Paulo Carvalho, MD
Geriatric Medicine · Miami, FLNPI 1508414921
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 22 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 9 manufacturers reported payments, led by Novo Nordisk at 24.3% of the total. 2025 is the largest year on record at $348, 2.8 times the $123 reported in 2019.
Across 22 payments — averaging $26.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$139
- Teva Pharmaceuticals USA, Inc.$123
- GSK$87
- Exact Sciences$79
- Viiv Healthcare Company$51
- Gilead$35
- plus $59 from 3 others
What the payments were for
- Food & beverage$573100%
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 |
|---|---|---|
| Novo Nordisk | 7 | $139 |
| Teva Pharmaceuticals USA, Inc. | 1 | $123 |
| GSK | 4 | $87 |
| Exact Sciences | 4 | $79 |
| Viiv Healthcare Company | 2 | $51 |
| Gilead | 1 | $35 |
| Sumitomo Pharma America, Inc. | 1 | $26 |
| Amgen | 1 | $19 |
| Dexcom, Inc. | 1 | $14 |
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.
- AUSTEDO$123
How this compares
$573 in reported general payments places this provider in the 65th percentile of 305 geriatric medicine providers in Florida.
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.
Other geriatric medicine in Miami
- Stuti DangMiami$17K
- Lai-Yuan LiuMiami$2K
- Rafael BarrialMiami$2K
- Malcolm FraserBrooksville$359K
- Andrew ScanameoTallahassee$172K
- Naushira PandyaDavie$145K
- Rosemary LairdViera$64K
- Jonathan AppelbaumMonticello$59K
- John PotomskiMelbourne$31K
- Valeria Baldivieso HurtadoWinter Park$28K
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.