RxDoctor Payments Data

Pedro del Valle de Tomas, MD

Internal Medicine · San Juan, PRNPI 1023126430

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 97.9% of the total across 310 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 21 manufacturers reported payments, led by AstraZeneca at 28.8% of the total. Reporting peaked in 2021 at $1,527 and has fallen 58.9% since, to $628 in 2025. Among internal medicine clinicians in PR with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$7,499in general payments, 2019–2025

Across 310 payments — averaging $24.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$2K
  • Boehringer Ingelheim$821
  • PBG Puerto Rico LLC$747
  • E.r. Squibb & Sons, L.L.C.$630
  • Sanofi-aventis U.S. LLC$561
  • GSK$487
  • plus $2K from 15 others
$106,240in research payments, 2019–2025

Across 21 payments — averaging $5059.06 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Pfizer$49K
  • Novavax Inc$36K
  • Sanofi US Services Inc.$22K

What the payments were for

  • Food & beverage$7,34198%
  • Education$991%
  • Gifts$591%

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

$7,499 in reported general payments places this provider in the 95th percentile of 1,043 internal medicine providers in Puerto Rico.

See all internal medicine providers in Puerto Rico

Medicare billing

Part B allowed, 2024
$43,025
Medicare patients
43
Services billed
333

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
EliquisApixaban112$85,198
XareltoRivaroxaban84$69,037
FarxigaDapagliflozin Propanediol83$56,572
JanumetSitagliptin Phos/Metformin Hcl60$43,027
JardianceEmpagliflozin53$40,130
Soliqua 100-33Insulin Glargine/Lixisenatide29$31,077
JanuviaSitagliptin Phosphate41$31,071
SynthroidLevothyroxine Sodium312$26,843
OzempicSemaglutide24$23,820
Xigduo XrDapaglifloz Propaned/Metformin25$22,590
TrulicityDulaglutide13$15,962
Trijardy XrEmpaglifloz/Linaglip/Metformin22$14,804
LantusInsulin Glargine,hum.Rec.Anlog71$10,834
Atorvastatin Calcium898$9,716
Atrovent HfaIpratropium Bromide16$7,473

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, Premarin$116$87,913124 claims
MerckJanumet, Januvia$299$74,098101 claims
Johnson & JohnsonXarelto$427$69,03784 claims
AstraZenecaFarxiga, Symbicort$2,161$59,44896 claims
Boehringer IngelheimJardiance, Trijardy Xr$821$54,93475 claims
Sanofi-aventis U.S. LLCSoliqua 100-33, Lantus$561$41,910100 claims
AbbVieSynthroid$100$26,843312 claims
Novo NordiskOzempic$262$23,82024 claims
Lilly USA, LLCTrulicity, Humalog$119$19,40337 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 95th percentile of 1,043 internal medicine providers in Puerto Rico.

Other internal medicine in San Juan

See the full list for Puerto Rico

Where these figures come from

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