Ramon Perea, MD
Cardiovascular Disease · San Juan, PRNPI 1225178874
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $57,941 of the $68,226 with a category attached, or 84.9%. E.r. Squibb & Sons, L.L.C. accounts for 73.9% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2019 at $28,288 and has fallen 99.1% since, to $267 in 2025. Among cardiovascular disease clinicians in PR with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 186 payments — averaging $366.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- E.r. Squibb & Sons, L.L.C.$50K
- Johnson & Johnson$16K
- AstraZeneca$329
- Abbott$206
- Merck$181
- PBG Puerto Rico LLC$145
- plus $582 from 8 others
What the payments were for
- Consulting fees$4,3256%
- Speaking & faculty fees$57,94185%
- Travel & lodging$1,0792%
- Food & beverage$4,8697%
- Education$120%
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 |
|---|---|---|
| E.r. Squibb & Sons, L.L.C. | 60 | $50,414 |
| Johnson & Johnson | 65 | $16,368 |
| AstraZeneca | 19 | $329 |
| Abbott | 9 | $206 |
| Merck | 5 | $181 |
| PBG Puerto Rico LLC | 8 | $145 |
| Boston Scientific | 4 | $142 |
| Medtronic | 1 | $134 |
| Amgen | 5 | $97 |
| Boehringer Ingelheim | 4 | $89 |
| Bayer Puerto Rico Inc. | 2 | $45 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 2 | $31 |
| AbbVie | 1 | $25 |
| Sanofi-aventis U.S. LLC | 1 | $19 |
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.
- ELIQUIS$47,295
- INVOKANA$14,078
- XARELTO$1,350
- COREVALVE EVOLUT R$134
How this compares
$68,226 in reported general payments places this provider in the 95th percentile of 267 cardiovascular disease 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 |
|---|---|---|
| EliquisApixaban | 515 | $412,755 |
| XareltoRivaroxaban | 129 | $101,452 |
| JanuviaSitagliptin Phosphate | 78 | $86,635 |
| JardianceEmpagliflozin | 82 | $69,764 |
| FarxigaDapagliflozin Propanediol | 57 | $48,306 |
| SynthroidLevothyroxine Sodium | 434 | $47,952 |
| Candesartan Cilexetil | 327 | $41,447 |
| JanumetSitagliptin Phos/Metformin Hcl | 26 | $33,895 |
| TradjentaLinagliptin | 23 | $30,094 |
| BrilintaTicagrelor | 25 | $29,471 |
| Metoprolol Succinate | 1,229 | $28,063 |
| Losartan Potassium | 1,503 | $23,149 |
| Atorvastatin Calcium | 1,488 | $20,583 |
| Isosorbide Dinitrate | 332 | $19,706 |
| Candesartan-HydrochlorothiazidCandesartan/Hydrochlorothiazid | 85 | $16,300 |
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 |
|---|---|---|
| MerckJanuvia, Janumet, Janumet Xr | $181 | $134,125120 claims |
| Johnson & JohnsonXarelto | $16,368 | $101,452129 claims |
| Boehringer IngelheimJardiance, Tradjenta | $89 | $99,858105 claims |
| AstraZenecaFarxiga, Brilinta | $329 | $77,77782 claims |
| AbbVieSynthroid | $25 | $47,952434 claims |
| Sanofi-aventis U.S. LLCLantus | $19 | $4,33526 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 95th percentile of 267 cardiovascular disease providers in Puerto Rico.
Other cardiovascular disease in San Juan
- Manuel GuzmanSan Juan$203K
- Francisco Merced-OrtizSan Juan$54K
- Sonia VicentySan Juan$23K
- Sonia Velazquez-NavarroSan Juan$17K
- Pedro Vargas-OteroSan Juan$15K
- Ricardo ColacioppoSan Juan$14K
- Jose Kareh CorderoSan Juan$13K
- William Borges CancelSan Juan$13K
- Zuanette Ramos-RoblesSan Juan$13K
- Edwin Rodriguez CruzSan Juan$12K
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.