Tobia Palma
Cardiovascular Disease · Palm Beach Gardens, FLNPI 1578507992
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 98 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 18 manufacturers, the largest accounting for just 20.0% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $987 and has fallen 74.7% since, to $249 in 2025. That places this record below the midpoint for cardiovascular disease clinicians in FL, where the typical reported total is $2,774.
Across 98 payments — averaging $17.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$352
- Amgen$295
- Johnson & Johnson$196
- Boehringer Ingelheim$131
- Amarin Pharma, Inc.$111
- E.r. Squibb & Sons, L.L.C.$105
- plus $569 from 12 others
What the payments were for
- Food & beverage$1,759100%
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 |
|---|---|---|
| Novartis | 18 | $352 |
| Amgen | 14 | $295 |
| Johnson & Johnson | 16 | $196 |
| Boehringer Ingelheim | 7 | $131 |
| Amarin Pharma, Inc. | 7 | $111 |
| E.r. Squibb & Sons, L.L.C. | 7 | $105 |
| AstraZeneca | 6 | $103 |
| Kowa Pharmaceuticals America, Inc. | 4 | $70 |
| Bridgebio Pharma, Inc. | 3 | $68 |
| Bayer | 2 | $64 |
| Pfizer | 3 | $61 |
| Boston Scientific | 3 | $55 |
| Lundbeck LLC | 2 | $40 |
| Merck | 2 | $32 |
| Abbott | 1 | $25 |
| Gilead | 1 | $19 |
| Silk Road Medical, Inc. | 1 | $17 |
| Medtronic | 1 | $16 |
How this compares
$1,759 in reported general payments places this provider in the 40th percentile of 1,740 cardiovascular disease providers in Florida.
Other cardiovascular disease in Palm Beach Gardens
- Morteza TavakolPalm Beach Gardens$122K
- Kevin MakatiLutz$1.6M
- Hiram BezerraTampa$698K
- William OneillNaples$637K
- Theodore FeldmanMiami$637K
- John Gerald CantoLakeland$588K
- Alan MillerJacksonville$547K
- Seth BaumBoca Raton$517K
- Elliott EliasMiami$497K
- Vijay HaryaniVero Beach$413K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.