RxDoctor Payments Data

Ramon Ortiz Carrasquillo, MD

Endocrinology, Diabetes & Metabolism · Manati, PRNPI 1639101926

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (53.6%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Eli Lilly at 53.2% of the total.

$9,528in general payments, 2019–2025

Across 260 payments — averaging $36.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Eli Lilly$5K
  • Eli Lilly Export S.A. Puerto Rico Branch$1K
  • AstraZeneca$850
  • Boehringer Ingelheim$652
  • Novo Nordisk$433
  • Sanofi-aventis U.S. LLC$429
  • plus $1K from 10 others
$6,209,273in research payments, 2019–2025

Across 1,939 payments — averaging $3202.31 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.

  • Eli Lilly Export S.A. Puerto Rico Branch$5.3M
  • Novo Nordisk AS$558K
  • Eli Lilly$257K
  • Alnylam Pharmaceuticals Inc.$36K
  • Novartis$18K
  • Amgen$563

What the payments were for

  • Speaking & faculty fees$3003%
  • Travel & lodging$4,04142%
  • Food & beverage$5,11154%
  • Education$761%

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

$9,528 in reported general payments places this provider in the 75th percentile of 143 endocrinology, diabetes & metabolism providers in Puerto Rico.

See all endocrinology, diabetes & metabolism providers in Puerto Rico

Medicare billing

Part B allowed, 2024
$24,196
Medicare patients
87
Services billed
302

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
OzempicSemaglutide889$919,310
TrulicityDulaglutide452$573,655
MounjaroTirzepatide422$468,573
FarxigaDapagliflozin Propanediol215$217,399
SynthroidLevothyroxine Sodium1,774$198,147
GlyxambiEmpagliflozin/Linagliptin131$108,088
JardianceEmpagliflozin95$95,703
JanumetSitagliptin Phos/Metformin Hcl86$85,254
SynjardyEmpagliflozin/Metformin Hcl90$81,252
ProliaDenosumab45$78,936
Janumet XrSitagliptin Phos/Metformin Hcl64$69,354
JanuviaSitagliptin Phosphate72$67,220
Xigduo XrDapaglifloz Propaned/Metformin78$65,725
Repatha SureclickEvolocumab87$57,080
Trijardy XrEmpaglifloz/Linaglip/Metformin62$55,216

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
Lilly USA, LLCTrulicity, Mounjaro, Humalog, Humulin 70-30, Humalog Mix 75-25$20$1,131,9771,373 claims
Novo NordiskOzempic$433$919,310889 claims
Boehringer IngelheimGlyxambi, Jardiance, Synjardy, Trijardy Xr, Synjardy Xr$652$452,444519 claims
MerckJanumet, Janumet Xr, Januvia$58$221,828222 claims
AstraZenecaFarxiga$850$217,399215 claims
AbbVieSynthroid$25$198,1471,774 claims
AmgenProlia$235$78,93645 claims
Sanofi-aventis U.S. LLCLantus$429$48,770349 claims
Johnson & JohnsonXarelto$204$11,85411 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 75th percentile of 143 endocrinology, diabetes & metabolism providers in Puerto Rico.

Other endocrinology, diabetes & metabolism in Manati

See the full list for Puerto Rico

Where these figures come from

Is this you, or does something look wrong? →