Miguel Rivera, MD
Endocrinology, Diabetes & Metabolism · Metairie, LANPI 1104840404
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.7% of the total across 379 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 49 manufacturers, the largest accounting for just 8.7% — the pattern of someone who eats at a lot of different presentations.
Across 379 payments — averaging $18.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Antares Pharma, Inc.$603
- AstraZeneca$599
- Novo Nordisk$538
- BETA Bionics, Inc.$486
- Lilly USA, LLC$485
- AbbVie$435
- plus $4K from 43 others
What the payments were for
- Food & beverage$6,933100%
- Education$200%
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.
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
$6,953 in reported general payments places this provider in the 60th percentile of 95 endocrinology, diabetes & metabolism providers in Louisiana.
See all endocrinology, diabetes & metabolism providers in Louisiana →
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 |
|---|---|---|
| MounjaroTirzepatide | 418 | $478,147 |
| OzempicSemaglutide | 312 | $412,074 |
| Janumet XrSitagliptin Phos/Metformin Hcl | 158 | $162,459 |
| JardianceEmpagliflozin | 109 | $109,015 |
| TrulicityDulaglutide | 70 | $68,800 |
| FarxigaDapagliflozin Propanediol | 42 | $54,162 |
| JanuviaSitagliptin Phosphate | 54 | $51,247 |
| EliquisApixaban | 59 | $46,037 |
| Tresiba Flextouch U-200Insulin Degludec | 38 | $34,694 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 22 | $30,581 |
| Tresiba Flextouch U-100Insulin Degludec | 42 | $30,271 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 214 | $28,018 |
| Novolog FlexpenInsulin Aspart | 127 | $27,412 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 37 | $25,392 |
| Humalog Kwikpen U-200Insulin Lispro | 20 | $24,402 |
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 | $485 | $546,947488 claims |
| Novo NordiskOzempic, Rybelsus, Novolog | $538 | $443,060353 claims |
| MerckJanumet Xr, Januvia | $68 | $213,707212 claims |
| Boehringer IngelheimJardiance, Tradjenta | $253 | $131,330128 claims |
| AstraZenecaFarxiga | $599 | $54,16242 claims |
| PfizerEliquis | $18 | $46,03759 claims |
| AbbVieSynthroid, Armour Thyroid | $435 | $25,319285 claims |
| Johnson & JohnsonInvokana | $85 | $17,05016 claims |
| GSKBreo Ellipta | $31 | $10,79921 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $127 | $7,9631,015 claims |
| Sanofi-aventis U.S. LLCLantus | $87 | $6,07728 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 60th percentile of 95 endocrinology, diabetes & metabolism providers in Louisiana.
Other endocrinology, diabetes & metabolism in Metairie
- Julie TalaveraMetairie$49K
- Tuan Huy TranMetairie$34K
- Jonathan WiseMetairie$20K
- Joseph MurrayMetairie$7K
- Escipion PedrozaMetairie$2K
- Timothy GilbertBaton Rouge$985K
- Vivian FonsecaNew Orleans$658K
- Abdul KhanHammond$587K
- Marideli ScanlanMarrero$444K
- Justin FontenotLafayette$397K
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.