Melchor Gonzalez, MD
Cardiology · Palm Coast, FLNPI 1902806151
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,721 of the $8,132 with a category attached, or 70.4%. 26 manufacturers reported payments, led by Medtronic at 36.2% of the total. Reporting peaked in 2019 at $4,858 and has fallen 98.9% since, to $53 in 2025. Among cardiology 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 207 payments — averaging $39.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$3K
- Johnson & Johnson$1K
- Boehringer Ingelheim$697
- Boston Scientific$653
- Abiomed$526
- Novartis$326
- plus $2K from 20 others
What the payments were for
- Travel & lodging$2,36429%
- Food & beverage$5,72170%
- Education$481%
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 |
|---|---|---|
| Medtronic(2 entities) | 28 | $2,942 |
| Johnson & Johnson | 54 | $1,343 |
| Boehringer Ingelheim | 33 | $697 |
| Boston Scientific | 7 | $653 |
| Abiomed | 6 | $526 |
| Novartis | 21 | $326 |
| Amgen | 11 | $307 |
| Abbott | 8 | $214 |
| Shockwave Medical, Inc | 1 | $135 |
| Esperion Therapeutics, Inc. | 7 | $130 |
| Siemens Medical Solutions USA, Inc. | 1 | $126 |
| Penumbra, Inc. | 2 | $101 |
| Cordis US CORP. | 1 | $100 |
| Merck | 6 | $97 |
| Regeneron Healthcare Solutions, Inc. | 3 | $62 |
| Cvrx, Inc. | 2 | $61 |
| Pfizer | 3 | $49 |
| AstraZeneca | 3 | $48 |
| Kowa Pharmaceuticals America, Inc. | 3 | $40 |
| Impulse Dynamics (USA) Inc. | 1 | $39 |
| Cardiva Medical, Inc. | 1 | $30 |
| Biotronik Inc. | 1 | $25 |
| Opsens Inc. | 1 | $24 |
| Sanofi-aventis U.S. LLC | 1 | $22 |
| Vifor Pharma, Inc. | 1 | $20 |
| Arbor Pharmaceuticals, Inc. | 1 | $15 |
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.
- Reveal LINQ$1,800
- Watchman$577
- Impella$372
- XARELTO$223
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$135
- Resolute$133
- c.cam Imaging System$126
- Repatha$102
How this compares
$8,132 in reported general payments places this provider in the 95th percentile of 45 cardiology 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 |
|---|---|---|
| Metoprolol Succinate | 12 | $48 |
Paid to pharmacies, not to this prescriber.
Other cardiology in Palm Coast
- Shakoor ArainOkeechobee$13K
- Erick CalderonLakewood Ranch$10K
- Andres PalomoMiami$7K
- Ariel de la RosaHialeah$7K
- Mayank YadavOrange City$7K
- Lawrence WeinsteinBoynton Beach$5K
- Mohsen RashdanBoca Raton$5K
- Ramanath RaoZephyrhills$5K
- Akram ElgendyGainesville$5K
- Thomas MathewsBrooksville$4K
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.