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Rafael Betancourt, MD

Hematology & Oncology · Hato Rey, PRNPI 1831181452

Payments from drug & device makers

$602,707in general payments, 2019–2025

Across 1,032 payments — averaging $584.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Sanofi US Services Inc.$350K
  • Merck$108K
  • AbbVie$69K
  • E.r. Squibb & Sons, L.L.C.$54K
  • Eli Lilly Export S.A. Puerto Rico Branch$7K
  • Mirati Therapeutics, Inc.$4K
  • plus $11K from 42 others
$29,328in research payments, 2019–2025

Across 5 payments — averaging $5865.60 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.

  • Sanofi US Services Inc.$28K
  • Sanofi$670
  • Sanofi-aventis U.S. LLC$265
  • Eli Lilly$85

What the payments were for

  • Consulting fees$3,00014%
  • Travel & lodging$470%
  • Food & beverage$17,60584%
  • Education$3692%

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

$602,707 in reported general payments places this provider in the 90th percentile of 138 hematology & oncology providers in Puerto Rico.

See all hematology & oncology providers in Puerto Rico

Medicare billing

Part B allowed, 2024
$562,660
Medicare patients
51
Services billed
17,413

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
RevlimidLenalidomide116$2,095,263
LenvimaLenvatinib Mesylate16$390,932
NubeqaDarolutamide24$339,472
XtandiEnzalutamide18$257,994
ZejulaNiraparib Tosylate12$218,489
VenclextaVenetoclax13$199,871
RetacritEpoetin Alfa-Epbx48$81,689
Abiraterone Acetate43$65,071
Imatinib Mesylate29$51,297
CreonLipase/Protease/Amylase13$12,622
EliquisApixaban13$8,816
Anastrozole186$3,681
Prochlorperazine Maleate121$1,880
Exemestane21$1,832
Tamoxifen Citrate28$1,609

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
Bristol Myers SquibbRevlimid$218$2,095,263116 claims
Eisai Inc.Lenvima$364$390,93216 claims
BayerNubeqa$239$339,47224 claims
Astellas Pharma US IncXtandi$79$257,99418 claims
GSKZejula$619$218,48912 claims
AbbVieVenclexta, Creon, Synthroid$68,782$213,42743 claims
PfizerRetacrit, Eliquis$146$90,50661 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 138 hematology & oncology providers in Puerto Rico.

Other hematology & oncology in Hato Rey

See the full list for Puerto Rico

Where these figures come from

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