RxDoctor Payments Data

Vascular Surgery in Puerto Rico

20 providers, $159,575 in total reported payments from drug and device makers. Ranked below by lifetime general payments. The median provider in this group received $4,475.

Ranking high here usually means a consulting or royalty arrangement, not wrongdoing. Payments to device inventors and trial investigators are legal, disclosed, and concentrated in a small number of people — which is exactly why a list like this has a steep top and a long flat tail.

What Medicare pays vascular surgery clinicians in Puerto Rico

Part B allowed per clinician, 2024
$21,964
Of which, services
$21,964
Clinicians billing Part B
15

Across 15 vascular surgery clinicians in Puerto Rico who billed Original Medicare Part B in 2024, Medicare allowed $329,462 in total — an average of $21,964 each, of which $21,964 was for services and the rest for drugs administered in the office.

This is not a salary. The rest is what Medicare allowed for services these clinicians billed — Original Medicare fee-for-service only. It excludes Medicare Advantage, which now covers more than half of Medicare enrollees, along with Medicaid and every commercial insurer, so for most clinicians it is a fraction of their practice. It is also gross revenue: staff, rent, supplies and malpractice premiums all come out of it before anyone is paid. Anyone quoting a figure like this as physician pay is misreading it.

Ranked by reported payments

  1. 1Fernando Joglar-IrizarrySan Juan$48,284
  2. 2Ivan DominguezSan Juan$36,804
  3. 3Leonardo ValentinManati$12,488
  4. 4Cesar Castillo AliceaSan Juan$9,855
  5. 5Gabriel Pereira TorrellasPonce$9,004
  6. 6Jorge Martinez TrabalPonce$7,751
  7. 7Rafael Santini DominguezPonce$7,506
  8. 8Angel Menendez-AponteBayamon$6,741
  9. 9Carlos Rivera-CabanPonce$5,386
  10. 10Osvaldo Santiago GonzaPonce$4,475
  11. 11Luis TorruellaPonce$2,921
  12. 12Luis A Lopez GalarzaManati$2,913
  13. 13Wilmer Valentin GonzalezGuaynabo$1,208
  14. 14Andres GuerreroCaguas$820
  15. 15Francisco Aponte RiveraSan Juan$742
  16. 16Jose PaganManati$716
  17. 17Agustin Rodriguez GonzalezSan Juan$709
  18. 18Carlos Calimano GuardiolaSan Juan$526
  19. 19Luis AponteCaguas$366
  20. 20Rafael JustinianoMayaguez$361
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