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Yanira Arce-Ayala

Internal Medicine · San Juan, PRNPI 1619312915

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 99.4% of the total across 184 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 16 manufacturers, the largest accounting for just 17.6% — the pattern of someone who eats at a lot of different presentations. Among internal medicine clinicians in PR with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$4,188in general payments, 2019–2025

Across 184 payments — averaging $22.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Biocryst US Sales Co., LLC$737
  • Takeda Pharmaceuticals U.S.A., Inc.$642
  • PBG Puerto Rico LLC$580
  • AbbVie$530
  • Sanofi$381
  • AstraZeneca$364
  • plus $952 from 10 others

What the payments were for

  • Food & beverage$4,16199%
  • Education$261%

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
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
Biocryst US Sales Co., LLC40$737
Takeda Pharmaceuticals U.S.A., Inc.33$642
PBG Puerto Rico LLC27$580
AbbVie20$530
Sanofi13$381
AstraZeneca17$364
GSK9$221
Amgen6$135
Shire North American Group Inc2$131
Eli Lilly Export S.A. Puerto Rico Branch5$122
Boehringer Ingelheim1$108
Sanofi-aventis U.S. LLC2$86
Genentech USA, Inc.4$65
Pharming Healthcare, Inc.2$37
Pfizer2$26
Blueprint Medicines Corporation1$21

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

$4,188 in reported general payments places this provider in the 90th percentile of 1,043 internal medicine providers in Puerto Rico.

See all internal medicine providers in Puerto Rico →

Medicare billing

Part B allowed, 2024
$11,483
Medicare patients
20
Services billed
1,340

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
Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate15$3,431
Azelastine-FluticasoneAzelastine/Fluticasone33$3,256
Fluticasone Propionate82$1,420
Azelastine Hcl39$941
Montelukast Sodium82$643
Mometasone Furoate19$501
Ipratropium Bromide15$487
Triamcinolone Acetonide33$332
Levocetirizine Dihydrochloride23$212
Hydroxyzine Hcl21$168
Famotidine18$93
Prednisone27$77

Paid to pharmacies, not to this prescriber.

Other internal medicine in San Juan

See the full list for Puerto Rico →

Where these figures come from

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