Hector Soto-Adames, MD
General Practice · Winter Haven, FLNPI 1992881049
Payments from drug & device makers
Across 129 payments — averaging $18.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$343
- AbbVie$338
- Merck$267
- Novo Nordisk$243
- Abbott$118
- Scilex Pharmaceuticals Inc.$96
- plus $1K from 21 others
What the payments were for
- Food & beverage$2,422100%
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 |
|---|---|---|
| Lilly USA, LLC | 17 | $343 |
| AbbVie | 15 | $338 |
| Merck | 12 | $267 |
| Novo Nordisk | 16 | $243 |
| Abbott | 5 | $118 |
| Scilex Pharmaceuticals Inc. | 6 | $96 |
| Sanofi-aventis U.S. LLC | 6 | $95 |
| Novartis | 6 | $93 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 5 | $90 |
| Pfizer | 5 | $82 |
| Amgen | 4 | $81 |
| Bayer | 4 | $78 |
| Boehringer Ingelheim | 4 | $74 |
| Dexcom, Inc. | 4 | $67 |
| AstraZeneca | 3 | $50 |
| Evoke Pharma, Inc. | 2 | $37 |
| Lifescan, Inc. | 2 | $35 |
| Xeris Pharmaceuticals, Inc. | 2 | $34 |
| Johnson & Johnson | 2 | $32 |
| Amarin Pharma, Inc. | 2 | $30 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $30 |
| Exact Sciences | 1 | $25 |
| Biohaven Pharmaceuticals, Inc. | 1 | $23 |
| Astellas Pharma US Inc | 1 | $19 |
| GSK | 1 | $16 |
| Smith+Nephew | 1 | $14 |
| Teva Pharmaceuticals USA, Inc. | 1 | $11 |
How this compares
$2,422 in reported general payments places this provider in the 90th percentile of 6,901 general practice 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 |
|---|---|---|
| JardianceEmpagliflozin | 264 | $198,986 |
| EliquisApixaban | 202 | $157,724 |
| OzempicSemaglutide | 155 | $156,804 |
| TrulicityDulaglutide | 118 | $121,929 |
| FarxigaDapagliflozin Propanediol | 118 | $83,066 |
| JanuviaSitagliptin Phosphate | 79 | $65,884 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 103 | $65,683 |
| RybelsusSemaglutide | 32 | $33,065 |
| Tresiba Flextouch U-200Insulin Degludec | 62 | $30,718 |
| XareltoRivaroxaban | 47 | $29,546 |
| EntrestoSacubitril/Valsartan | 30 | $29,052 |
| TresibaInsulin Degludec | 54 | $23,776 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 34 | $21,301 |
| JanumetSitagliptin Phos/Metformin Hcl | 24 | $19,869 |
| LantusInsulin Glargine,hum.Rec.Anlog | 121 | $16,310 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance, Stiolto Respimat, Spiriva Respimat, Combivent Respimat | $74 | $221,797311 claims |
| Novo NordiskOzempic, Rybelsus, Tresiba | $243 | $213,645241 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Symbicort, Brilinta | $50 | $162,728264 claims |
| PfizerEliquis | $82 | $157,724202 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $343 | $137,277133 claims |
| MerckJanuvia, Janumet | $267 | $85,753103 claims |
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta | $16 | $37,57770 claims |
| Johnson & JohnsonXarelto | $32 | $29,54647 claims |
| NovartisEntresto | $93 | $29,05230 claims |
| Sanofi-aventis U.S. LLCLantus | $95 | $16,310121 claims |
| AbbVieLinzess | $338 | $16,20920 claims |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLCTrulance | $90 | $6,58412 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 90th percentile of 6,901 general practice providers in Florida.
Other general practice in Winter Haven
- Jose CardonaMiami$71M
- Lawrence GalitzMiami Gardens$42.5M
- Armando AcevedoMiami$15.2M
- Jorge AmayaMiami$14.2M
- Frank AlvarezHialeah$13.6M
- Hector RodriguezMiami$12.8M
- Eddie ArmasSouth Miami$12.4M
- Idalia AcostaMiami$11.4M
- Lilia Rodriguez AblesMiami$10.7M
- Jorge Monroy AvellaOcoee$10.6M
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.