RxDoctor Payments Data

Ileana Vazquez Otero, MD

Rheumatology · Guaynabo, PRNPI 1790199271

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (51.2%), food and beverage and education — rather than concentrated in one kind of arrangement. AbbVie accounts for 61.7% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2023 at $3,158 and has fallen 61.9% since, to $1,203 in 2025.

$8,012in general payments, 2019–2025

Across 110 payments — averaging $72.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$5K
  • AstraZeneca$865
  • Amgen$557
  • E.r. Squibb & Sons, L.L.C.$498
  • GSK$486
  • Mallinckrodt Hospital Products Inc.$215
  • plus $446 from 7 others
$146,511in research payments, 2019–2025

Across 13 payments — averaging $11,270 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.

  • Eli Lilly Export S.A. Puerto Rico Branch$83K
  • Eli Lilly$46K
  • AbbVie$17K

What the payments were for

  • Consulting fees$4,10051%
  • Travel & lodging$310%
  • Food & beverage$3,79247%
  • Education$891%

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

$8,012 in reported general payments places this provider in the 75th percentile of 88 rheumatology providers in Puerto Rico.

See all rheumatology providers in Puerto Rico

Medicare billing

Part B allowed, 2024
$6,249
Medicare patients
28
Services billed
56

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
Humira(Cf) PenAdalimumab237$1,640,423
Enbrel MiniEtanercept59$437,550
RinvoqUpadacitinib62$399,125
Enbrel SureclickEtanercept41$299,901
Taltz AutoinjectorIxekizumab42$283,265
Xeljanz XrTofacitinib Citrate31$202,570
Orencia ClickjectAbatacept22$127,292
ProliaDenosumab44$77,969
TymlosAbaloparatide19$50,450
Hadlima(Cf) PushtouchAdalimumab-Bwwd41$42,353
MethotrexateMethotrexate Sodium708$14,876
Diclofenac Epolamine35$12,163
Hydroxychloroquine Sulfate299$9,686
Gabapentin867$8,607
Pregabalin169$3,974

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
AbbVieRinvoq$4,944$399,12562 claims
AmgenProlia$557$77,96944 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 75th percentile of 88 rheumatology providers in Puerto Rico.

Other rheumatology in Guaynabo

See the full list for Puerto Rico

Where these figures come from

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