RxDoctor Payments Data

Samuel Amill-Acosta

Pulmonary Disease · Manati, PRNPI 1801898309

Payments from drug & device makers

$546in general payments, 2019–2025

Across 20 payments — averaging $27.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Boston Scientific$94
  • Sanofi$91
  • AstraZeneca$91
  • Bayer$83
  • GSK$62
  • Harmony Biosciences LLC$45
  • plus $81 from 3 others

What the payments were for

  • Food & beverage$41877%
  • Education$12823%

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
21
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.

CompanyPaymentsTotal
Boston Scientific1$94
Sanofi4$91
AstraZeneca5$91
Bayer3$83
GSK3$62
Harmony Biosciences LLC1$45
Pfizer Pharmaceuticals LLC1$34
Merck1$24
Johnson & Johnson1$23

How this compares

$546 in reported general payments places this provider in the 15th percentile of 138 pulmonary disease providers in Puerto Rico.

See all pulmonary disease providers in Puerto Rico

Medicare billing

Part B allowed, 2024
$29,135
Medicare patients
99
Services billed
364

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
AdempasRiociguat31$428,475
Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate1,102$295,671
Spiriva RespimatTiotropium Bromide487$261,124
Trelegy ElliptaFluticasone/Umeclidin/Vilanter235$159,052
LetairisAmbrisentan12$155,611
Stiolto RespimatTiotropium Br/Olodaterol Hcl172$85,933
Breo ElliptaFluticasone/Vilanterol179$75,603
Fluticasone-SalmeterolFluticasone Propion/Salmeterol602$70,815
Albuterol Sulfate HfaAlbuterol Sulfate1,547$61,121
SymbicortBudesonide/Formoterol Fumarate250$59,683
Wixela InhubFluticasone Propion/Salmeterol301$55,759
Proair RespiclickAlbuterol Sulfate661$46,688
Breztri AerosphereBudesonide/Glycopyr/Formoterol56$36,493
Atrovent HfaIpratropium Bromide47$22,414
Arnuity ElliptaFluticasone Furoate100$22,161

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
BayerAdempas$83$428,47531 claims
GSKTrelegy Ellipta, Breo Ellipta, Arnuity Ellipta$62$256,815514 claims
AstraZenecaSymbicort, Breztri Aerosphere$91$96,176306 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 15th percentile of 138 pulmonary disease providers in Puerto Rico.

Other pulmonary disease in Manati

See the full list for Puerto Rico

Where these figures come from

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