RxDoctor Payments Data

Guillermo Vasquez, MD

Internal Medicine · Lakeland, FLNPI 1093788499

Payments from drug & device makers

$18,107in general payments, 2019–2025

Across 1,079 payments — averaging $16.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$3K
  • AstraZeneca$2K
  • Biohaven Pharmaceuticals, Inc.$1K
  • Boehringer Ingelheim$1K
  • Pfizer$1K
  • Lilly USA, LLC$1K
  • plus $8K from 28 others

What the payments were for

  • Consulting fees$1,2007%
  • Food & beverage$16,80993%
  • Education$981%

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.

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

$18,107 in reported general payments places this provider in the 95th percentile of 8,530 internal medicine providers in Florida.

See all internal medicine providers in Florida

Medicare billing

Part B allowed, 2024
$406,216
Medicare patients
998
Services billed
6,981

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
EliquisApixaban140$153,807
JardianceEmpagliflozin121$148,097
FarxigaDapagliflozin Propanediol104$123,513
OzempicSemaglutide89$107,236
JanuviaSitagliptin Phosphate41$62,467
Trelegy ElliptaFluticasone/Umeclidin/Vilanter49$45,385
Repatha SureclickEvolocumab44$42,320
RybelsusSemaglutide26$38,024
XareltoRivaroxaban35$37,368
ArexvyRsvpref3 Antigen/As01e/Pf121$36,687
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr59$35,042
TrulicityDulaglutide17$30,302
Praluent PenAlirocumab43$27,358
Repatha SyringeEvolocumab23$25,549
MyrbetriqMirabegron31$21,748

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, Spiriva Respimat$1,459$157,874134 claims
PfizerEliquis$1,250$153,807140 claims
GSKTrelegy Ellipta, Arexvy, Anoro Ellipta, Shingrix, Breo Ellipta$1,021$146,190319 claims
Novo NordiskOzempic, Rybelsus$1,133$145,260115 claims
AstraZenecaFarxiga$2,169$123,513104 claims
MerckJanuvia$451$62,46741 claims
Lilly USA, LLCTrulicity, Mounjaro$1,246$48,92935 claims
Johnson & JohnsonXarelto$646$37,36835 claims
Kowa Pharmaceuticals America, Inc.Livalo$265$18,71527 claims
AbbVieSynthroid$2,528$4,60071 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 95th percentile of 8,530 internal medicine providers in Florida.

Other internal medicine in Lakeland

See the full list for Florida

Where these figures come from

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