Runelon Alcudia
Nurse Practitioner · Fleming Island, FLNPI 1518473370
Payments from drug & device makers
Across 211 payments — averaging $31.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$1K
- Medtronic$775
- Merck$532
- E.r. Squibb & Sons, L.L.C.$447
- Boehringer Ingelheim$417
- Pfizer$396
- plus $3K from 20 others
What the payments were for
- Food & beverage$6,683100%
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 |
|---|---|---|
| Abbott | 12 | $1,034 |
| Medtronic | 14 | $775 |
| Merck | 23 | $532 |
| E.r. Squibb & Sons, L.L.C. | 15 | $447 |
| Boehringer Ingelheim | 18 | $417 |
| Pfizer | 16 | $396 |
| Novartis | 19 | $385 |
| AstraZeneca(2 entities) | 17 | $373 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 12 | $279 |
| Cvrx, Inc. | 6 | $267 |
| Boston Scientific | 3 | $263 |
| Johnson & Johnson | 13 | $245 |
| Amgen | 11 | $179 |
| Abiomed | 3 | $177 |
| Edwards Lifesciences | 1 | $169 |
| Bridgebio Pharma, Inc. | 2 | $153 |
| Esperion Therapeutics, Inc. | 6 | $118 |
| Alnylam Pharmaceuticals Inc. | 4 | $98 |
| Kiniksa Pharmaceuticals International, PLC | 4 | $81 |
| Kestra Medical Technology Services, Inc. | 2 | $53 |
| Sanofi | 2 | $51 |
| Daiichi Sankyo Inc. | 2 | $48 |
| Novo Nordisk | 2 | $46 |
| Cordis US CORP. | 1 | $33 |
| Lilly USA, LLC | 2 | $33 |
| Philips North America LLC | 1 | $32 |
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.
- LINQ II$400
- CardioMEMS HF System$282
- CAMZYOS$250
- VERQUVO$204
- AMPLATZER TALISMAN$179
- ONYX FRONTIER$173
- SAPIEN 3 Ultra RESILIA$169
- Barostim Neo System$160
- GENERAL VASCULAR INTERVENTION$143
- Attruby$125
- JARDIANCE$119
- THORATEC HEARTMATE 3 LVAS IMPLANT KIT$118
- FARXIGA$115
- CARDIOMEMS$103
How this compares
$6,683 in reported general payments places this provider in the 95th percentile of 8,290 nurse practitioner 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 |
|---|---|---|
| EntrestoSacubitril/Valsartan | 96 | $91,856 |
| EliquisApixaban | 122 | $81,595 |
| FarxigaDapagliflozin Propanediol | 57 | $36,714 |
| XareltoRivaroxaban | 54 | $33,866 |
| JardianceEmpagliflozin | 55 | $33,391 |
| Repatha SureclickEvolocumab | 34 | $21,222 |
| Enoxaparin Sodium | 16 | $6,016 |
| Clonidine | 42 | $4,867 |
| Dofetilide | 20 | $4,794 |
| Metoprolol Succinate | 128 | $1,857 |
| Atorvastatin Calcium | 143 | $1,846 |
| Nebivolol Hcl | 25 | $1,603 |
| ClopidogrelClopidogrel Bisulfate | 112 | $1,594 |
| Nitroglycerin PatchNitroglycerin | 76 | $1,582 |
| Nifedipine ErNifedipine | 41 | $1,333 |
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 |
|---|---|---|
| NovartisEntresto | $385 | $91,85696 claims |
| PfizerEliquis | $396 | $81,595122 claims |
| AstraZenecaFarxiga | $373 | $36,71457 claims |
| Johnson & JohnsonXarelto | $245 | $33,86654 claims |
| Boehringer IngelheimJardiance | $417 | $33,39155 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 8,290 nurse practitioner providers in Florida.
Other nurse practitioner in Fleming Island
- Jolanta BaginskiClearwater$494K
- Adissa PerezWinter Park$370K
- April WessonTampa$342K
- Margarita FernandezMiami$311K
- Stephanie SimmermanNaples$283K
- Claudette WalkerPonte Vedra Beach$271K
- Lisa NodzonTampa$246K
- Ashima BahlTampa$226K
- Maya BloombergMiami$202K
- Jennifer PuleoTampa$171K
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.