RxDoctor Payments Data

Jose Munoz Acaba, MD

Gastroenterology · San Juan, PRNPI 1295984375

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (59.7%), consulting fees and education — rather than concentrated in one kind of arrangement. 9 manufacturers reported payments, led by Sanofi at 44.7% of the total. Reporting peaked in 2023 at $2,254 and has fallen 76.9% since, to $520 in 2025.

$4,372in general payments, 2019–2025

Across 53 payments — averaging $82.49 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Sanofi$2K
  • AbbVie$1K
  • E.r. Squibb & Sons, L.L.C.$346
  • Johnson & Johnson$267
  • Gilead$135
  • Takeda Pharmaceuticals U.S.A., Inc.$120
  • plus $190 from 3 others
$24,000in research payments, 2019–2025

Across 1 payment — averaging $24,000 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.

  • AbbVie$24K

What the payments were for

  • Consulting fees$1,66538%
  • Food & beverage$2,60860%
  • Education$992%

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
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.

CompanyPaymentsTotal
Sanofi3$1,954
AbbVie27$1,360
E.r. Squibb & Sons, L.L.C.8$346
Johnson & Johnson(2 entities)8$267
Gilead1$135
Takeda Pharmaceuticals U.S.A., Inc.1$120
Merck1$98
Exact Sciences2$50
PBG Puerto Rico LLC2$42

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

$4,372 in reported general payments places this provider in the 75th percentile of 198 gastroenterology providers in Puerto Rico.

See all gastroenterology providers in Puerto Rico

Medicare billing

Part B allowed, 2024
$41,149
Medicare patients
105
Services billed
314

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
Sucralfate427$61,281
XifaxanRifaximin13$36,061
Dexlansoprazole DrDexlansoprazole127$28,476
SuprepSodium, Potassium,mag Sulfates168$19,781
Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates180$14,091
Mesalamine30$12,171
Lubiprostone86$11,477
Cholestyramine LightCholestyramine59$7,854
Famotidine675$5,827
Pantoprazole Sodium532$4,605
Ursodiol33$2,755
Clarithromycin38$1,985
Lansoprazole126$1,900
Ondansetron OdtOndansetron91$1,330
Dicyclomine Hcl121$1,312

Paid to pharmacies, not to this prescriber.

Other gastroenterology in San Juan

See the full list for Puerto Rico

Where these figures come from

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