Noel Vargas-Perez, MD
Sleep Medicine · Aguadilla, PRNPI 1154655702
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $914 of the $1,232 with a category attached, or 74.2%. 10 manufacturers reported payments, led by Jazz Pharmaceuticals Inc. at 26.8% of the total. 2025 is the largest year on record at $419, 3.2 times the $133 reported in 2019.
Across 33 payments — averaging $37.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Jazz Pharmaceuticals Inc.$330
- Harmony Biosciences LLC$323
- Novartis$190
- Biogen$121
- Lilly USA, LLC$90
- Biohaven Pharmaceutical Holding Company Ltd.$50
- plus $129 from 4 others
What the payments were for
- Food & beverage$91474%
- Education$31726%
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 |
|---|---|---|
| Jazz Pharmaceuticals Inc. | 8 | $330 |
| Harmony Biosciences LLC | 9 | $323 |
| Novartis | 4 | $190 |
| Biogen | 2 | $121 |
| Lilly USA, LLC | 2 | $90 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $50 |
| PBG Puerto Rico LLC | 2 | $43 |
| Genentech USA, Inc. | 2 | $33 |
| Eli Lilly Export S.A. Puerto Rico Branch | 1 | $31 |
| AbbVie | 1 | $22 |
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
Too few sleep medicine providers in Puerto Ricoto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Emgality PenGalcanezumab-Gnlm | 50 | $38,152 |
| NeuproRotigotine | 14 | $11,973 |
| ReyvowLasmiditan Succinate | 11 | $8,301 |
| Rivastigmine | 59 | $7,265 |
| Memantine Hcl | 490 | $5,112 |
| Donepezil Hcl | 566 | $3,008 |
| Carbidopa-LevodopaCarbidopa/Levodopa | 67 | $2,470 |
| RivastigmineRivastigmine Tartrate | 63 | $1,697 |
| Levetiracetam | 77 | $1,584 |
| Gabapentin | 161 | $1,339 |
| Doxepin Hcl | 100 | $1,201 |
| Galantamine Hbr | 30 | $1,119 |
| Selegiline Hcl | 17 | $1,090 |
| Fluticasone Propionate | 78 | $1,060 |
| Divalproex Sodium | 31 | $984 |
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, LLCReyvow | $90 | $8,30111 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. There are too few sleep medicine providers in Puerto Ricoon file to place this against a meaningful peer group, so we don't.
Other sleep medicine in Aguadilla
- Jose Pizarro-OteroSan Juan$30K
- Lee GonzalezBayamon$9K
- David de Angel SolaGuaynabo$2K
- Miriam Padilla DiazPonce$1K
- Edwin Alicea-ColonSan Juan$659
- Laura Vega GrauSan Juan$528
- Patricia Fernandez HawaSan Juan$500
- Lissette Jimenez DavilaSan Juan$249
- Edwin Torres MalaveHormigueros$112
- Jose Jimenez CassoBayamon$94
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.