RxDoctor Payments Data

Horidel Febo, MD

Endocrinology, Diabetes & Metabolism · San Juan, PRNPI 1265540678

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (55.2%), speaking fees and education — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Merck at 47.6% of the total. Reporting peaked in 2019 at $4,160 and has fallen 86.2% since, to $573 in 2025.

$6,724in general payments, 2019–2025

Across 55 payments — averaging $122.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Merck$3K
  • Novo Nordisk$996
  • AstraZeneca$719
  • Lilly USA, LLC$356
  • Amgen$356
  • Sanofi-aventis U.S. LLC$337
  • plus $760 from 6 others

What the payments were for

  • Speaking & faculty fees$3,00045%
  • Food & beverage$3,71055%
  • Education$140%

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

$6,724 in reported general payments places this provider in the 60th percentile of 143 endocrinology, diabetes & metabolism providers in Puerto Rico.

See all endocrinology, diabetes & metabolism providers in Puerto Rico

Medicare billing

Part B allowed, 2024
$8,418
Medicare patients
30
Services billed
75

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
OzempicSemaglutide148$150,368
FarxigaDapagliflozin Propanediol143$128,730
JanuviaSitagliptin Phosphate156$125,085
Janumet XrSitagliptin Phos/Metformin Hcl128$114,155
SynthroidLevothyroxine Sodium1,115$81,255
ProliaDenosumab39$68,421
JardianceEmpagliflozin51$50,651
TrulicityDulaglutide38$41,537
MounjaroTirzepatide30$38,804
JanumetSitagliptin Phos/Metformin Hcl24$25,665
Xigduo XrDapaglifloz Propaned/Metformin31$18,176
Lantus SolostarInsulin Glargine,hum.Rec.Anlog84$10,120
Rosuvastatin Calcium485$6,209
Fenofibric AcidFenofibric Acid (Choline)86$6,194
LantusInsulin Glargine,hum.Rec.Anlog59$6,102

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
MerckJanuvia, Janumet Xr, Janumet$3,200$264,905308 claims
Novo NordiskOzempic$996$150,368148 claims
AstraZenecaFarxiga$719$128,730143 claims
Lilly USA, LLCTrulicity, Mounjaro, Humalog$356$83,891109 claims
AmgenProlia$356$68,42139 claims
Boehringer IngelheimJardiance$113$50,65151 claims
Sanofi-aventis U.S. LLCLantus$337$6,10259 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 60th percentile of 143 endocrinology, diabetes & metabolism providers in Puerto Rico.

Other endocrinology, diabetes & metabolism in San Juan

See the full list for Puerto Rico

Where these figures come from

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