Luis Garcia Rivera, MD
General Practice · Lakeland, FLNPI 1164539870
Payments from drug & device makers
Across 61 payments — averaging $28.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$421
- Sanofi-aventis U.S. LLC$286
- Pfizer$137
- Boston Scientific$133
- Astellas Pharma US Inc$117
- Lilly USA, LLC$113
- plus $558 from 16 others
What the payments were for
- Food & beverage$1,766100%
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 |
|---|---|---|
| AstraZeneca | 12 | $421 |
| Sanofi-aventis U.S. LLC | 9 | $286 |
| Pfizer | 5 | $137 |
| Boston Scientific | 1 | $133 |
| Astellas Pharma US Inc | 1 | $117 |
| Lilly USA, LLC | 6 | $113 |
| Merck | 2 | $102 |
| Novartis | 3 | $57 |
| Boehringer Ingelheim | 3 | $54 |
| GSK | 3 | $52 |
| Dexcom, Inc. | 2 | $42 |
| Amgen | 2 | $34 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $29 |
| Amarin Pharma, Inc. | 2 | $28 |
| GE HealthCare | 1 | $24 |
| AbbVie | 1 | $24 |
| Novo Nordisk | 1 | $22 |
| Abbott | 1 | $21 |
| Inspire Medical Systems, Inc. | 1 | $21 |
| Inari Medical, Inc. | 1 | $19 |
| Supernus Pharmaceuticals, Inc. | 1 | $14 |
| Teva Pharmaceuticals USA, Inc. | 1 | $12 |
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
$1,766 in reported general payments places this provider in the 85th percentile of 6,901 general practice 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 |
|---|---|---|
| JardianceEmpagliflozin | 88 | $85,175 |
| EliquisApixaban | 83 | $69,499 |
| FarxigaDapagliflozin Propanediol | 75 | $61,335 |
| JanuviaSitagliptin Phosphate | 66 | $59,276 |
| TrulicityDulaglutide | 28 | $38,707 |
| EntrestoSacubitril/Valsartan | 26 | $33,758 |
| XareltoRivaroxaban | 20 | $22,398 |
| OzempicSemaglutide | 17 | $17,765 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 17 | $15,963 |
| TradjentaLinagliptin | 16 | $14,435 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 14 | $7,722 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 13 | $6,958 |
| Tresiba Flextouch U-200Insulin Degludec | 11 | $6,091 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 56 | $5,872 |
| SymbicortBudesonide/Formoterol Fumarate | 17 | $4,186 |
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, Tradjenta, Stiolto Respimat | $54 | $106,568117 claims |
| PfizerEliquis | $137 | $69,49983 claims |
| AstraZenecaFarxiga, Symbicort | $421 | $65,52192 claims |
| MerckJanuvia | $102 | $59,27666 claims |
| Lilly USA, LLCTrulicity, Humulin 70-30 | $113 | $40,00843 claims |
| NovartisEntresto | $57 | $33,75826 claims |
| Novo NordiskOzempic, Novolog | $22 | $20,20732 claims |
| GSKTrelegy Ellipta | $52 | $15,96317 claims |
| Sanofi-aventis U.S. LLCLantus | $286 | $3,48137 claims |
| AbbVieSynthroid | $24 | $1,26815 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 6,901 general practice providers in Florida.
Other general practice in Lakeland
- Jose CardonaMiami$71M
- Lawrence GalitzMiami Gardens$42.5M
- Armando AcevedoMiami$15.2M
- Jorge AmayaMiami$14.2M
- Frank AlvarezHialeah$13.6M
- Hector RodriguezMiami$12.8M
- Eddie ArmasSouth Miami$12.4M
- Idalia AcostaMiami$11.4M
- Lilia Rodriguez AblesMiami$10.7M
- Jorge Monroy AvellaOcoee$10.6M
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.