RxDoctor Payments Data

Robin Remark-Zarate, MD

Geriatric Medicine · Miramar Beach, FLNPI 1720418809

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 25 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 12 manufacturers, the largest accounting for just 18.8% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $520 and has fallen 84.0% since, to $83 in 2025.

$1,984in general payments, 2019–2025

Across 25 payments — averaging $79.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$374
  • Pfizer$364
  • Amgen$224
  • Boehringer Ingelheim$208
  • Merck$136
  • E.r. Squibb & Sons, L.L.C.$122
  • plus $556 from 6 others

What the payments were for

  • Food & beverage$1,984100%

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

$1,984 in reported general payments places this provider in the 80th percentile of 305 geriatric medicine providers in Florida.

See all geriatric medicine providers in Florida

Medicare billing

Part B allowed, 2024
$6,360
Medicare patients
36
Services billed
117

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
EliquisApixaban65$38,920
JanuviaSitagliptin Phosphate23$23,382
XareltoRivaroxaban20$15,376
JardianceEmpagliflozin16$11,906
RybelsusSemaglutide11$11,163
MyrbetriqMirabegron13$7,370
Fluticasone-SalmeterolFluticasone Propion/Salmeterol30$6,126
Fentanyl23$3,256
Memantine Hcl53$2,313
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst41$2,066
Omeprazole98$1,711
Tramadol Hcl42$1,243
Levothyroxine Sodium102$1,221
Potassium Chloride59$1,141
Atorvastatin Calcium66$1,007

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
PfizerEliquis$364$38,92065 claims
MerckJanuvia$136$23,38223 claims
Johnson & JohnsonXarelto$93$15,37620 claims
Boehringer IngelheimJardiance$208$11,90616 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 305 geriatric medicine providers in Florida.

Other geriatric medicine in Miramar Beach

See the full list for Florida

Where these figures come from

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