RxDoctor Payments Data

Juan Candelario Lanza, MD

Pulmonary Disease · Caguas, PRNPI 1295802486

Payments from drug & device makers

$1,921in general payments, 2019–2025

Across 85 payments — averaging $22.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$915
  • GSK$424
  • Boehringer Ingelheim$353
  • Sanofi$75
  • Genentech USA, Inc.$67
  • United Therapeutics Corporation$35
  • plus $52 from 3 others

What the payments were for

  • Food & beverage$1,921100%

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
AstraZeneca40$915
GSK19$424
Boehringer Ingelheim18$353
Sanofi3$75
Genentech USA, Inc.1$67
United Therapeutics Corporation1$35
Merck1$23
Johnson And Johnson International1$17
Mylan LLC1$12

How this compares

$1,921 in reported general payments places this provider in the 40th percentile of 138 pulmonary disease providers in Puerto Rico.

See all pulmonary disease providers in Puerto Rico

Medicare billing

Part B allowed, 2024
$12,978
Medicare patients
32
Services billed
205

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
Spiriva RespimatTiotropium Bromide614$328,889
Albuterol Sulfate HfaAlbuterol Sulfate2,432$102,791
Arnuity ElliptaFluticasone Furoate335$94,862
Fluticasone Propionate HfaFluticasone Propionate319$85,015
Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate331$84,011
Stiolto RespimatTiotropium Br/Olodaterol Hcl159$78,248
Wixela InhubFluticasone Propion/Salmeterol402$63,171
Advair HfaFluticasone Propion/Salmeterol110$36,973
Trelegy ElliptaFluticasone/Umeclidin/Vilanter53$36,459
Fluticasone Propionate2,543$36,414
Breo ElliptaFluticasone/Vilanterol71$29,455
SymbicortBudesonide/Formoterol Fumarate93$22,264
Qvar RedihalerBeclomethasone Dipropionate97$21,819
Breztri AerosphereBudesonide/Glycopyr/Formoterol33$21,548
Asmanex HfaMometasone Furoate170$20,606

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
Boehringer IngelheimSpiriva Respimat, Stiolto Respimat$353$407,137773 claims
GSKArnuity Ellipta, Trelegy Ellipta, Breo Ellipta, Anoro Ellipta$424$178,037495 claims
AstraZenecaSymbicort, Breztri Aerosphere$915$43,811126 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 138 pulmonary disease providers in Puerto Rico.

Other pulmonary disease in Caguas

See the full list for Puerto Rico

Where these figures come from

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