RxDoctor Payments Data

Ivya Diaz Vidal, MD

Internal Medicine · Caguas, PRNPI 1790851988

Payments from drug & device makers

$1,446in general payments, 2019–2025

Across 25 payments — averaging $57.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Johnson & Johnson$805
  • Novo Nordisk$179
  • Boston Scientific$99
  • Lilly USA, LLC$88
  • Boehringer Ingelheim$79
  • AstraZeneca$62
  • plus $135 from 6 others

What the payments were for

  • Consulting fees$69048%
  • Food & beverage$75652%

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

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
Johnson & Johnson5$805
Novo Nordisk4$179
Boston Scientific1$99
Lilly USA, LLC2$88
Boehringer Ingelheim2$79
AstraZeneca4$62
Mallinckrodt Hospital Products Inc.1$34
AbbVie2$30
Exact Sciences1$25
Pfizer Pharmaceuticals LLC1$19
Sanofi-aventis U.S. LLC1$14
PBG Puerto Rico 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

$1,446 in reported general payments places this provider in the 70th percentile of 1,043 internal medicine providers in Puerto Rico.

See all internal medicine providers in Puerto Rico

Medicare billing

Part B allowed, 2024
$4,735
Medicare patients
30
Services billed
79

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
EliquisApixaban137$98,476
XareltoRivaroxaban133$92,695
FarxigaDapagliflozin Propanediol138$89,216
SynthroidLevothyroxine Sodium1,227$79,497
JanumetSitagliptin Phos/Metformin Hcl95$77,228
JardianceEmpagliflozin98$67,488
JanuviaSitagliptin Phosphate92$56,496
TrulicityDulaglutide44$48,877
Xigduo XrDapaglifloz Propaned/Metformin77$44,996
LantusInsulin Glargine,hum.Rec.Anlog263$30,036
SynjardyEmpagliflozin/Metformin Hcl44$23,908
MounjaroTirzepatide20$21,493
Synjardy XrEmpagliflozin/Metformin Hcl31$21,246
Janumet XrSitagliptin Phos/Metformin Hcl28$20,850
Atorvastatin Calcium1,900$14,628

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
Boehringer IngelheimJardiance, Synjardy, Synjardy Xr, Tradjenta$79$122,112185 claims
AstraZenecaFarxiga, Brilinta$62$101,583165 claims
Johnson & JohnsonXarelto$805$92,695133 claims
AbbVieSynthroid$30$79,4971,227 claims
Lilly USA, LLCTrulicity, Mounjaro, Humulin 70-30$88$79,470172 claims
Sanofi-aventis U.S. LLCLantus$14$30,036263 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 70th percentile of 1,043 internal medicine providers in Puerto Rico.

Other internal medicine in Caguas

See the full list for Puerto Rico

Where these figures come from

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