RxDoctor Payments Data

Mirelis Acosta, MD

Hematology & Oncology · San Juan, PRNPI 1093961609

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (57.4%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 52 manufacturers reported payments, led by Eisai Inc. at 26.5% of the total. Reporting peaked in 2019 at $55,256 and has fallen 66.4% since, to $18,553 in 2025. Among hematology & oncology clinicians in PR 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.

$154,422in general payments, 2019–2025

Across 1,173 payments — averaging $131.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Eisai Inc.$41K
  • Merck$33K
  • E.r. Squibb & Sons, L.L.C.$30K
  • Eli Lilly Export S.A. Puerto Rico Branch$23K
  • AbbVie$6K
  • Johnson & Johnson$4K
  • plus $18K from 46 others
$6,181,873in research payments, 2019–2025

Across 342 payments — averaging $18,076 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • E.r. Squibb & Sons, L.L.C.$4M
  • Merck$1.6M
  • Eli Lilly Export S.A. Puerto Rico Branch$116K
  • Mirati Therapeutics, Inc.$111K
  • Tolmar, Inc.$83K
  • Daiichi Sankyo Inc.$80K
  • plus $228K from 10 others

What the payments were for

  • Consulting fees$40,71526%
  • Speaking & faculty fees$88,64557%
  • Travel & lodging$6730%
  • Food & beverage$24,05316%
  • Education$3360%

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.

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

$154,422 in reported general payments places this provider in the 95th percentile of 138 hematology & oncology providers in Puerto Rico.

See all hematology & oncology providers in Puerto Rico

Medicare billing

Part B allowed, 2024
$13,045
Medicare patients
35
Services billed
179

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
IbrancePalbociclib38$606,839
CabometyxCabozantinib S-Malate12$356,239
RevlimidLenalidomide19$323,048
Everolimus20$130,344
ProliaDenosumab17$29,845
Aprepitant33$14,264
Anastrozole90$3,164
Sucralfate25$2,270
Exemestane17$2,197
Pantoprazole Sodium113$1,167
Ondansetron Hcl98$1,133
Letrozole47$758
Tamoxifen Citrate11$608
Dexamethasone23$491
Hydroxyurea12$472

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
PfizerIbrance$225$606,83938 claims
Exelixis Inc.Cabometyx$495$356,23912 claims
Bristol Myers SquibbRevlimid$548$323,04819 claims
AmgenProlia$1,127$29,84517 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 95th percentile of 138 hematology & oncology providers in Puerto Rico.

Other hematology & oncology in San Juan

See the full list for Puerto Rico

Where these figures come from

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