RxDoctor Payments Data

Lissa Berroa Garcia, MD

Hospice and Palliative Medicine · Rockville, MDNPI 1770901498

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 21 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 13 manufacturers, the largest accounting for just 14.1% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2024 at $217 and has fallen 82.8% since, to $37 in 2025.

$478in general payments, 2019–2025

Across 21 payments — averaging $22.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Regeneron Healthcare Solutions, Inc.$67
  • Heron Therapeutics, Inc.$65
  • Lilly USA, LLC$62
  • Daiichi Sankyo Inc.$60
  • Incyte Corporation$37
  • ADC Therapeutics America, Inc.$30
  • plus $156 from 7 others

What the payments were for

  • Food & beverage$478100%

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

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.

How this compares

$478 in reported general payments places this provider in the 65th percentile of 35 hospice and palliative medicine providers in Maryland.

See all hospice and palliative medicine providers in Maryland

Medicare billing

Part B allowed, 2024
$40,511
Medicare patients
66
Services billed
234

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
Hydromorphone Hcl30$2,612
Duloxetine Hcl15$1,938
Fentanyl11$963
Morphine Sulfate ErMorphine Sulfate28$467
Oxycodone Hcl22$341
Gabapentin30$257
Morphine Sulfate14$147
Dexamethasone12$129
Trazodone Hcl17$100
Lorazepam14$61
Baclofen14$39
Alprazolam12$2
Zolpidem Tartrate12$0

Paid to pharmacies, not to this prescriber.

Other hospice and palliative medicine in Rockville

See the full list for Maryland

Where these figures come from

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