Madeline Candelario-Cosme, MD
Endocrinology, Diabetes & Metabolism · Tampa, FLNPI 1144595406
Payments from drug & device makers
Across 106 payments — averaging $23.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$376
- Novo Nordisk$348
- Medtronic$318
- Novartis$190
- Lilly USA, LLC$165
- Bayer$108
- plus $962 from 22 others
What the payments were for
- Food & beverage$2,455100%
- Education$120%
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 |
|---|---|---|
| Amgen | 14 | $376 |
| Novo Nordisk | 21 | $348 |
| Medtronic(2 entities) | 5 | $318 |
| Novartis | 11 | $190 |
| Lilly USA, LLC | 9 | $165 |
| Bayer | 5 | $108 |
| Xeris Pharmaceuticals, Inc. | 5 | $108 |
| Sanofi-aventis U.S. LLC | 4 | $96 |
| Boehringer Ingelheim | 4 | $93 |
| Sequel Med Tech, LLC | 3 | $75 |
| AbbVie | 3 | $69 |
| Tandem Diabetes Care, Inc. | 3 | $69 |
| Dexcom, Inc. | 2 | $55 |
| Corcept Therapeutics | 2 | $42 |
| Almatica Pharma LLC | 2 | $42 |
| Mannkind Corporation | 1 | $33 |
| Actelion Pharmaceuticals US, Inc. | 1 | $32 |
| Neurocrine Biosciences, Inc. | 1 | $31 |
| Madrigal Pharmaceuticals | 1 | $27 |
| Ascendis Pharma Endocrinology Inc | 1 | $27 |
| BETA Bionics, Inc. | 1 | $27 |
| Renalytix AI, Inc. | 1 | $24 |
| Abbott | 1 | $22 |
| Amneal Pharmaceuticals LLC | 1 | $20 |
| Vital Connect, Inc | 1 | $20 |
| Lexicon Pharmaceuticals, Inc. | 1 | $19 |
| Merck | 1 | $14 |
| Esperion Therapeutics, Inc. | 1 | $14 |
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.
- MINIMED 780G$140
- EVENITY$128
How this compares
$2,466 in reported general payments places this provider in the 40th percentile of 586 endocrinology, diabetes & metabolism providers in Florida.
See all endocrinology, diabetes & metabolism 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 |
|---|---|---|
| IsturisaOsilodrostat Phosphate | 24 | $1,094,757 |
| OzempicSemaglutide | 54 | $67,601 |
| Sandostatin Lar DepotOctreotide Acetate,mi-Spheres | 12 | $53,668 |
| JardianceEmpagliflozin | 45 | $51,062 |
| TrulicityDulaglutide | 26 | $39,693 |
| MounjaroTirzepatide | 19 | $39,517 |
| JanuviaSitagliptin Phosphate | 25 | $21,620 |
| Tresiba Flextouch U-100Insulin Degludec | 14 | $15,889 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 15 | $9,384 |
| Novolog FlexpenInsulin Aspart | 27 | $8,089 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 41 | $7,908 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 16 | $4,180 |
| HumalogInsulin Lispro | 22 | $3,398 |
| Insulin Lispro Kwikpen U-100Insulin Lispro | 17 | $2,564 |
| Hydrocortisone | 27 | $2,329 |
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 |
|---|---|---|
| Lilly USA, LLCTrulicity, Mounjaro, Humalog | $165 | $82,60867 claims |
| Novo NordiskOzempic | $348 | $67,60154 claims |
| NovartisSandostatin Lar Depot | $190 | $53,66812 claims |
| Boehringer IngelheimJardiance | $93 | $51,06245 claims |
| MerckJanuvia | $14 | $21,62025 claims |
| AbbVieSynthroid | $69 | $2,23822 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $20 | $71266 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 40th percentile of 586 endocrinology, diabetes & metabolism providers in Florida.
Other endocrinology, diabetes & metabolism in Tampa
- Andrew HenryTampa$929K
- Manuel Sainz de la PenaTampa$247K
- Yuvraj KumbkarniTampa$189K
- Richard PratleyOrlando$9.2M
- Jose MandryOcoee$9.1M
- Steven SmithOrlando$7.9M
- Barry HorowitzWest Palm Beach$7.1M
- Tina ThethiOrlando$3.8M
- David SuttonJacksonville$3.1M
- Lorena Lewy-AlterbaumHollywood$3.1M
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.