RxDoctor Payments Data

Odel Ruano, MD

Internal Medicine · Port Charlotte, FLNPI 1659384147

Payments from drug & device makers

$6,262in general payments, 2019–2025

Across 277 payments — averaging $22.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Johnson & Johnson$495
  • GSK$473
  • AbbVie$413
  • AstraZeneca$409
  • Lilly USA, LLC$364
  • Amgen$354
  • plus $4K from 45 others

What the payments were for

  • Food & beverage$6,14698%
  • Education$1162%

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.

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

$6,262 in reported general payments places this provider in the 90th percentile of 8,530 internal medicine providers in Florida.

See all internal medicine providers in Florida

Medicare billing

Part B allowed, 2024
$403,255
Medicare patients
939
Services billed
9,867

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
EliquisApixaban736$325,279
JardianceEmpagliflozin112$87,805
XareltoRivaroxaban171$80,601
Trelegy ElliptaFluticasone/Umeclidin/Vilanter83$75,439
Repatha SureclickEvolocumab44$57,781
CreonLipase/Protease/Amylase31$50,598
JanuviaSitagliptin Phosphate92$49,222
TrulicityDulaglutide56$46,515
MyrbetriqMirabegron104$45,846
EntrestoSacubitril/Valsartan22$27,336
BrilintaTicagrelor99$26,461
TradjentaLinagliptin47$26,129
Tresiba Flextouch U-200Insulin Degludec42$25,156
ArexvyRsvpref3 Antigen/As01e/Pf68$21,738
OzempicSemaglutide11$20,772

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
PfizerEliquis$270$325,279736 claims
GSKTrelegy Ellipta, Arexvy, Breo Ellipta, Incruse Ellipta, Shingrix$473$124,468217 claims
Boehringer IngelheimJardiance, Tradjenta$266$113,934159 claims
Johnson & JohnsonXarelto$495$80,601171 claims
Lilly USA, LLCTrulicity, Mounjaro$364$66,97675 claims
MerckJanuvia, Lagevrio (Eua)$173$59,331104 claims
AstraZenecaBrilinta, Farxiga, Symbicort$409$57,024168 claims
AbbVieCreon, Restasis$413$56,39942 claims
Astellas Pharma US IncMyrbetriq$339$45,846104 claims
NovartisEntresto$139$27,33622 claims
Novo NordiskOzempic$266$20,77211 claims
AmgenProlia$354$19,13111 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 90th percentile of 8,530 internal medicine providers in Florida.

Other internal medicine in Port Charlotte

See the full list for Florida

Where these figures come from

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