Julian Arana, MD
Internal Medicine · Coral Gables, FLNPI 1558442368
Payments from drug & device makers
Across 231 payments — averaging $19.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$722
- Boehringer Ingelheim$475
- Astellas Pharma US Inc$436
- Sumitomo Pharma America, Inc.$385
- Novartis$377
- Lilly USA, LLC$336
- plus $2K from 25 others
What the payments were for
- Food & beverage$4,46598%
- Education$752%
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 |
|---|---|---|
| AbbVie(2 entities) | 41 | $722 |
| Boehringer Ingelheim | 23 | $475 |
| Astellas Pharma US Inc | 28 | $436 |
| Sumitomo Pharma America, Inc. | 16 | $385 |
| Novartis | 20 | $377 |
| Lilly USA, LLC | 18 | $336 |
| Johnson & Johnson | 12 | $238 |
| Sunovion Pharmaceuticals Inc. | 9 | $191 |
| AstraZeneca | 9 | $190 |
| Bayer | 6 | $132 |
| Idorsia Pharmaceuticals US Inc | 1 | $122 |
| Amarin Pharma, Inc. | 6 | $112 |
| Sanofi-aventis U.S. LLC | 5 | $95 |
| Insmed, Inc. | 4 | $89 |
| E.r. Squibb & Sons, L.L.C. | 5 | $84 |
| Pfizer | 4 | $77 |
| Novo Nordisk | 3 | $66 |
| Amgen | 3 | $61 |
| Eisai Inc. | 3 | $57 |
| Abbott | 1 | $49 |
| Kowa Pharmaceuticals America, Inc. | 3 | $48 |
| Azurity Pharmaceuticals, Inc. | 2 | $40 |
| Shield Therapeutics Inc | 1 | $21 |
| Regeneron Healthcare Solutions, Inc. | 1 | $20 |
| GSK | 1 | $20 |
| Exact Sciences | 1 | $19 |
| Alfasigma USA, Inc. | 1 | $18 |
| Ardelyx, Inc. | 1 | $16 |
| Dexcom, Inc. | 1 | $16 |
| Shire North American Group Inc | 1 | $15 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $14 |
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.
- QUVIVIQ$122
How this compares
$4,540 in reported general payments places this provider in the 85th percentile of 8,530 internal medicine 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| EliquisApixaban | 166 | $146,317 |
| EnbrelEtanercept | 12 | $101,617 |
| LinzessLinaclotide | 128 | $85,299 |
| JardianceEmpagliflozin | 92 | $84,388 |
| OzempicSemaglutide | 58 | $64,901 |
| EntrestoSacubitril/Valsartan | 73 | $56,952 |
| GemtesaVibegron | 58 | $52,784 |
| JanuviaSitagliptin Phosphate | 54 | $49,990 |
| XareltoRivaroxaban | 42 | $46,379 |
| MounjaroTirzepatide | 39 | $42,631 |
| GlyxambiEmpagliflozin/Linagliptin | 58 | $40,406 |
| TradjentaLinagliptin | 57 | $39,071 |
| FarxigaDapagliflozin Propanediol | 54 | $34,433 |
| VascepaIcosapent Ethyl | 93 | $33,604 |
| DescovyEmtricitabine/Tenofov Alafenam | 12 | $30,709 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance, Glyxambi, Tradjenta | $475 | $163,865207 claims |
| PfizerEliquis | $77 | $146,317166 claims |
| AbbVieLinzess, Synthroid | $722 | $102,340321 claims |
| AmgenEnbrel | $61 | $101,61712 claims |
| Novo NordiskOzempic | $66 | $64,90158 claims |
| NovartisEntresto | $377 | $56,95273 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $385 | $52,78458 claims |
| AstraZenecaFarxiga, Symbicort, Brilinta | $190 | $47,23296 claims |
| Johnson & JohnsonXarelto | $238 | $46,37942 claims |
| Lilly USA, LLCMounjaro | $336 | $42,63139 claims |
| Astellas Pharma US IncMyrbetriq | $436 | $27,81251 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $20 | $26,07541 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 8,530 internal medicine providers in Florida.
Other internal medicine in Coral Gables
- Yaneicy Gonzalez RojasCoral Gables$93.5M
- Jeffrey RosenCoral Gables$17M
- Carlos IglesiasCoral Gables$6.6M
- Juan Carlos RondonHollywood$66.8M
- Jaynier MoyaPembroke Pines$45.4M
- Mark KutnerMiami$35.7M
- Gilberto JimenezHialeah$35.6M
- Mira BaronWest Palm Beach$29.6M
- William SanchezHialeah$28.9M
- Nelia Sanchez-CrespoHollywood$28.8M
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.