Mayra Rivera
Family · Riverside, RINPI 1427714096
Payments from drug & device makers
What this record shows
12 manufacturers reported payments, led by Tandem Diabetes Care, Inc. at 52.7% of the total. Reporting peaked in 2024 at $2,598 and has fallen 79.0% since, to $546 in 2025. Among family clinicians in RI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 32 payments — averaging $142.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Tandem Diabetes Care, Inc.$2K
- Novo Nordisk$368
- Sanofi-aventis U.S. LLC$331
- Amgen$311
- Xeris Pharmaceuticals, Inc.$294
- Lilly USA, LLC$250
- plus $605 from 6 others
What the payments were for
- Travel & lodging$1,86141%
- Food & beverage$2,70359%
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 |
|---|---|---|
| Tandem Diabetes Care, Inc. | 4 | $2,404 |
| Novo Nordisk | 7 | $368 |
| Sanofi-aventis U.S. LLC | 3 | $331 |
| Amgen | 3 | $311 |
| Xeris Pharmaceuticals, Inc. | 3 | $294 |
| Lilly USA, LLC | 3 | $250 |
| Insulet Corporation | 2 | $148 |
| Corcept Therapeutics | 2 | $115 |
| Dexcom, Inc. | 1 | $113 |
| BETA Bionics, Inc. | 1 | $100 |
| Bayer | 1 | $99 |
| Medtronic | 2 | $30 |
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
$4,564 in reported general payments places this provider in the 90th percentile of 457 family providers in Rhode Island.
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 |
|---|---|---|
| OzempicSemaglutide | 74 | $108,584 |
| MounjaroTirzepatide | 93 | $100,866 |
| JardianceEmpagliflozin | 71 | $96,866 |
| TrulicityDulaglutide | 19 | $21,877 |
| Humalog Kwikpen U-100Insulin Lispro | 37 | $12,805 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 22 | $12,744 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 72 | $10,561 |
| Nano 2nd Gen Pen NeedlePen Needle, Diabetic | 62 | $7,685 |
| HumalogInsulin Lispro | 18 | $7,566 |
| Novolog FlexpenInsulin Aspart | 21 | $6,274 |
| Ultra-Fine Mini Pen NeedlePen Needle, Diabetic | 23 | $2,920 |
| Novolin R FlexpenInsulin Regular, Human | 15 | $1,061 |
| Levothyroxine Sodium | 21 | $478 |
| Metformin Hcl ErMetformin Hcl | 24 | $229 |
| Rosuvastatin Calcium | 12 | $131 |
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, LLCMounjaro, Trulicity, Humalog | $250 | $130,309130 claims |
| Novo NordiskOzempic | $368 | $108,58474 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 90th percentile of 457 family providers in Rhode Island.
Other family in Riverside
- David RamosRiverside$14K
- Catherine LuzRiverside$6K
- Brittany FevrierRiverside$4K
- Carol RobinsonWarwick$82K
- Mark ClarkeSmithfield$37K
- Olga FedorenkoCoventry$24K
- Alicia VatterWarwick$15K
- Kaleigh RapozaJohnston$14K
- Sharon BensonNorth Smithfield$12K
- Michelle Blade MelloWest Warwick$12K
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.