Juan Lopetegui, MD
Pulmonary Disease · Palmetto Bay, FLNPI 1114915105
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $956 of the $1,288 with a category attached, or 74.2%. Cook Incorporated accounts for 60.1% of it on its own, with 4 other manufacturers making up the rest. Reporting peaked in 2022 at $1,008 and has fallen 75.0% since, to $252 in 2023. That places this record below the midpoint for pulmonary disease clinicians in FL, where the typical reported total is $2,936.
Across 7 payments — averaging $184.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cook Incorporated$775
- Fisher & Paykel Healthcare Inc$252
- Cook Medical LLC$182
- Actelion Pharmaceuticals US, Inc.$62
- Boehringer Ingelheim$18
What the payments were for
- Travel & lodging$95674%
- Food & beverage$33226%
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 |
|---|---|---|
| Cook Incorporated | 1 | $775 |
| Fisher & Paykel Healthcare Inc | 2 | $252 |
| Cook Medical LLC | 1 | $182 |
| Actelion Pharmaceuticals US, Inc. | 2 | $62 |
| Boehringer Ingelheim | 1 | $18 |
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.
- FISHER & PAYKEL HEALTHCARE$1,258
- Blue Rhino$956
How this compares
$1,288 in reported general payments places this provider in the 35th percentile of 953 pulmonary disease providers in Florida.
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.
Other pulmonary disease in Palmetto Bay
- Franck RahaghiWeston$1.2M
- Michael OttEglin Afb$909K
- Ali JiwaniOrlando$859K
- Anas HadehWeston$800K
- Jennifer FultonJacksonville$665K
- Ricardo Restrepo-JaramilloTampa$555K
- Mark RumbakTampa$528K
- Jose Soto SotoJacksonville$504K
- Javier Perez FernandezMiami$496K
- Domenick ReinaTampa$469K
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.