RxDoctor Payments Data

Keyla Davila Marcano

Nephrology · Manati, PRNPI 1699177014

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 94.5% of the total across 82 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 13 manufacturers reported payments, led by AstraZeneca at 58.7% of the total.

$3,013in general payments, 2019–2025

Across 82 payments — averaging $36.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$2K
  • Nxstage Medical, Inc.$308
  • Calliditas Therapeutics US Inc.$262
  • GSK$128
  • Boehringer Ingelheim$115
  • ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$100
  • plus $330 from 7 others

What the payments were for

  • Food & beverage$2,84694%
  • Education$1676%

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.

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

$3,013 in reported general payments places this provider in the 70th percentile of 161 nephrology providers in Puerto Rico.

See all nephrology providers in Puerto Rico

Medicare billing

Part B allowed, 2024
$34,484
Medicare patients
46
Services billed
281

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
FarxigaDapagliflozin Propanediol433$417,105
LokelmaSodium Zirconium Cyclosilicate188$124,633
JardianceEmpagliflozin53$57,787
RetacritEpoetin Alfa-Epbx37$39,509
Lanthanum Carbonate35$22,720
OzempicSemaglutide23$22,687
TradjentaLinagliptin22$20,816
Calcium Acetate133$16,815
Sevelamer Carbonate90$14,254
Candesartan Cilexetil18$2,957
SynthroidLevothyroxine Sodium40$2,790
Allopurinol162$2,464
Gentamicin Sulfate36$2,068
Losartan Potassium152$1,857
Cinacalcet Hcl23$1,848

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
AstraZenecaFarxiga, Lokelma$1,769$541,738621 claims
Boehringer IngelheimJardiance, Tradjenta$115$78,60375 claims
ANI Pharmaceuticals, Inc.Valsartan$51$93125 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 70th percentile of 161 nephrology providers in Puerto Rico.

Other nephrology in Manati

See the full list for Puerto Rico

Where these figures come from

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