Joel de Jesus, MD
Gastroenterology · Guayama, PRNPI 1821061383
Payments from drug & device makers
Across 33 payments — averaging $67.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Olympus Corporation Of The Americas$1K
- Gilead$243
- AbbVie$208
- Merck$195
- Madrigal Pharmaceuticals$127
- Pfizer$125
- plus $171 from 4 others
What the payments were for
- Travel & lodging$1,05247%
- Food & beverage$1,10250%
- Education$673%
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 |
|---|---|---|
| Olympus Corporation Of The Americas | 5 | $1,152 |
| Gilead | 11 | $243 |
| AbbVie | 6 | $208 |
| Merck | 2 | $195 |
| Madrigal Pharmaceuticals | 2 | $127 |
| Pfizer | 1 | $125 |
| Johnson & Johnson(2 entities) | 2 | $90 |
| E.r. Squibb & Sons, L.L.C. | 2 | $46 |
| Chiesi USA, Inc. | 1 | $20 |
| Sanofi | 1 | $15 |
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.
- EVIS EXERA$1,043
- ScopeGuide$351
- PREVNAR - 13$125
- REZDIFFRA$101
- Rinvoq$101
How this compares
$2,221 in reported general payments places this provider in the 55th percentile of 198 gastroenterology 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 |
|---|---|---|
| SuprepSodium, Potassium,mag Sulfates | 760 | $89,928 |
| LinzessLinaclotide | 71 | $39,079 |
| Mesalamine | 45 | $25,186 |
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 287 | $24,332 |
| Esomeprazole Magnesium | 604 | $12,525 |
| Famotidine | 1,476 | $10,183 |
| Pantoprazole Sodium | 1,197 | $8,274 |
| Sucralfate | 124 | $4,725 |
| NexiumEsomeprazole Magnesium | 15 | $4,180 |
| Omeprazole | 634 | $3,806 |
| Cholestyramine LightCholestyramine | 55 | $3,675 |
| Procto-Med HcHydrocortisone | 86 | $3,401 |
| Clarithromycin | 98 | $3,231 |
| Fentanyl CitrateFentanyl Citrate/Pf | 929 | $3,111 |
| Tetracycline Hcl | 27 | $3,044 |
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 |
|---|---|---|
| AbbVieLinzess | $208 | $39,07971 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 55th percentile of 198 gastroenterology providers in Puerto Rico.
Other gastroenterology in Guayama
- Ruben Lugo ZambranaGuayama$428K
- Marcia Cruz CorreaSan Juan$12.4M
- Jose Rivera-AcostaSan Juan$882K
- Esther TorresSan Juan$493K
- Melvyn AcostaSan Juan$358K
- Ahmed Morales JorgeCoto Laurel$214K
- Barbara Rosado CarrionPonce$204K
- Melvin Melendez RiosSan Juan$129K
- Rafael Pastrana LabordeHato Rey$76K
- Miguel de Varona-NegronCaguas$75K
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.