RxDoctor Payments Data

Fredickson Vargas, MD

Internal Medicine · San German, PRNPI 1649248758

Payments from drug & device makers

$1,927in general payments, 2019–2025

Across 81 payments — averaging $23.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$1K
  • PBG Puerto Rico LLC$291
  • Johnson & Johnson$94
  • Sanofi-aventis U.S. LLC$90
  • Boehringer Ingelheim$76
  • AbbVie$44
  • plus $81 from 3 others

What the payments were for

  • Food & beverage$1,91599%
  • Education$121%

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
AstraZeneca50$1,251
PBG Puerto Rico LLC15$291
Johnson & Johnson4$94
Sanofi-aventis U.S. LLC4$90
Boehringer Ingelheim3$76
AbbVie2$44
Pfizer1$33
GSK1$33
Bayer Puerto Rico Inc.1$15

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

$1,927 in reported general payments places this provider in the 75th percentile of 1,043 internal medicine providers in Puerto Rico.

See all internal medicine providers in Puerto Rico

Medicare billing

Part B allowed, 2024
$7,823
Medicare patients
21
Services billed
89

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
FarxigaDapagliflozin Propanediol250$165,848
EliquisApixaban144$90,226
XareltoRivaroxaban56$37,680
SynthroidLevothyroxine Sodium518$30,671
JardianceEmpagliflozin33$28,611
Trijardy XrEmpaglifloz/Linaglip/Metformin38$23,638
Losartan Potassium1,567$18,175
Atorvastatin Calcium1,479$15,804
Synjardy XrEmpagliflozin/Metformin Hcl25$15,554
TrulicityDulaglutide15$14,757
LantusInsulin Glargine,hum.Rec.Anlog159$14,660
Levothyroxine Sodium1,507$13,263
Metoprolol Succinate878$12,836
Humulin 70-30Insulin Nph Hum/Reg Insulin Hm102$12,814
Glimepiride690$12,139

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
AstraZenecaFarxiga$1,251$165,848250 claims
PfizerEliquis$33$90,226144 claims
Boehringer IngelheimJardiance, Trijardy Xr, Synjardy Xr, Tradjenta$76$77,369114 claims
Johnson & JohnsonXarelto$94$37,68056 claims
AbbVieSynthroid$44$30,671518 claims
Sanofi-aventis U.S. LLCLantus$90$14,660159 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 1,043 internal medicine providers in Puerto Rico.

Other internal medicine in San German

See the full list for Puerto Rico

Where these figures come from

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