RxDoctor Payments Data

Elizabeth Soto, MD

Endocrinology, Diabetes & Metabolism · San Juan, PRNPI 1992881031

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 99.8% of the total across 353 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 15 manufacturers, the largest accounting for just 15.7% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $2,266 and has fallen 91.5% since, to $193 in 2025.

$8,412in general payments, 2019–2025

Across 353 payments — averaging $23.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$1K
  • Novo Nordisk$1K
  • Abbott$1K
  • Merck$796
  • Bayer$672
  • Boehringer Ingelheim$619
  • plus $3K from 9 others

What the payments were for

  • Food & beverage$8,392100%
  • Education$190%

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.

CompanyPaymentsTotal
AstraZeneca58$1,318
Novo Nordisk55$1,131
Abbott47$1,053
Merck33$796
Bayer14$672
Boehringer Ingelheim28$619
Eli Lilly Export S.A. Puerto Rico Branch26$618
Sanofi-aventis U.S. LLC29$613
Dexcom, Inc.22$439
Bayer Puerto Rico Inc.16$380
Johnson & Johnson15$369
Medtronic4$169
Lilly USA, LLC2$144
PBG Puerto Rico LLC3$70
AbbVie1$20

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

$8,412 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
$16,451
Medicare patients
74
Services billed
185

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
JardianceEmpagliflozin190$220,451
OzempicSemaglutide132$128,424
SynthroidLevothyroxine Sodium831$97,551
TrulicityDulaglutide70$76,163
FarxigaDapagliflozin Propanediol60$68,353
TradjentaLinagliptin76$68,107
JanuviaSitagliptin Phosphate31$32,359
MounjaroTirzepatide26$27,560
JanumetSitagliptin Phos/Metformin Hcl16$18,208
Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog14$17,333
HumalogInsulin Lispro88$14,616
KerendiaFinerenone17$12,537
LantusInsulin Glargine,hum.Rec.Anlog61$11,172
Omega-3 Acid Ethyl Esters126$11,169
Synjardy XrEmpagliflozin/Metformin Hcl15$11,064

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, Tradjenta, Synjardy Xr$619$299,622281 claims
Novo NordiskOzempic$1,131$128,424132 claims
Lilly USA, LLCTrulicity, Mounjaro, Humalog, Humulin 70-30, Humalog Mix 75-25$144$126,675225 claims
AbbVieSynthroid$20$97,551831 claims
AstraZenecaFarxiga$1,318$68,35360 claims
MerckJanuvia, Janumet$796$50,56747 claims
BayerKerendia$672$12,53717 claims
Sanofi-aventis U.S. LLCLantus$613$11,17261 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 San Juan

See the full list for Puerto Rico

Where these figures come from

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