Hector Leon-Figueroa, MD
Internal Medicine · San Juan, PRNPI 1225020704
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 92.4% of the total across 296 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 21 manufacturers, the largest accounting for just 21.0% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $2,867 and has fallen 99.3% since, to $20 in 2023. Among internal medicine clinicians in PR with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 296 payments — averaging $19.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$1K
- E.r. Squibb & Sons, L.L.C.$851
- AstraZeneca$798
- AbbVie$621
- Genentech USA, Inc.$515
- Eli Lilly Export S.A. Puerto Rico Branch$463
- plus $1K from 15 others
What the payments were for
- Food & beverage$5,31092%
- Education$4368%
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 |
|---|---|---|
| Johnson & Johnson(2 entities) | 54 | $1,207 |
| E.r. Squibb & Sons, L.L.C. | 54 | $851 |
| AstraZeneca | 45 | $798 |
| AbbVie | 27 | $621 |
| Genentech USA, Inc. | 24 | $515 |
| Eli Lilly Export S.A. Puerto Rico Branch | 22 | $463 |
| Merck | 17 | $339 |
| Amgen | 13 | $233 |
| Sanofi | 9 | $167 |
| Bayer | 5 | $108 |
| PBG Puerto Rico LLC | 6 | $102 |
| Ferring Pharmaceuticals Inc. | 6 | $85 |
| Puma Biotechnology, Inc. | 4 | $82 |
| Clovis Oncology, Inc. | 2 | $39 |
| GSK | 2 | $36 |
| Eisai Inc. | 1 | $20 |
| Lilly USA, LLC | 1 | $18 |
| Sanofi-aventis U.S. LLC | 1 | $17 |
| Ipsen Biopharmaceuticals, Inc | 1 | $16 |
| Pfizer Pharmaceuticals LLC | 1 | $15 |
| Pfizer | 1 | $14 |
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.
- XARELTO$105
How this compares
$5,745 in reported general payments places this provider in the 95th percentile of 1,043 internal medicine providers in Puerto Rico.
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 |
|---|---|---|
| PromactaEltrombopag Olamine | 58 | $781,222 |
| XtandiEnzalutamide | 55 | $779,700 |
| CabometyxCabozantinib S-Malate | 26 | $696,795 |
| ErleadaApalutamide | 34 | $511,918 |
| Lenalidomide | 31 | $468,823 |
| VerzenioAbemaciclib | 28 | $433,879 |
| ThalomidThalidomide | 30 | $412,394 |
| ImbruvicaIbrutinib | 20 | $332,078 |
| Lupron DepotLeuprolide Acetate | 47 | $285,770 |
| RevlimidLenalidomide | 20 | $265,531 |
| SprycelDasatinib | 23 | $228,607 |
| TagrissoOsimertinib Mesylate | 12 | $198,448 |
| TasignaNilotinib Hcl | 15 | $169,144 |
| RetacritEpoetin Alfa-Epbx | 34 | $63,446 |
| XgevaDenosumab | 16 | $52,158 |
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 |
|---|---|---|
| Johnson & JohnsonErleada, Xarelto | $1,207 | $530,25364 claims |
| Lilly USA, LLCVerzenio | $18 | $433,87928 claims |
| AbbVieLupron Depot, Synthroid | $621 | $286,79866 claims |
| E.r. Squibb & Sons, L.L.C.Sprycel | $851 | $228,60723 claims |
| AstraZenecaTagrisso | $798 | $198,44812 claims |
| PfizerRetacrit, Eliquis | $14 | $92,00580 claims |
| AmgenXgeva, Prolia | $233 | $82,21333 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 1,043 internal medicine providers in Puerto Rico.
Other internal medicine in San Juan
- Ricardo FernandezSan Juan$351K
- Norma SalgadoSan Juan$21K
- Victor Gordo GonzalezSan Juan$21K
- Roberto Calderon SantiagoSan Juan$20K
- Natalia Almodovar ArbeloSan Juan$9K
- Jeremy FelicianoSan Juan$8K
- Porfirio Diaz-RodriguezSan Juan$8K
- Pedro del Valle de TomasSan Juan$7K
- Rafael Figueroa NavarroSan Juan$6K
- Amilcar Torres FigueroaSan Juan$6K
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.