RxDoctor Payments Data

Nordal Gonzalez Valera, MD

Internal Medicine · Brandon, FLNPI 1407383474

Payments from drug & device makers

$662in general payments, 2019–2025

Across 19 payments — averaging $34.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$208
  • Lilly USA, LLC$108
  • ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$95
  • E.r. Squibb & Sons, L.L.C.$91
  • Boehringer Ingelheim$85
  • Johnson & Johnson$25
  • plus $50 from 3 others

What the payments were for

  • Food & beverage$662100%

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
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

$662 in reported general payments places this provider in the 60th percentile of 8,530 internal medicine providers in Florida.

See all internal medicine providers in Florida

Medicare billing

Part B allowed, 2024
$93,350
Medicare patients
154
Services billed
1,712

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
OzempicSemaglutide51$55,606
RybelsusSemaglutide40$54,258
EliquisApixaban53$53,719
JardianceEmpagliflozin32$40,171
Trelegy ElliptaFluticasone/Umeclidin/Vilanter33$22,059
MounjaroTirzepatide19$19,303
MyrbetriqMirabegron33$17,021
Tresiba Flextouch U-100Insulin Degludec18$14,578
XareltoRivaroxaban15$11,777
LinzessLinaclotide17$10,005
FarxigaDapagliflozin Propanediol13$9,477
Lantus SolostarInsulin Glargine,hum.Rec.Anlog50$8,176
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen138$4,375
Albuterol Sulfate HfaAlbuterol Sulfate129$3,792
Novolog FlexpenInsulin Aspart13$3,639

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 IngelheimJardiance$85$40,17132 claims
Lilly USA, LLCMounjaro$108$19,30319 claims
Astellas Pharma US IncMyrbetriq$22$17,02133 claims
AbbVieLinzess, Synthroid$13$13,33251 claims
Johnson & JohnsonXarelto$25$11,77715 claims
AstraZenecaFarxiga$208$9,47713 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 8,530 internal medicine providers in Florida.

Other internal medicine in Brandon

See the full list for Florida

Where these figures come from

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