RxDoctor Payments Data

Milciades Mercedes Maldonado, MD

Internal Medicine · Guaynabo, PRNPI 1366435000

Payments from drug & device makers

$1,986in general payments, 2019–2025

Across 50 payments — averaging $39.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Johnson & Johnson$588
  • AstraZeneca$498
  • Boehringer Ingelheim$334
  • Merck$225
  • E.r. Squibb & Sons, L.L.C.$125
  • PBG Puerto Rico LLC$109
  • plus $108 from 3 others

What the payments were for

  • Food & beverage$1,986100%

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

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Johnson & Johnson7$588
AstraZeneca19$498
Boehringer Ingelheim11$334
Merck4$225
E.r. Squibb & Sons, L.L.C.2$125
PBG Puerto Rico LLC4$109
Smith+Nephew1$71
Pfizer Pharmaceuticals LLC1$19
Chiesi USA, Inc.1$17

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

$1,986 in reported general payments places this provider in the 75th percentile of 1,043 internal medicine providers in Puerto Rico.

See all internal medicine providers in Puerto Rico

Medicare billing

Part B allowed, 2024
$26,366
Medicare patients
61
Services billed
280

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

DrugClaimsCost to plans & patients
FarxigaDapagliflozin Propanediol146$112,957
EliquisApixaban147$98,004
XareltoRivaroxaban125$92,084
Trijardy XrEmpaglifloz/Linaglip/Metformin95$71,131
JardianceEmpagliflozin71$58,041
JanumetSitagliptin Phos/Metformin Hcl58$57,465
SynthroidLevothyroxine Sodium923$56,240
JanuviaSitagliptin Phosphate57$44,107
TradjentaLinagliptin40$31,498
Synjardy XrEmpagliflozin/Metformin Hcl42$30,984
TrulicityDulaglutide25$24,655
BrilintaTicagrelor48$22,847
JentaduetoLinagliptin/Metformin Hcl29$21,556
LantusInsulin Glargine,hum.Rec.Anlog178$19,739
Xigduo XrDapaglifloz Propaned/Metformin28$19,058

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.

CompanyPaid to this providerPart D cost of their drugs
Boehringer IngelheimTrijardy Xr, Jardiance, Tradjenta, Synjardy Xr, Jentadueto$334$221,206293 claims
AstraZenecaFarxiga, Brilinta, Symbicort$498$144,522231 claims
MerckJanumet, Januvia, Janumet Xr$225$111,504130 claims
Johnson & JohnsonXarelto$588$92,084125 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 75th percentile of 1,043 internal medicine providers in Puerto Rico.

Other internal medicine in Guaynabo

See the full list for Puerto Rico

Where these figures come from

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