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Rafael Rodriguez Lopez, MD

Gastroenterology · San Juan, PRNPI 1275530743

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (39.2%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. Olympus Latin America, Inc. accounts for 79.8% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2023 at $9,240 and has fallen 94.4% since, to $518 in 2025. Among gastroenterology clinicians in PR with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$20,404in general payments, 2019–2025

Across 121 payments — averaging $168.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Olympus Latin America, Inc.$16K
  • AbbVie$2K
  • Olympus Corporation Of The Americas$778
  • E.r. Squibb & Sons, L.L.C.$406
  • Boston Scientific$263
  • PBG Puerto Rico LLC$144
  • plus $591 from 8 others

What the payments were for

  • Consulting fees$7,78838%
  • Speaking & faculty fees$7,99039%
  • Travel & lodging$7434%
  • Food & beverage$3,87519%
  • Education$80%

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.

CompanyPaymentsTotal
Olympus Latin America, Inc.20$16,275
AbbVie58$1,946
Olympus Corporation Of The Americas5$778
E.r. Squibb & Sons, L.L.C.9$406
Boston Scientific3$263
PBG Puerto Rico LLC7$144
Gilead6$132
Pfizer Pharmaceuticals LLC2$111
Madrigal Pharmaceuticals2$102
Boehringer Ingelheim1$100
Ferring Pharmaceuticals Inc.5$89
Intercept Pharmaceuticals, Inc.1$27
Merck1$22
Pfizer1$8

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

$20,404 in reported general payments places this provider in the 90th percentile of 198 gastroenterology providers in Puerto Rico.

See all gastroenterology providers in Puerto Rico →

Medicare billing

Part B allowed, 2024
$23,237
Medicare patients
64
Services billed
162

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
Mesalamine19$16,744
SuprepSodium, Potassium,mag Sulfates98$11,514
Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates64$5,216
Sodium Chloride0.9 % Sodium Chloride117$535
Gavilyte-CPeg3350/Sod Sulf,bicarb,cl/Kcl19$447
Midazolam HclMidazolam Hcl/Pf80$209
Midazolam Hcl77$197
Fentanyl CitrateFentanyl Citrate/Pf48$169
Lidocaine Hcl ViscousLidocaine Hcl40$150
Famotidine16$133
Omeprazole20$126

Paid to pharmacies, not to this prescriber.

Other gastroenterology in San Juan

See the full list for Puerto Rico →

Where these figures come from

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