RxDoctor Payments Data

Jaime Altamirano, MD

Cardiovascular Disease · Palmetto Bay, FLNPI 1346290863

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 9 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 7 manufacturers reported payments, led by Curium US LLC at 49.5% of the total. Reporting peaked in 2023 at $155 and has fallen 75.4% since, to $38 in 2025. That places this record below the midpoint for cardiovascular disease clinicians in FL, where the typical reported total is $2,774.

$253in general payments, 2019–2025

Across 9 payments — averaging $28.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Curium US LLC$125
  • Astellas Pharma US Inc$40
  • Biotronik Inc.$21
  • E.r. Squibb & Sons, L.L.C.$19
  • Kestra Medical Technology Services, Inc.$18
  • GE HealthCare$16
  • plus $14 from 1 others

What the payments were for

  • Food & beverage$253100%

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
21
23
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.

How this compares

$253 in reported general payments places this provider in the 10th percentile of 1,740 cardiovascular disease providers in Florida.

See all cardiovascular disease providers in Florida

Medicare billing

Part B allowed, 2024
$58,153
Medicare patients
491
Services billed
887

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
EliquisApixaban42$32,884
XareltoRivaroxaban25$30,980
BrilintaTicagrelor11$13,142
FarxigaDapagliflozin Propanediol18$10,198
Repatha SureclickEvolocumab12$6,952
Nifedipine ErNifedipine56$2,017
Rosuvastatin Calcium40$1,537
Labetalol Hcl42$1,526
Digoxin26$887
Losartan Potassium52$653
Isosorbide Mononitrate ErIsosorbide Mononitrate44$630
Metoprolol Tartrate42$465
Atorvastatin Calcium23$457
Amlodipine Besylate47$378
Olmesartan Medoxomil18$368

Paid to pharmacies, not to this prescriber.

Other cardiovascular disease in Palmetto Bay

See the full list for Florida

Where these figures come from

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