Juan Otero, MD
Endocrinology, Diabetes & Metabolism · Caguas, PRNPI 1871590968
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (58.4%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Johnson & Johnson accounts for 67.5% of it on its own, with 22 other manufacturers making up the rest. Reporting peaked in 2019 at $15,515 and has fallen 97.0% since, to $471 in 2025.
Across 221 payments — averaging $98.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$15K
- Eli Lilly$1K
- AstraZeneca$871
- Sanofi-aventis U.S. LLC$845
- Boehringer Ingelheim$604
- Novo Nordisk$535
- plus $3K from 17 others
Across 52 payments — averaging $14,704 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 Export S.A. Puerto Rico Branch$695K
- Eli Lilly$69K
What the payments were for
- Consulting fees$3752%
- Speaking & faculty fees$12,66058%
- Travel & lodging$2,48811%
- Food & beverage$6,06728%
- Education$700%
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 |
|---|---|---|
| Johnson & Johnson | 31 | $14,618 |
| Eli Lilly | 21 | $1,327 |
| AstraZeneca | 29 | $871 |
| Sanofi-aventis U.S. LLC | 24 | $845 |
| Boehringer Ingelheim | 27 | $604 |
| Novo Nordisk | 16 | $535 |
| Medtronic | 4 | $495 |
| Lilly USA, LLC | 7 | $396 |
| Tolmar, Inc. | 3 | $348 |
| Bayer Puerto Rico Inc. | 15 | $322 |
| Valeritas, Inc. | 1 | $187 |
| Corcept Therapeutics | 3 | $162 |
| Abbott | 8 | $154 |
| Rhythm Pharmaceuticals, Inc. | 2 | $137 |
| Eli Lilly Export S.A. Puerto Rico Branch | 7 | $135 |
| Merck | 8 | $124 |
| AbbVie | 6 | $123 |
| BETA Bionics, Inc. | 1 | $116 |
| Bayer | 4 | $74 |
| Pharming Healthcare, Inc. | 1 | $27 |
| Adamas Pharmaceuticals, Inc. | 1 | $21 |
| PBG Puerto Rico LLC | 1 | $20 |
| Dexcom, Inc. | 1 | $17 |
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.
- INVOKANA$13,373
- XARELTO$750
- Minimed 670G System$414
- FARXIGA$375
- iLet Bionic Pancreas$347
- Ozempic$332
- FENSOLVI$313
- SOTAGLIFLOZIN$300
- MOUNJARO$237
- V-GO$187
- RYBELSUS$122
- iLet Insulin Infusion Kit Inset$116
- iLet Insulin Infusion Kit Contact Detach$116
- Korlym$115
- TOUJEO$100
- SOLIQUA 100/33$100
How this compares
$21,660 in reported general payments places this provider in the 85th percentile of 143 endocrinology, diabetes & metabolism providers in Puerto Rico.
See all endocrinology, diabetes & metabolism 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 |
|---|---|---|
| TrulicityDulaglutide | 165 | $174,175 |
| FarxigaDapagliflozin Propanediol | 120 | $89,336 |
| JanumetSitagliptin Phos/Metformin Hcl | 115 | $75,622 |
| SynthroidLevothyroxine Sodium | 1,125 | $53,960 |
| Janumet XrSitagliptin Phos/Metformin Hcl | 65 | $42,679 |
| TradjentaLinagliptin | 66 | $38,548 |
| JardianceEmpagliflozin | 43 | $37,477 |
| JanuviaSitagliptin Phosphate | 45 | $35,630 |
| Synjardy XrEmpagliflozin/Metformin Hcl | 47 | $34,504 |
| Jentadueto XrLinagliptin/Metformin Hcl | 50 | $33,864 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 35 | $32,908 |
| Xigduo XrDapaglifloz Propaned/Metformin | 55 | $31,914 |
| JentaduetoLinagliptin/Metformin Hcl | 38 | $24,089 |
| HumalogInsulin Lispro | 117 | $21,480 |
| OzempicSemaglutide | 21 | $20,426 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Lilly USA, LLCTrulicity, Humalog, Humalog Mix 75-25, Humulin 70-30, Humulin N | $396 | $215,312398 claims |
| Boehringer IngelheimTradjenta, Jardiance, Synjardy Xr, Jentadueto Xr, Jentadueto | $604 | $188,074270 claims |
| MerckJanumet, Janumet Xr, Januvia | $124 | $153,930225 claims |
| AstraZenecaFarxiga | $871 | $89,336120 claims |
| AbbVieSynthroid | $123 | $53,9601,125 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33, Lantus | $845 | $50,014168 claims |
| Novo NordiskOzempic, Rybelsus | $535 | $32,08733 claims |
| Johnson & JohnsonInvokana | $14,618 | $15,13918 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 85th percentile of 143 endocrinology, diabetes & metabolism providers in Puerto Rico.
Other endocrinology, diabetes & metabolism in Caguas
- Nicolle Canales RamosCaguas$12K
- Ivan Laboy OrtizCaguas$9K
- Edna Melendez ReyesCaguas$9K
- Alberto Grana SantiniCaguas$8K
- Jose Garcia MateoPonce$945K
- Manuel Alegre-HernandezSan Juan$156K
- Monica Ortiz-RiveraSan Juan$148K
- Alex Gonzalez BossoloSan Juan$110K
- Michelle Mangual GarciaSan Juan$87K
- Meliza Martinez RodriguezSan Juan$80K
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.