Renato Dominguez, MD
Internal Medicine · Miami, FLNPI 1851408538
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 88 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 13 manufacturers, the largest accounting for just 18.7% — the pattern of someone who eats at a lot of different presentations.
Across 88 payments — averaging $20.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boehringer Ingelheim$341
- GSK$282
- Amgen$254
- Bayer$215
- AstraZeneca$144
- Exact Sciences$143
- plus $444 from 7 others
Across 525 payments — averaging $9901.52 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.
- Janssen Research & Development, LLC$4.6M
- Novartis$338K
- Bausch Health US, LLC$229K
- GSK$16K
- Sanofi US Services Inc.$8K
- Jazz Pharmaceuticals Inc.$4K
What the payments were for
- Food & beverage$1,823100%
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 |
|---|---|---|
| Boehringer Ingelheim | 24 | $341 |
| GSK | 17 | $282 |
| Amgen | 9 | $254 |
| Bayer | 8 | $215 |
| AstraZeneca | 7 | $144 |
| Exact Sciences | 5 | $143 |
| Novartis | 8 | $140 |
| Johnson & Johnson | 1 | $122 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 5 | $90 |
| Novo Nordisk | 1 | $26 |
| Adamas Pharmaceuticals, Inc. | 1 | $24 |
| Bristol Myers Squibb | 1 | $22 |
| Pfizer | 1 | $20 |
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
$1,823 in reported general payments places this provider in the 80th percentile of 8,530 internal medicine providers in Florida.
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 | 46 | $26,841 |
| JanuviaSitagliptin Phosphate | 45 | $24,725 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 32 | $22,353 |
| OzempicSemaglutide | 18 | $16,769 |
| XareltoRivaroxaban | 25 | $15,939 |
| MounjaroTirzepatide | 15 | $15,057 |
| TradjentaLinagliptin | 14 | $12,685 |
| EntrestoSacubitril/Valsartan | 18 | $12,200 |
| CreonLipase/Protease/Amylase | 17 | $10,162 |
| SymbicortBudesonide/Formoterol Fumarate | 34 | $9,467 |
| Spiriva RespimatTiotropium Bromide | 14 | $7,355 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 204 | $6,554 |
| VascepaIcosapent Ethyl | 16 | $5,540 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 180 | $5,502 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 38 | $4,298 |
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 |
|---|---|---|
| PfizerEliquis | $20 | $26,84146 claims |
| GSKTrelegy Ellipta | $282 | $22,35332 claims |
| Boehringer IngelheimTradjenta, Spiriva Respimat | $341 | $20,03928 claims |
| Novo NordiskOzempic | $26 | $16,76918 claims |
| Johnson & JohnsonXarelto | $122 | $15,93925 claims |
| NovartisEntresto | $140 | $12,20018 claims |
| AstraZenecaSymbicort | $144 | $9,46734 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 80th percentile of 8,530 internal medicine providers in Florida.
Other internal medicine in Miami
- Haytham ElgammalMiami$2.2M
- Richard AguilarMiami$239K
- Maria Delgado LelievreMiami$80K
- Marlow HernandezMiami$58K
- Steven CohnMiami$47K
- Joseph PiperatoMiami$45K
- Simon AbelsonMiami$44K
- Joel Brooks TamayoMiami$42K
- Keith RubinFort Lauderdale$2M
- Michael SensionFort Lauderdale$1M
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.