Manuel Fernandez, MD
Emergency Medicine · Pembroke Pines, FLNPI 1285684753
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 105 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 18 manufacturers reported payments, led by AstraZeneca at 35.0% of the total. Among emergency medicine clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 105 payments — averaging $35.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$1K
- Novo Nordisk$590
- Amarin Pharma, Inc.$547
- Lilly USA, LLC$501
- Exact Sciences$198
- Bayer$117
- plus $446 from 12 others
Across 7 payments — averaging $1675.29 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.
- National Marrow Donor Program$12K
What the payments were for
- Food & beverage$3,694100%
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 | 26 | $1,294 |
| Novo Nordisk | 14 | $590 |
| Amarin Pharma, Inc. | 7 | $547 |
| Lilly USA, LLC | 28 | $501 |
| Exact Sciences | 8 | $198 |
| Bayer | 1 | $117 |
| Johnson & Johnson | 6 | $111 |
| Teva Pharmaceuticals USA, Inc. | 1 | $82 |
| Abbott | 3 | $60 |
| Astellas Pharma US Inc | 2 | $43 |
| Kowa Pharmaceuticals America, Inc. | 2 | $28 |
| Daiichi Sankyo Inc. | 1 | $20 |
| Boehringer Ingelheim | 1 | $20 |
| Verity Pharmaceuticals Inc. | 1 | $19 |
| Sanofi-aventis U.S. LLC | 1 | $18 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $17 |
| GSK | 1 | $14 |
| Novartis | 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.
How this compares
$3,694 in reported general payments places this provider in the 95th percentile of 3,289 emergency medicine 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 |
|---|---|---|
| EliquisApixaban | 19 | $15,887 |
| Gabapentin | 12 | $717 |
| Methylprednisolone | 53 | $363 |
| Cefdinir | 15 | $214 |
| Ibuprofen | 40 | $157 |
| Tizanidine Hcl | 40 | $155 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 13 | $122 |
| Pantoprazole Sodium | 13 | $94 |
| Naproxen | 34 | $92 |
| Tramadol Hcl | 35 | $83 |
| Metoprolol Succinate | 12 | $80 |
| Atorvastatin Calcium | 22 | $72 |
| Metformin Hcl | 21 | $65 |
| Lisinopril | 19 | $64 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 14 | $49 |
Paid to pharmacies, not to this prescriber.
Other emergency medicine in Pembroke Pines
- Laurent DreyfussSunrise$1.2M
- Jason WilsonTampa$538K
- Robert LutenJacksonville$190K
- Adam LeisyHialeah$148K
- Joseph TyndallGainesville$130K
- Kunal AgarwalMiami$101K
- Jason WilsonFort Myers$96K
- Latha GantiGainesville$86K
- Brandon AllenGainesville$80K
- Patricia PanakosMiami$76K
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.