RxDoctor Payments Data

Jose Cardona-Guzman, MD

Nephrology · Miami, FLNPI 1861709230

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 16 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 10 manufacturers, the largest accounting for just 21.5% — the pattern of someone who eats at a lot of different presentations. That places this record below the midpoint for nephrology clinicians in FL, where the typical reported total is $1,407.

$1,094in general payments, 2019–2025

Across 16 payments — averaging $68.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$236
  • Calliditas Therapeutics US Inc.$233
  • Aurinia Pharma U.S., Inc.$189
  • ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$179
  • Alnylam Pharmaceuticals Inc.$122
  • Amgen$59
  • plus $77 from 4 others
$244,035in research payments, 2019–2025

Across 18 payments — averaging $13,557 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.

  • Intercept Pharmaceuticals, Inc.$94K
  • Vertex$75K
  • Takeda Pharmaceuticals U.S.A., Inc.$32K
  • AstraZeneca$20K
  • Biogen$15K
  • Merck$8K

What the payments were for

  • Food & beverage$1,094100%

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

21
22
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

$1,094 in reported general payments places this provider in the 40th percentile of 756 nephrology providers in Florida.

See all nephrology providers in Florida

Medicare billing

Part B allowed, 2024
$220,937
Medicare patients
303
Services billed
1,919

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
VelphoroSucroferric Oxyhydroxide36$66,485
FarxigaDapagliflozin Propanediol85$61,226
JardianceEmpagliflozin24$20,288
ClinisolParenteral Amino Acid 15% No.543$10,033
Sevelamer Carbonate45$8,186
LokelmaSodium Zirconium Cyclosilicate12$7,096
ProsolParenteral Amino Acid 20% No.124$5,980
Cinacalcet Hcl16$4,026
Nifedipine ErNifedipine40$1,444
Labetalol Hcl13$732
Bumetanide29$519
Losartan Potassium30$239
Candesartan Cilexetil12$137
Rosuvastatin Calcium16$129
Amlodipine Besylate32$126

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
Fresenius USA Marketing, Inc.Velphoro$20$66,48536 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 40th percentile of 756 nephrology providers in Florida.

Other nephrology in Miami

See the full list for Florida

Where these figures come from

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