Jose Rivera-Acosta, MD
Gastroenterology · San Juan, PRNPI 1922201292
Payments from drug & device makers
Across 470 payments — averaging $1875.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intercept Pharmaceuticals, Inc.$322K
- Pfizer$212K
- Regeneron$137K
- Madrigal Pharmaceuticals$88K
- Boehringer Ingelheim International GmbH$79K
- Eli Lilly Export S.A. Puerto Rico Branch$34K
- plus $9K from 18 others
Across 2 payments — averaging $1021.07 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.
- Eli Lilly$2K
What the payments were for
- Food & beverage$6,746100%
- Education$310%
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
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 |
|---|---|---|
| Intercept Pharmaceuticals, Inc. | 38 | $321,935 |
| Pfizer | 31 | $211,637 |
| Regeneron | 89 | $137,165 |
| Madrigal Pharmaceuticals | 27 | $88,182 |
| Boehringer Ingelheim International GmbH | 80 | $78,805 |
| Eli Lilly Export S.A. Puerto Rico Branch | 3 | $34,399 |
| Intercept Pharma Europe Ltd. | 1 | $2,961 |
| AbbVie | 68 | $2,593 |
| Gilead | 93 | $2,135 |
| E.r. Squibb & Sons, L.L.C. | 13 | $388 |
| Olympus Latin America, Inc. | 3 | $295 |
| Ferring Pharmaceuticals Inc. | 6 | $267 |
| Mirum Pharmaceuticals, Inc. | 1 | $142 |
| Eisai Inc. | 2 | $136 |
| PBG Puerto Rico LLC | 6 | $127 |
| Amgen | 1 | $125 |
| Merck | 1 | $98 |
| Lilly USA, LLC | 1 | $64 |
| Eli Lilly | 1 | $57 |
| Sanofi | 1 | $32 |
| Ipsen Biopharmaceuticals, Inc | 1 | $20 |
| Genentech USA, Inc. | 1 | $18 |
| AstraZeneca | 1 | $14 |
| Exelixis Inc. | 1 | $12 |
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.
- Mavyret$660
- Rinvoq$374
- EVIS EXERA II ULTRASOUND GASTROVIDEOSCOPE$147
- REZDIFFRA$144
- Livmarli$142
- LENVIMA$125
- ZEPOSIA$125
- EVENITY$125
- EVIS EXERA III COLONOVIDEOSCOPE$125
- Skyrizi$125
How this compares
$881,606 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 12 | $83,995 |
| XifaxanRifaximin | 11 | $36,361 |
| Mesalamine DrMesalamine | 21 | $13,216 |
| SuprepSodium, Potassium,mag Sulfates | 66 | $7,735 |
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 74 | $5,801 |
| Sucralfate | 18 | $5,181 |
| CholestyramineCholestyramine (With Sugar) | 26 | $3,518 |
| Ursodiol | 36 | $2,791 |
| Tacrolimus | 56 | $1,825 |
| Colestipol Hcl | 15 | $1,730 |
| Mycophenolate Mofetil | 23 | $1,417 |
| Pantoprazole Sodium | 150 | $1,248 |
| Lactulose | 15 | $860 |
| Famotidine | 116 | $833 |
| Clarithromycin | 14 | $760 |
Paid to pharmacies, not to this prescriber.
Other gastroenterology in San Juan
- Marcia Cruz CorreaSan Juan$12.4M
- Esther TorresSan Juan$493K
- Melvyn AcostaSan Juan$358K
- Melvin Melendez RiosSan Juan$129K
- Loscar SantiagoSan Juan$65K
- Henry Gonzalez RiveraSan Juan$34K
- Jose Munoz AcabaSan Juan$28K
- Hector LozanoSan Juan$28K
- Doris ToroSan Juan$25K
- Rafael Rodriguez LopezSan Juan$20K
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.