Miguel Garraton Martin, MD
Otolaryngology · San Juan, PRNPI 1962430801
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,503 of the $2,475 with a category attached, or 60.7%. 8 manufacturers reported payments, led by Johnson And Johnson International at 37.9% of the total.
Across 24 payments — averaging $103.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson And Johnson International$938
- Sanofi$486
- Medtronic$428
- GSK$368
- Takeda Pharmaceuticals U.S.A., Inc.$122
- Intersect ENT, Inc.$86
- plus $47 from 2 others
What the payments were for
- Travel & lodging$93838%
- Food & beverage$1,50361%
- Education$341%
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 |
|---|---|---|
| Johnson And Johnson International | 3 | $938 |
| Sanofi | 6 | $486 |
| Medtronic | 8 | $428 |
| GSK | 3 | $368 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $122 |
| Intersect ENT, Inc. | 1 | $86 |
| Amgen | 1 | $34 |
| Sanofi-aventis U.S. LLC | 1 | $13 |
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.
- HARMONIC Product Family$916
- DUPIXENT$663
- NUCALA$368
- STEALTH AUTOGUIDE SYSTEM$125
- ELAPRASE$122
- PROPEL$103
How this compares
$2,475 in reported general payments places this provider in the 85th percentile of 55 otolaryngology providers in Puerto Rico.
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 |
|---|---|---|
| Fluticasone Propionate | 85 | $1,789 |
| Fluocinolone Acetonide Oil | 25 | $1,710 |
| Famotidine | 88 | $530 |
| Omeprazole | 83 | $473 |
| Meclizine Hcl | 42 | $391 |
| Dexamethasone | 33 | $243 |
| Mupirocin | 21 | $200 |
| Montelukast Sodium | 13 | $105 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in San Juan
- Jose BusquetsSan Juan$3K
- Bianca Rullan OliverSan Juan$3K
- Jeamarie Pascual MarreroSan Juan$2K
- Mariana Ortiz MartinezSan Juan$1K
- Shayanne Lajud GuerreroSan Juan$964
- Clariliz MunetSan Juan$844
- Gabriel Hernandez MartinSan Juan$626
- Pedro J Rullan MarinSan Juan$511
- Francisco GarratonSan Juan$437
- German Gonzalez-YanesSan Juan$339
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.