RxDoctor Payments Data

Sergio Alvarez Torres, MD

Nephrology · Adjuntas, PRNPI 1205286077

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 93.4% of the total across 79 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. AstraZeneca accounts for 61.5% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2021 at $875 and has fallen 70.4% since, to $259 in 2025.

$2,953in general payments, 2019–2025

Across 79 payments — averaging $37.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$2K
  • Bayer Puerto Rico Inc.$409
  • Mallinckrodt Hospital Products Inc.$215
  • Amgen$183
  • Johnson & Johnson$88
  • GSK$72
  • plus $171 from 3 others

What the payments were for

  • Food & beverage$2,75893%
  • Education$1957%

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

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.

CompanyPaymentsTotal
AstraZeneca(2 entities)49$1,815
Bayer Puerto Rico Inc.14$409
Mallinckrodt Hospital Products Inc.2$215
Amgen4$183
Johnson & Johnson2$88
GSK1$72
Bayer4$72
Boehringer Ingelheim1$59
Calliditas Therapeutics US Inc.2$40

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

$2,953 in reported general payments places this provider in the 70th percentile of 161 nephrology providers in Puerto Rico.

See all nephrology providers in Puerto Rico

Medicare billing

Part B allowed, 2024
$9,355
Medicare patients
29
Services billed
95

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
FarxigaDapagliflozin Propanediol68$42,439
Sevelamer Carbonate27$7,911
LokelmaSodium Zirconium Cyclosilicate17$6,997
Sodium Polystyrene Sulfonate13$2,629
Calcium Acetate13$2,199
Gentamicin Sulfate28$1,532
Nifedipine ErNifedipine13$613
Calcitriol41$603
Allopurinol63$484
Cinacalcet Hcl11$484
Losartan Potassium35$457
Hydralazine Hcl31$374
Furosemide40$337
Atorvastatin Calcium32$259
Carvedilol13$212

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
AstraZenecaFarxiga, Lokelma$1,815$49,43685 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 70th percentile of 161 nephrology providers in Puerto Rico.

Other nephrology in Adjuntas

See the full list for Puerto Rico

Where these figures come from

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