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.
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
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 |
|---|---|---|
| Merck | 4 | $3,200 |
| Novo Nordisk | 22 | $996 |
| AstraZeneca | 8 | $719 |
| Lilly USA, LLC | 3 | $356 |
| Amgen | 5 | $356 |
| Sanofi-aventis U.S. LLC | 4 | $337 |
| Johnson & Johnson | 4 | $243 |
| Genentech USA, Inc. | 1 | $125 |
| Corcept Therapeutics | 1 | $125 |
| Bayer | 1 | $125 |
| Boehringer Ingelheim | 1 | $113 |
| Medtronic | 1 | $30 |
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
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 |
|---|---|---|
| OzempicSemaglutide | 148 | $150,368 |
| FarxigaDapagliflozin Propanediol | 143 | $128,730 |
| JanuviaSitagliptin Phosphate | 156 | $125,085 |
| Janumet XrSitagliptin Phos/Metformin Hcl | 128 | $114,155 |
| SynthroidLevothyroxine Sodium | 1,115 | $81,255 |
| ProliaDenosumab | 39 | $68,421 |
| JardianceEmpagliflozin | 51 | $50,651 |
| TrulicityDulaglutide | 38 | $41,537 |
| MounjaroTirzepatide | 30 | $38,804 |
| JanumetSitagliptin Phos/Metformin Hcl | 24 | $25,665 |
| Xigduo XrDapaglifloz Propaned/Metformin | 31 | $18,176 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 84 | $10,120 |
| Rosuvastatin Calcium | 485 | $6,209 |
| Fenofibric AcidFenofibric Acid (Choline) | 86 | $6,194 |
| LantusInsulin Glargine,hum.Rec.Anlog | 59 | $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.
| Company | Paid to this provider | Part 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
- Manuel Alegre-HernandezSan Juan$156K
- Monica Ortiz-RiveraSan Juan$148K
- Alex Gonzalez BossoloSan Juan$110K
- Michelle Mangual GarciaSan Juan$87K
- Meliza Martinez RodriguezSan Juan$80K
- Jorge de Jesus MirandaSan Juan$30K
- Zahira Lugo LopezSan Juan$29K
- Oscar Ruiz BermudezSan Juan$27K
- Margarita Ramirez-VickSan Juan$15K
- Yanira Marrero McFalineSan Juan$14K
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.