RxDoctor Payments Data

Luis Rodriguez Ospina

Cardiovascular Disease · Guaynabo, PRNPI 1043289408

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 4 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Medtronic accounts for 85.1% of it on its own, with 1 other manufacturer making up the rest. Reporting peaked in 2019 at $130 and has fallen 68.9% since, to $40 in 2023. That places this record below the midpoint for cardiovascular disease clinicians in PR, where the typical reported total is $2,666.

$270in general payments, 2019–2025

Across 4 payments — averaging $67.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$230
  • AbbVie$40
$364,655in research payments, 2019–2025

Across 31 payments — averaging $11,763 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Novartis$203K
  • Merck$111K
  • Kowa Research Institute, Inc.$51K

What the payments were for

  • Food & beverage$270100%

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
23

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
Medtronic2$230
AbbVie2$40

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

$270 in reported general payments places this provider in the 10th percentile of 267 cardiovascular disease providers in Puerto Rico.

See all cardiovascular disease providers in Puerto Rico

Medicare billing

Part B allowed, 2024
$20,859
Medicare patients
78
Services billed
303

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
EliquisApixaban90$60,448
XareltoRivaroxaban40$33,156
EntrestoSacubitril/Valsartan45$31,107
Repatha SureclickEvolocumab30$21,753
JardianceEmpagliflozin18$12,080
SynthroidLevothyroxine Sodium110$8,404
Metoprolol Succinate230$4,005
Rosuvastatin Calcium196$2,597
Candesartan Cilexetil26$2,573
Ezetimibe134$2,541
Omega-3 Acid Ethyl Esters43$2,451
Atorvastatin Calcium259$2,381
Irbesartan87$1,729
Losartan Potassium172$1,691
Fenofibric AcidFenofibric Acid (Choline)46$1,639

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
AbbVieSynthroid$40$8,404110 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 10th percentile of 267 cardiovascular disease providers in Puerto Rico.

Other cardiovascular disease in Guaynabo

See the full list for Puerto Rico

Where these figures come from

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