Teresa Alfonso, MD
Internal Medicine · Miami, FLNPI 1326072448
Payments from drug & device makers
Across 188 payments — averaging $481.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cleerly, Inc.$82K
- AstraZeneca$5K
- Novo Nordisk$560
- GSK$362
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$319
- AbbVie$294
- plus $2K from 17 others
What the payments were for
- Food & beverage$3,30797%
- Education$1023%
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 |
|---|---|---|
| Cleerly, Inc. | 10 | $82,061 |
| AstraZeneca | 10 | $5,404 |
| Novo Nordisk | 32 | $560 |
| GSK | 27 | $362 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 18 | $319 |
| AbbVie(2 entities) | 10 | $294 |
| Astellas Pharma US Inc | 13 | $294 |
| Pfizer | 9 | $180 |
| Sanofi-aventis U.S. LLC | 9 | $169 |
| Johnson & Johnson | 14 | $162 |
| Amgen | 10 | $161 |
| Bayer | 3 | $152 |
| Ambu Inc. | 1 | $101 |
| Lilly USA, LLC | 5 | $87 |
| Boehringer Ingelheim | 3 | $64 |
| Novartis | 3 | $55 |
| Amarin Pharma, Inc. | 3 | $55 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $43 |
| Esperion Therapeutics, Inc. | 1 | $25 |
| Aegerion Pharmaceuticals, Inc. | 1 | $19 |
| Kowa Pharmaceuticals America, Inc. | 1 | $18 |
| E.r. Squibb & Sons, L.L.C. | 1 | $16 |
| Teva Pharmaceuticals USA, Inc. | 1 | $11 |
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
$90,614 in reported general payments places this provider in the 95th percentile of 8,530 internal medicine 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 |
|---|---|---|
| EliquisApixaban | 396 | $264,315 |
| OzempicSemaglutide | 214 | $253,635 |
| JardianceEmpagliflozin | 259 | $202,437 |
| JanuviaSitagliptin Phosphate | 109 | $110,446 |
| MounjaroTirzepatide | 87 | $108,999 |
| MyrbetriqMirabegron | 144 | $85,644 |
| LinzessLinaclotide | 98 | $63,433 |
| XareltoRivaroxaban | 78 | $59,678 |
| EntrestoSacubitril/Valsartan | 65 | $59,039 |
| BiktarvyBictegrav/Emtricit/Tenofov Ala | 12 | $55,369 |
| GenvoyaElviteg/Cob/Emtri/Tenof Alafen | 12 | $54,390 |
| Repatha SureclickEvolocumab | 67 | $50,322 |
| RestasisCyclosporine | 61 | $38,097 |
| TrulicityDulaglutide | 22 | $32,472 |
| FarxigaDapagliflozin Propanediol | 36 | $32,374 |
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 |
|---|---|---|
| PfizerEliquis | $180 | $264,315396 claims |
| Novo NordiskOzempic | $560 | $253,635214 claims |
| Boehringer IngelheimJardiance, Tradjenta, Combivent Respimat, Jentadueto | $64 | $233,282317 claims |
| Lilly USA, LLCMounjaro, Trulicity | $87 | $141,470109 claims |
| AbbVieLinzess, Restasis, Namzaric, Lumigan, Synthroid | $294 | $139,939331 claims |
| Astellas Pharma US IncMyrbetriq | $294 | $85,644144 claims |
| NovartisEntresto, Exelon | $55 | $73,37986 claims |
| Johnson & JohnsonXarelto | $162 | $59,67878 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $362 | $55,738104 claims |
| AstraZenecaFarxiga, Symbicort | $5,404 | $47,23196 claims |
| Kowa Pharmaceuticals America, Inc.Livalo | $18 | $26,62238 claims |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLCTrulance | $319 | $12,29822 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 8,530 internal medicine providers in Florida.
Other internal medicine in Miami
- Mark KutnerMiami$35.7M
- Mercedes Ponce de LeonMiami$6.8M
- Alejandro de la CruzMiami$6.2M
- Roberto SotolongoMiami$5.8M
- Enrique PelayoMiami$5.4M
- Renato DominguezMiami$5.2M
- Ramses VegaMiami$4.4M
- Dunia Llapur HernandezMiami$4.3M
- Yaneicy Gonzalez RojasCoral Gables$93.5M
- Juan Carlos RondonHollywood$66.8M
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.