RxDoctor Payments Data

Yanira Marrero McFaline, MD

Endocrinology, Diabetes & Metabolism · San Juan, PRNPI 1801098330

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $10,829 of the $14,010 with a category attached, or 77.3%. It is spread thinly across 17 manufacturers, the largest accounting for just 23.7% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $5,946 and has fallen 87.4% since, to $748 in 2025.

$14,010in general payments, 2019–2025

Across 317 payments — averaging $44.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Sanofi-aventis U.S. LLC$3K
  • Johnson & Johnson$2K
  • Merck$2K
  • AstraZeneca$1K
  • Boehringer Ingelheim$1K
  • Novo Nordisk$1K
  • plus $3K from 11 others

What the payments were for

  • Consulting fees$2,82020%
  • Speaking & faculty fees$3002%
  • Travel & lodging$220%
  • Food & beverage$10,82977%
  • Education$390%

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
Sanofi-aventis U.S. LLC44$3,323
Johnson & Johnson9$2,333
Merck30$1,942
AstraZeneca51$1,485
Boehringer Ingelheim42$1,158
Novo Nordisk42$1,024
Amgen20$698
Abbott22$503
Bayer Puerto Rico Inc.17$354
AbbVie14$354
Eli Lilly Export S.A. Puerto Rico Branch11$293
Bayer5$276
Dexcom, Inc.3$132
Radius Health, Inc.4$80
PBG Puerto Rico LLC1$20
Pfizer Pharmaceuticals LLC1$20
Medtronic1$16

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

$14,010 in reported general payments places this provider in the 80th percentile of 143 endocrinology, diabetes & metabolism providers in Puerto Rico.

See all endocrinology, diabetes & metabolism providers in Puerto Rico

Medicare billing

Part B allowed, 2024
$22,752
Medicare patients
88
Services billed
188

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
TrulicityDulaglutide223$240,923
OzempicSemaglutide172$189,470
Janumet XrSitagliptin Phos/Metformin Hcl197$149,824
FarxigaDapagliflozin Propanediol179$139,841
JardianceEmpagliflozin162$138,805
Synjardy XrEmpagliflozin/Metformin Hcl99$72,253
SynthroidLevothyroxine Sodium1,131$71,312
Xigduo XrDapaglifloz Propaned/Metformin75$46,073
MounjaroTirzepatide37$42,133
JanuviaSitagliptin Phosphate54$38,909
ProliaDenosumab21$37,016
Humulin R U-500 KwikpenInsulin Regular, Human30$28,248
Jentadueto XrLinagliptin/Metformin Hcl43$27,882
LantusInsulin Glargine,hum.Rec.Anlog243$27,535
HumalogInsulin Lispro190$27,453

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
Boehringer IngelheimJardiance, Synjardy Xr, Jentadueto Xr, Trijardy Xr, Tradjenta$1,158$280,919364 claims
MerckJanumet Xr, Januvia, Janumet$1,942$199,167275 claims
Novo NordiskOzempic$1,024$189,470172 claims
AstraZenecaFarxiga$1,485$139,841179 claims
AbbVieSynthroid$354$71,3121,131 claims
Sanofi-aventis U.S. LLCLantus, Soliqua 100-33$3,323$46,362264 claims
AmgenProlia$698$37,01621 claims
Johnson & JohnsonXarelto, Invokana$2,333$24,16140 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 80th percentile of 143 endocrinology, diabetes & metabolism providers in Puerto Rico.

Other endocrinology, diabetes & metabolism in San Juan

See the full list for Puerto Rico

Where these figures come from

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