RxDoctor Payments Data

Oberto Torres Rafael, MD

Endocrinology, Diabetes & Metabolism · Miami, FLNPI 1477627842

Payments from drug & device makers

$1,046in general payments, 2019–2025

Across 37 payments — averaging $28.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$294
  • Tandem Diabetes Care, Inc.$110
  • Xeris Pharmaceuticals, Inc.$97
  • Novartis$87
  • Mannkind Corporation$66
  • Lilly USA, LLC$51
  • plus $343 from 10 others

What the payments were for

  • Food & beverage$1,01497%
  • Education$323%

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
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

$1,046 in reported general payments places this provider in the 30th percentile of 586 endocrinology, diabetes & metabolism providers in Florida.

See all endocrinology, diabetes & metabolism providers in Florida

Medicare billing

Part B allowed, 2024
$3,268
Medicare patients
21
Services billed
23

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
OzempicSemaglutide659$666,747
TrulicityDulaglutide665$663,526
MounjaroTirzepatide474$513,286
Xultophy 100-3.6Insulin Degludec/Liraglutide381$471,177
Soliqua 100-33Insulin Glargine/Lixisenatide261$245,326
Trijardy XrEmpaglifloz/Linaglip/Metformin286$229,342
GlyxambiEmpagliflozin/Linagliptin248$184,312
Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog228$153,967
JardianceEmpagliflozin190$145,763
Novolog FlexpenInsulin Aspart820$125,221
Toujeo SolostarInsulin Glargine,hum.Rec.Anlog272$118,737
Synjardy XrEmpagliflozin/Metformin Hcl129$105,046
ProliaDenosumab58$101,602
TradjentaLinagliptin125$84,053
Tresiba Flextouch U-200Insulin Degludec136$82,760

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
Novo NordiskOzempic, Xultophy 100-3.6, Novolog, Rybelsus, Tresiba$294$1,218,4791,360 claims
Lilly USA, LLCTrulicity, Mounjaro$51$1,176,8131,139 claims
Sanofi-aventis U.S. LLCSoliqua 100-33, Lantus$38$261,200439 claims
AmgenProlia$27$101,60258 claims
BayerKerendia$31$7,61612 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 30th percentile of 586 endocrinology, diabetes & metabolism providers in Florida.

Other endocrinology, diabetes & metabolism in Miami

See the full list for Florida

Where these figures come from

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