RxDoctor Payments Data

Hector Miranda Delgado, MD

Neurology · San Juan, PRNPI 1609847763

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (57.8%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Novartis at 59.6% of the total. Reporting peaked in 2019 at $4,104 and has fallen 95.5% since, to $184 in 2025.

$5,834in general payments, 2019–2025

Across 43 payments — averaging $135.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novartis$3K
  • EMD Serono, Inc.$1K
  • Amgen$416
  • Biogen$290
  • Johnson & Johnson$200
  • E.r. Squibb & Sons, L.L.C.$81
  • plus $137 from 4 others
$1,500in research payments, 2019–2025

Across 1 payment — averaging $1500.00 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.

  • Merck$2K

What the payments were for

  • Speaking & faculty fees$3,37558%
  • Travel & lodging$2665%
  • Food & beverage$2,19338%

General payments by program year

19
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
Novartis2$3,475
EMD Serono, Inc.18$1,235
Amgen3$416
Biogen7$290
Johnson & Johnson2$200
E.r. Squibb & Sons, L.L.C.4$81
PBG Puerto Rico LLC3$59
AbbVie2$44
Genentech USA, Inc.1$20
Pfizer Pharmaceuticals LLC1$13

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

$5,834 in reported general payments places this provider in the 80th percentile of 129 neurology providers in Puerto Rico.

See all neurology providers in Puerto Rico

Medicare billing

Part B allowed, 2024
$95,438
Medicare patients
50
Services billed
2,454

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
Memantine Hcl ErMemantine Hcl673$51,399
Etodolac ErEtodolac343$38,688
LamictalLamotrigine22$28,860
Duloxetine Hcl1,037$18,337
Pregabalin582$16,362
Carbidopa-Levodopa ErCarbidopa/Levodopa288$16,141
Nabumetone615$14,642
Donepezil Hcl1,414$10,898
Rivastigmine92$10,872
ClopidogrelClopidogrel Bisulfate989$7,832
Memantine Hcl388$5,943
Clorazepate Dipotassium36$5,924
Pregabalin ErPregabalin25$5,594
Diclofenac Potassium61$5,376
Galantamine ErGalantamine Hbr95$5,222

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
AbbVieSynthroid$44$1,56532 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 80th percentile of 129 neurology providers in Puerto Rico.

Other neurology in San Juan

See the full list for Puerto Rico

Where these figures come from

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