | $1,075 |
| Johnson & Johnson | 45 | $792 |
| Boston Scientific | 16 | $685 |
| Bayer | 21 | $529 |
| Esperion Therapeutics, Inc. | 15 | $473 |
| AstraZeneca | 23 | $439 |
| Merck | 20 | $391 |
| Novartis | 17 | $335 |
| Impulse Dynamics (USA) Inc. | 6 | $250 |
| Lilly USA, LLC | 15 | $234 |
| Amarin Pharma, Inc. | 8 | $157 |
| Cardiva Medical, Inc. | 2 | $150 |
| Kowa Pharmaceuticals America, Inc. | 6 | $142 |
| Boehringer Ingelheim | 4 | $84 |
| Kestra Medical Technology Services, Inc. | 3 | $81 |
| Vital Connect, Inc | 2 | $70 |
| Irhythm Technologies, Inc. | 2 | $60 |
| Regeneron Healthcare Solutions, Inc. | 3 | $60 |
| Kiniksa Pharmaceuticals International, PLC | 2 | $52 |
| GSK | 2 | $52 |
| Baxter Healthcare | 2 | $43 |
| Inspire Medical Systems, Inc. | 1 | $41 |
| Vivus LLC | 1 | $19 |
| Covidien LP | 1 | $18 |
| Acutus Medical, Inc. | 1 | $16 |
| Arbor Pharmaceuticals, Inc. | 1 | $15 |
| AbbVie | 1 | $12 |
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.
- ELIQUIS$8,394
- BioMonitor$3,852
- ENSITE PRECISION$3,187
- Solia$3,065
- AVEIR$2,208
- Acticor 7 VR-T DX$2,133
- Rivacor 7 DR-T$2,062
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$1,999
- MULTAQ$1,722
- Edora 8 DR-T$1,681
- Edora$1,503
- Rivacor$1,503
- Acticor$1,503
- EnSite Precision Cardiac Mapping System$1,119
- COBALT DR MRI SURESCAN$760
- Micra$759
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$669
- (9124) LM Undivided$616
- AURORA EV-ICD MRI SURESCAN$571
- GALLANT$519
How this compares
$55,866 in reported general payments places this provider in the 60th percentile of 249 clinical cardiac electrophysiology providers in Florida.
See all clinical cardiac electrophysiology providers in Florida →
Medicare billing
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
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| EliquisApixaban | 603 | $672,975 |
| Repatha SureclickEvolocumab | 318 | $271,556 |
| EntrestoSacubitril/Valsartan | 90 | $134,394 |
| MultaqDronedarone Hcl | 73 | $121,064 |
| OzempicSemaglutide | 119 | $116,489 |
| JardianceEmpagliflozin | 75 | $111,989 |
| XareltoRivaroxaban | 77 | $98,120 |
| Droxidopa | 36 | $57,849 |
| FarxigaDapagliflozin Propanediol | 26 | $38,132 |
| MounjaroTirzepatide | 25 | $26,636 |
| Repatha SyringeEvolocumab | 13 | $16,896 |
| Praluent PenAlirocumab | 19 | $14,144 |
| NexletolBempedoic Acid | 11 | $8,402 |
| Rosuvastatin Calcium | 516 | $5,096 |
| NexlizetBempedoic Acid/Ezetimibe | 12 | $4,857 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerEliquis | $6,581 | $672,975603 claims |
| NovartisEntresto | $335 | $134,39490 claims |
| Sanofi-aventis U.S. LLCMultaq | $2,789 | $121,06473 claims |
| Novo NordiskOzempic | $1,197 | $116,489119 claims |
| Boehringer IngelheimJardiance | $84 | $111,98975 claims |
| Johnson & JohnsonXarelto | $792 | $98,12077 claims |
| AstraZenecaFarxiga | $439 | $38,13226 claims |
| Lilly USA, LLCMounjaro | $234 | $26,63625 claims |
| Esperion Therapeutics, Inc.Nexletol, Nexlizet | $473 | $13,25923 claims |
| Kowa Pharmaceuticals America, Inc.Bystolic | $142 | $2,21412 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 60th percentile of 249 clinical cardiac electrophysiology providers in Florida.
Other clinical cardiac electrophysiology in Miami
- Jose Osorio FilhoMiami$16.4M
- Mario PascualMiami$158K
- Ivan MendozaMiami$122K
- Saumil OzaJacksonville$4.1M
- Usman SiddiquiWinter Park$3.6M
- David KenigsbergFort Lauderdale$1.3M
- Venkata SagiJacksonville$1.2M
- Raul WeissMiami Beach$1.1M
- Robert FishelAtlantis$1.1M
- Naushad ShaikKissimmee$1.1M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.