Juliana Llano
Adult Medicine · Jacksonville, FLNPI 1063831311
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 144 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 27 manufacturers reported payments, led by Inari Medical, Inc. at 47.1% of the total. Reporting peaked in 2023 at $2,571 and has fallen 95.5% since, to $115 in 2025. Among adult medicine clinicians in FL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 144 payments — averaging $32.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inari Medical, Inc.$2K
- AstraZeneca$305
- Novo Nordisk$254
- Lilly USA, LLC$227
- AbbVie$167
- Bayer$161
- plus $1K from 21 others
What the payments were for
- Food & beverage$4,678100%
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 |
|---|---|---|
| Inari Medical, Inc. | 16 | $2,201 |
| AstraZeneca | 15 | $305 |
| Novo Nordisk | 16 | $254 |
| Lilly USA, LLC | 15 | $227 |
| AbbVie | 12 | $167 |
| Bayer | 10 | $161 |
| GSK | 7 | $143 |
| Dexcom, Inc. | 3 | $130 |
| Abbott | 1 | $128 |
| E.r. Squibb & Sons, L.L.C. | 1 | $115 |
| Biohaven Pharmaceutical Holding Company Ltd. | 4 | $112 |
| Sanofi-aventis U.S. LLC | 5 | $101 |
| Boehringer Ingelheim | 5 | $89 |
| Amgen | 5 | $70 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 5 | $69 |
| Daiichi Sankyo Inc. | 3 | $50 |
| Pfizer | 3 | $48 |
| Shield Therapeutics Inc | 2 | $44 |
| Irhythm Technologies, Inc. | 2 | $44 |
| Medtronic | 3 | $39 |
| Idorsia Pharmaceuticals US Inc | 3 | $39 |
| Novartis | 2 | $34 |
| Amneal Pharmaceuticals LLC | 2 | $26 |
| Merck | 1 | $24 |
| Astellas Pharma US Inc | 1 | $22 |
| Hologic Sales And Service, LLC | 1 | $18 |
| Exact Sciences | 1 | $15 |
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.
How this compares
$4,678 in reported general payments places this provider in the 90th percentile of 195 adult 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 |
|---|---|---|
| OzempicSemaglutide | 87 | $101,104 |
| JardianceEmpagliflozin | 73 | $78,227 |
| TrulicityDulaglutide | 49 | $73,031 |
| MounjaroTirzepatide | 17 | $25,677 |
| FarxigaDapagliflozin Propanediol | 14 | $21,753 |
| EliquisApixaban | 17 | $20,185 |
| JanuviaSitagliptin Phosphate | 11 | $16,821 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 26 | $16,655 |
| Breo ElliptaFluticasone/Vilanterol | 12 | $9,263 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 31 | $8,936 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 25 | $4,111 |
| Novolog FlexpenInsulin Aspart | 11 | $3,271 |
| Atorvastatin Calcium | 376 | $2,873 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 84 | $2,333 |
| Levothyroxine Sodium | 190 | $2,066 |
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 |
|---|---|---|
| Novo NordiskOzempic | $254 | $101,10487 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $227 | $98,70866 claims |
| Boehringer IngelheimJardiance | $89 | $78,22773 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $143 | $25,91838 claims |
| AstraZenecaFarxiga | $305 | $21,75314 claims |
| PfizerEliquis | $48 | $20,18517 claims |
| MerckJanuvia | $24 | $16,82111 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $26 | $2,066190 claims |
| AbbVieSynthroid | $167 | $1,52315 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 90th percentile of 195 adult medicine providers in Florida.
Other adult medicine in Jacksonville
- Brandon HillJacksonville$3K
- Jimmy DouradoJacksonville$1K
- Steven SantiagoMiami$290K
- Tammy DsouzaKissimmee$191K
- Eric SchertzerPlantation$26K
- Ricardo SerranoMerritt Island$20K
- Marlene JarinMiami Beach$18K
- Myra ReedPanama City Beach$16K
- Joshua RycusCoral Springs$13K
- Frederick WeigandDeltona$9K
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.