Fernando Trespalacios, MD
Nephrology · Miami, FLNPI 1710969688
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.9% of the total across 210 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 23 manufacturers reported payments, led by AstraZeneca at 24.2% of the total.
Across 210 payments — averaging $22.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$1K
- Bayer$445
- Calliditas Therapeutics US Inc.$367
- Amgen$343
- Otsuka America Pharmaceutical, Inc.$310
- Mallinckrodt Hospital Products Inc.$297
- plus $2K from 17 others
Across 329 payments — averaging $1888.15 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Akebia Therapeutics Inc$268K
- CSL Behring$215K
- GSK$104K
- Vertex$26K
- AstraZeneca$6K
- Janssen Research & Development, LLC$1K
What the payments were for
- Food & beverage$4,43196%
- Education$1914%
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 |
|---|---|---|
| AstraZeneca | 49 | $1,116 |
| Bayer | 28 | $445 |
| Calliditas Therapeutics US Inc. | 13 | $367 |
| Amgen(2 entities) | 15 | $343 |
| Otsuka America Pharmaceutical, Inc. | 14 | $310 |
| Mallinckrodt Hospital Products Inc. | 12 | $297 |
| Vifor Pharma, Inc. | 12 | $287 |
| Aurinia Pharma U.S., Inc. | 12 | $276 |
| Ardelyx, Inc. | 10 | $223 |
| Travere Therapeutics, Inc. | 10 | $203 |
| Akebia Therapeutics Inc | 8 | $180 |
| Fresenius USA Marketing, Inc. | 9 | $158 |
| Novo Nordisk | 4 | $74 |
| Medtronic | 1 | $59 |
| Boehringer Ingelheim | 3 | $56 |
| Novartis | 2 | $46 |
| GSK | 1 | $39 |
| Lilly USA, LLC | 2 | $34 |
| Cycle Pharmaceuticals Inc | 1 | $25 |
| Scpharmaceuticals Inc. | 1 | $24 |
| Kyowa Kirin, Inc. | 1 | $21 |
| OPKO Pharmaceuticals, LLC | 1 | $20 |
| Mallinckrodt Enterprises LLC | 1 | $19 |
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.
- TARPEYO$125
How this compares
$4,622 in reported general payments places this provider in the 75th percentile of 756 nephrology 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 |
|---|---|---|
| FarxigaDapagliflozin Propanediol | 106 | $124,838 |
| KerendiaFinerenone | 89 | $107,334 |
| VeltassaPatiromer Calcium Sorbitex | 72 | $79,032 |
| VelphoroSucroferric Oxyhydroxide | 35 | $77,319 |
| LokelmaSodium Zirconium Cyclosilicate | 38 | $41,849 |
| SamscaTolvaptan | 12 | $36,854 |
| AranespDarbepoetin Alfa In Polysorbat | 28 | $25,405 |
| Tolvaptan | 12 | $25,032 |
| ProcritEpoetin Alfa | 35 | $24,025 |
| RetacritEpoetin Alfa-Epbx | 70 | $23,709 |
| JardianceEmpagliflozin | 15 | $20,811 |
| Cinacalcet Hcl | 22 | $10,861 |
| EpogenEpoetin Alfa | 11 | $7,877 |
| Sevelamer Carbonate | 25 | $4,795 |
| VascepaIcosapent Ethyl | 11 | $3,989 |
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 |
|---|---|---|
| AstraZenecaFarxiga, Lokelma | $1,116 | $166,687144 claims |
| BayerKerendia | $445 | $107,33489 claims |
| Fresenius USA Marketing, Inc.Velphoro | $158 | $77,31935 claims |
| AmgenAranesp, Epogen | $343 | $33,28239 claims |
| Boehringer IngelheimJardiance | $56 | $20,81115 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 75th percentile of 756 nephrology providers in Florida.
Other nephrology in Miami
- Gabriel ContrerasMiami$133K
- Alessia FornoniMiami$97K
- Jonathan da CostaMiami$74K
- Yelena DrexlerMiami$43K
- Jochen ReiserMiami$43K
- Alba Gonzalez-OchoaMiami$39K
- Jorge BusseMiami$28K
- Loay SalmanMiami$14K
- David RothMiami$12K
- Arvind MadanOrlando$943K
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.