Has Rafael Garcia, MD received payments from drug or device companies?

Yes. Drug and device makers reported $640 in general payments to Rafael Garcia, MD across 15 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Rafael Garcia, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Rafael Garcia, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Rafael Garcia, MD

Otolaryngology · Hialeah, FLNPI 1740221761

Payments from drug & device makers

$640in general payments, 2019–2025

Across 15 payments — averaging $42.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Medtronic$365
GSK$107
Optinose US, Inc.$40
Corium, LLC$34
AbbVie$31
Mallinckrodt Enterprises LLC$27
plus $35 from 2 others

What the payments were for

Food & beverage$640100%

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
Medtronic	2	$365
GSK	4	$107
Optinose US, Inc.	2	$40
Corium, LLC	2	$34
AbbVie(2 entities)	2	$31
Mallinckrodt Enterprises LLC	1	$27
Alk-abello, Inc	1	$18
Idorsia Pharmaceuticals US Inc	1	$18

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.

PROPEL$365

How this compares

$640 in reported general payments places this provider in the 30th percentile of 586 otolaryngology providers in Florida.

See all otolaryngology providers in Florida →

Medicare billing

Part B allowed, 2024

$37,863

Medicare patients

103

Services billed

691

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

Drug	Claims	Cost to plans & patients
Fluocinolone Acetonide Oil	103	$5,862
Cevimeline Hcl	29	$1,958
Fluticasone Propionate	147	$1,787
Ofloxacin	33	$1,623
Triamcinolone Acetonide	34	$1,239
Azelastine Hcl	48	$814
Levocetirizine Dihydrochloride	50	$277
Ipratropium Bromide	13	$210
Mupirocin	13	$69
Levothyroxine Sodium	14	$53
Acetaminophen-CodeineAcetaminophen With Codeine	15	$47
Omeprazole	12	$40
Amoxicillin	13	$11

Paid to pharmacies, not to this prescriber.

Other otolaryngology in Hialeah

Alex MarbanHialeah$44K
Craig ShapiroHollywood$8.1M
Adrien EshraghiMiami$2.1M
Cecelia DamaskOrlando$771K
Ralph TufanoSarasota$733K
Mitchell MillerClearwater$709K
Brian KerrGainesville$629K
Maria SuurnaMiami$456K
Mark TaborTampa$348K
Franklin RimellFort Myers$314K

See the full list for Florida →

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.

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