Rafael Rios Rivera, MD
Rheumatology · Ponce, PRNPI 1366891590
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (53.3%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. AbbVie accounts for 61.5% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2024 at $2,253 and has fallen 76.4% since, to $531 in 2025.
Across 70 payments — averaging $53.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- GSK$328
- AstraZeneca$275
- Johnson & Johnson$240
- Amgen$146
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$92
- plus $348 from 8 others
What the payments were for
- Consulting fees$1,70046%
- Travel & lodging$311%
- Food & beverage$1,98053%
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 |
|---|---|---|
| AbbVie | 14 | $2,283 |
| GSK | 9 | $328 |
| AstraZeneca | 8 | $275 |
| Johnson & Johnson | 8 | $240 |
| Amgen | 7 | $146 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 7 | $92 |
| Novartis | 4 | $90 |
| E.r. Squibb & Sons, L.L.C. | 4 | $84 |
| Organon | 3 | $61 |
| Chiesi USA, Inc. | 2 | $31 |
| Bayer | 1 | $25 |
| ANI Pharmaceuticals, Inc. | 1 | $21 |
| Eli Lilly Export S.A. Puerto Rico Branch | 1 | $19 |
| Mallinckrodt Hospital Products Inc. | 1 | $16 |
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.
- Rinvoq$338
- TRELEGY ELLIPTA$119
How this compares
$3,711 in reported general payments places this provider in the 60th percentile of 88 rheumatology providers in Puerto Rico.
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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Humira(Cf) PenAdalimumab | 59 | $408,729 |
| Orencia ClickjectAbatacept | 52 | $318,154 |
| RinvoqUpadacitinib | 43 | $277,054 |
| Enbrel SureclickEtanercept | 14 | $104,092 |
| Actemra ActpenTocilizumab | 17 | $80,673 |
| KevzaraSarilumab | 18 | $78,018 |
| ProliaDenosumab | 15 | $26,572 |
| Amjevita(Cf) AutoinjectorAdalimumab-Atto | 12 | $16,815 |
| MethotrexateMethotrexate Sodium | 335 | $5,007 |
| Hydroxychloroquine Sulfate | 137 | $3,995 |
| Colchicine | 31 | $2,015 |
| Prednisone | 293 | $1,928 |
| Naproxen | 37 | $1,713 |
| Gabapentin | 223 | $1,464 |
| Diclofenac Potassium | 13 | $1,027 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AbbVieRinvoq | $2,283 | $277,05443 claims |
| AmgenProlia | $146 | $26,57215 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 60th percentile of 88 rheumatology providers in Puerto Rico.
Other rheumatology in Ponce
- Roberto Leon-PerezPonce$17K
- Osvaldo AntommatteiPonce$6K
- Ileana Rivera BurgosPonce$2K
- Raul ZambranaPonce$2K
- Radames Sierra ZoritaSan Juan$428K
- Oscar Soto RaicesSan Juan$352K
- Yvonne FontSan Juan$193K
- Paloma AlejandroSan Juan$33K
- Linnette Lopez LopezArecibo$28K
- Jose Rodriguez SantiagoSanturce$26K
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.