RxDoctor Payments Data

Lourdes Maggi de la Guardia, MD

Internal Medicine · Orlando, FLNPI 1245790989

Payments from drug & device makers

$348in general payments, 2019–2025

Across 20 payments — averaging $17.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • GSK$90
  • Dexcom, Inc.$61
  • Novo Nordisk$60
  • AbbVie$53
  • Eisai Inc.$24
  • Pfizer$22
  • plus $38 from 2 others

What the payments were for

  • Food & beverage$348100%

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

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.

CompanyPaymentsTotal
GSK6$90
Dexcom, Inc.4$61
Novo Nordisk3$60
AbbVie3$53
Eisai Inc.1$24
Pfizer1$22
Lilly USA, LLC1$20
Exact Sciences1$18

How this compares

$348 in reported general payments places this provider in the 50th percentile of 8,530 internal medicine providers in Florida.

See all internal medicine providers in Florida

Medicare billing

Part B allowed, 2024
$31,632
Medicare patients
114
Services billed
324

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
OzempicSemaglutide15$14,216
Valsartan-HydrochlorothiazideValsartan/Hydrochlorothiazide11$741
Diclofenac Sodium21$578
Atorvastatin Calcium59$502
Levothyroxine Sodium51$404
Rosuvastatin Calcium40$386
Losartan Potassium43$320
Duloxetine Hcl16$293
Omeprazole22$263
Sertraline Hcl16$262
Amlodipine Besylate62$202
Lisinopril28$174
Gabapentin16$132
Pantoprazole Sodium12$128
Atenolol21$115

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
Novo NordiskOzempic$60$14,21615 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 50th percentile of 8,530 internal medicine providers in Florida.

Other internal medicine in Orlando

See the full list for Florida

Where these figures come from

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