Rodolfo Alcedo
Neurological Surgery · San Juan, PRNPI 1316141534
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (46.8%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. Penumbra, Inc. accounts for 84.1% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2024 at $19,970 and has fallen 58.2% since, to $8,347 in 2025. Among neurological surgery 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 136 payments — averaging $278.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$32K
- Medtronic$3K
- Siemens Medical Solutions USA, Inc.$2K
- Imperative Care, Inc$175
- Carl Zeiss Meditec USA, Inc.$157
- Johnson & Johnson$139
- plus $742 from 11 others
What the payments were for
- Speaking & faculty fees$12,00032%
- Travel & lodging$17,76847%
- Food & beverage$8,16322%
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 |
|---|---|---|
| Penumbra, Inc. | 67 | $31,880 |
| Medtronic | 40 | $2,978 |
| Siemens Medical Solutions USA, Inc. | 10 | $1,859 |
| Imperative Care, Inc | 1 | $175 |
| Carl Zeiss Meditec USA, Inc. | 1 | $157 |
| Johnson & Johnson | 3 | $139 |
| Olympus Latin America, Inc. | 2 | $136 |
| Medexus Pharma, Inc. | 1 | $122 |
| Globus Medical | 1 | $106 |
| Microvention, Inc. | 2 | $104 |
| Sanofi | 1 | $90 |
| Stryker | 1 | $70 |
| Johnson And Johnson International | 2 | $38 |
| AstraZeneca | 1 | $24 |
| Elekta, Inc. | 1 | $19 |
| Boston Scientific | 1 | $18 |
| Chiesi USA, Inc. | 1 | $16 |
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.
- Penumbra System$15,855
- RED 72$7,225
- Smart Coil$6,909
- Artis Q floor$1,398
- Artis icono floor$1,398
- Pipeline$1,214
- Penumbra SMART Coil$447
- SOLITAIRE X$226
- ZOOM REPERFUSION CATHETER$175
- IORT$157
- Penumbra Jet 7$152
- Smart$145
- Ellipsys$144
- AXIUM PRIMETM$130
- Artemis$130
- ORBEYE SURGICAL MICROSCOPE$124
- Gleolan$122
- CorPath GRX$120
- Jet 7$110
- LINQ II$106
How this compares
$37,930 in reported general payments places this provider in the 95th percentile of 39 neurological surgery providers in Puerto Rico.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 47 | $372 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in San Juan
- Rafael Rodriguez-MercadoSan Juan$17K
- Fanor Saavedra PozoSan Juan$11K
- Cesar CarballoSan Juan$9K
- Michael LopezSan Juan$8K
- Eva Pamias PortalatinSan Juan$4K
- Gisela Murray OrtizSan Juan$4K
- Julio RosadoSan Juan$3K
- Larry TorresSan Juan$2K
- Miguel Mayol del ValleSan Juan$784
- Ramon de Leon-BerrasSan Juan$468
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.