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