Payment overview · 2025
General Payments
3 reported records · 3 companies
Healthcare provider profile · identity verified
Allopathic & Osteopathic Physicians|Internal Medicine|Endocrinology, Diabetes & Metabolism · PONCE, PR · NPI 1104018654
Verified facts
CMS Open Payments records show Cesar H Trabanco, MD received $193.47 in general payments during 2025 across 3 reported records.
Madrigal Pharmaceuticals accounted for 76.6% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 3 associated products.
These records do not establish that a payment influenced prescribing or medical care.
Payment overview · 2025
3 reported records · 3 companies
Separate record types
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Madrigal Pharmaceuticals | Unresolved — no canonical attribution shown | $148.27 | 76.6% | 1 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $24.98 | 12.9% | 1 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $20.22 | 10.4% | 1 | 2025 |
What were the payments for?
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $173.25 | 2 |
| Education | $20.22 | 1 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| REZDIFFRA Normalized: rezdiffra |
Drug | Madrigal Pharmaceuticals | $148.27 | 1 | 2025 |
Source payment records
|
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| FREESTYLE LIBRE 3 Normalized: freestyle libre 3 |
Device | Abbott Laboratories | $24.98 | 1 | 2025 |
Source payment records
|
|||||
| Kerendia Normalized: kerendia |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $20.22 | 1 | 2025 |
Source payment records
|
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Synthroid | Levothyroxine Sodium | 5287 | 894 |
| Atorvastatin Calcium | Atorvastatin Calcium | 1648 | 392 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 1239 | 301 |
| Simvastatin | Simvastatin | 1123 | 227 |
| Gabapentin | Gabapentin | 1107 | 229 |
| Losartan Potassium | Losartan Potassium | 974 | 231 |
| Metformin Hcl | Metformin Hcl | 957 | 209 |
| Levothyroxine Sodium | Levothyroxine Sodium | 740 | 153 |
| Amlodipine Besylate | Amlodipine Besylate | 671 | 170 |
| Janumet | Sitagliptin Phos/Metformin Hcl | 659 | 115 |
| Glimepiride | Glimepiride | 613 | 123 |
| Metoprolol Succinate | Metoprolol Succinate | 554 | 134 |
| Synjardy | Empagliflozin/Metformin Hcl | 519 | 104 |
| Carvedilol | Carvedilol | 462 | 117 |
| Omeprazole | Omeprazole | 447 | 91 |
| Famotidine | Famotidine | 442 | 112 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 426 | 107 |
| Pantoprazole Sodium | Pantoprazole Sodium | 403 | 97 |
| Lisinopril | Lisinopril | 401 | 93 |
| Hydrochlorothiazide | Hydrochlorothiazide | 360 | 84 |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 358 | 110 |
| Enalapril Maleate | Enalapril Maleate | 351 | 72 |
| Ezetimibe | Ezetimibe | 348 | 80 |
| Clopidogrel | Clopidogrel Bisulfate | 328 | 83 |
| Levoxyl | Levothyroxine Sodium | 287 | 41 |
| Jardiance | Empagliflozin | 268 | 55 |
| Irbesartan | Irbesartan | 258 | 52 |
| Farxiga | Dapagliflozin Propanediol | 241 | 55 |
| Tradjenta | Linagliptin | 241 | 42 |
| Glipizide | Glipizide | 237 | 44 |
| Alendronate Sodium | Alendronate Sodium | 233 | 58 |
| Humalog | Insulin Lispro | 229 | 59 |
| Candesartan Cilexetil | Candesartan Cilexetil | 220 | 42 |
| Pioglitazone Hcl | Pioglitazone Hcl | 219 | 41 |
| Fenofibrate | Fenofibrate,micronized | 216 | 39 |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 215 | 48 |
| Atenolol | Atenolol | 209 | 49 |
| Ozempic | Semaglutide | 206 | 30 |
| Jentadueto | Linagliptin/Metformin Hcl | 204 | 41 |
| Candesartan-Hydrochlorothiazid | Candesartan/Hydrochlorothiazid | 186 | 33 |
| Fenofibrate | Fenofibrate Nanocrystallized | 179 | 33 |
| Tamsulosin Hcl | Tamsulosin Hcl | 175 | 42 |
| Metoprolol Tartrate | Metoprolol Tartrate | 172 | 39 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 165 | 33 |
| Fenofibrate | Fenofibrate | 164 | 41 |
| Humulin 70-30 | Insulin Nph Hum/Reg Insulin Hm | 159 | 45 |
| Pravastatin Sodium | Pravastatin Sodium | 157 | 34 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 153 | 45 |
| Ramipril | Ramipril | 151 | 35 |
| Allopurinol | Allopurinol | 148 | 33 |
| Janumet Xr | Sitagliptin Phos/Metformin Hcl | 146 | 22 |
| Januvia | Sitagliptin Phosphate | 146 | 29 |
| Cilostazol | Cilostazol | 142 | 30 |
| Montelukast Sodium | Montelukast Sodium | 140 | 32 |
| Ezetimibe-Simvastatin | Ezetimibe/Simvastatin | 139 | 30 |
| Humalog Kwikpen U-100 | Insulin Lispro | 136 | 36 |
| Repaglinide | Repaglinide | 133 | 32 |
| Lansoprazole | Lansoprazole | 129 | 27 |
| Humalog Mix 75-25 | Insulin Lispro Protamin/Lispro | 121 | 25 |
| Raloxifene Hcl | Raloxifene Hcl | 119 | 29 |
| Sulindac | Sulindac | 115 | 26 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 111 | 23 |
| Irbesartan-Hydrochlorothiazide | Irbesartan/Hydrochlorothiazide | 109 | 26 |
| Furosemide | Furosemide | 108 | 35 |
| Meloxicam | Meloxicam | 106 | 29 |
| Hydralazine Hcl | Hydralazine Hcl | 105 | 31 |
| Calcitriol | Calcitriol | 96 | 21 |
| Duloxetine Hcl | Duloxetine Hcl | 93 | 18 |
| Tresiba Flextouch U-200 | Insulin Degludec | 90 | 30 |
| Xigduo Xr | Dapaglifloz Propaned/Metformin | 88 | 16 |
| Novolog Flexpen | Insulin Aspart | 87 | 19 |
| Finasteride | Finasteride | 84 | 17 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 79 | 15 |
| Metformin Hcl Er | Metformin Hcl | 77 | 15 |
| Glyxambi | Empagliflozin/Linagliptin | 75 | 16 |
| Donepezil Hcl | Donepezil Hcl | 74 | 22 |
| Eliquis | Apixaban | 72 | 18 |
| Meclizine Hcl | Meclizine Hcl | 72 | 16 |
| Fenofibric Acid | Fenofibric Acid (Choline) | 71 | 11 |
| Insulin Syringe | Syringe-Needle,insulin,0.5 Ml | 70 | 25 |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 70 | 18 |
| Doxazosin Mesylate | Doxazosin Mesylate | 69 | 18 |
| Humalog Mix 75-25 Kwikpen | Insulin Lispro Protamin/Lispro | 67 | suppressed |
| Valsartan | Valsartan | 62 | 19 |
| Novolog | Insulin Aspart | 58 | 14 |
| Nabumetone | Nabumetone | 57 | 14 |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 57 | 13 |
| Nifedipine Er | Nifedipine | 55 | 16 |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 54 | 14 |
| Ketoconazole | Ketoconazole | 53 | 28 |
| Indapamide | Indapamide | 50 | 11 |
| Methimazole | Methimazole | 50 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 48 | 19 |
| Latanoprost | Latanoprost | 48 | 12 |
| Levemir | Insulin Detemir | 47 | 16 |
| Novolog Mix 70-30 | Insulin Aspart Prot/Insuln Asp | 47 | suppressed |
| Trulicity | Dulaglutide | 47 | 11 |
| Telmisartan-Hydrochlorothiazid | Telmisartan/Hydrochlorothiazid | 46 | suppressed |
| Cabergoline | Cabergoline | 45 | 14 |
| Metoclopramide Hcl | Metoclopramide Hcl | 45 | 11 |
| Insulin Lispro | Insulin Lispro | 43 | 15 |
| Invokana | Canagliflozin | 43 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 43 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 42 | suppressed |
| Ibandronate Sodium | Ibandronate Sodium | 42 | 12 |
| Paroxetine Hcl | Paroxetine Hcl | 42 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 40 | suppressed |
| Memantine Hcl | Memantine Hcl | 40 | 11 |
| Olmesartan-Hydrochlorothiazide | Olmesartan/Hydrochlorothiazide | 40 | suppressed |
| Insulin Syringe | Syringe And Needle,insulin,1ml | 38 | 20 |
| Levemir Flexpen | Insulin Detemir | 38 | suppressed |
| Pen Needle | Pen Needle, Diabetic | 38 | 15 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 37 | suppressed |
| Synjardy Xr | Empagliflozin/Metformin Hcl | 37 | suppressed |
| Xarelto | Rivaroxaban | 37 | 12 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 36 | 15 |
| Humalog Mix 50-50 Kwikpen | Insulin Lispro Protamin/Lispro | 36 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 36 | suppressed |
| Spironolactone | Spironolactone | 36 | suppressed |
| Novofine 32 | Pen Needle, Diabetic | 35 | 11 |
| Unifine Pentips | Pen Needle, Diabetic | 35 | 14 |
| Novolog Mix 70-30 Flexpen | Insulin Aspart Prot/Insuln Asp | 33 | suppressed |
| Baclofen | Baclofen | 32 | suppressed |
| Trueplus Insulin Syringe | Syringe-Needle,insulin,0.5 Ml | 32 | 11 |
| Pentips Pen Needle | Pen Needle, Diabetic | 31 | 11 |
| Ultra-Fine Nano Pen Needle | Pen Needle, Diabetic | 30 | 21 |
| Clonazepam | Clonazepam | 29 | 11 |
| Diclofenac Sodium | Diclofenac Sodium | 29 | suppressed |
| Folic Acid | Folic Acid | 29 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 29 | 15 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 29 | suppressed |
| Sure Comfort | Syringe-Needle,insulin,0.5 Ml | 29 | suppressed |
| Anastrozole | Anastrozole | 28 | suppressed |
| Invokamet | Canagliflozin/Metformin Hcl | 28 | suppressed |
| Pentoxifylline | Pentoxifylline | 28 | suppressed |
| Verapamil Er | Verapamil Hcl | 28 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 28 | suppressed |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 27 | suppressed |
| Prednisone | Prednisone | 27 | suppressed |
| Betamethasone Diprop Augmented | Betamethasone/Propylene Glyc | 26 | 16 |
| Easy Touch | Syringe-Needle,insulin,0.5 Ml | 26 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 26 | 12 |
| Warfarin Sodium | Warfarin Sodium | 26 | suppressed |
| Digoxin | Digoxin | 25 | suppressed |
| Glipizide Er | Glipizide | 25 | suppressed |
| Nitroglycerin | Nitroglycerin | 25 | suppressed |
| Trueplus Insulin Syringe | Syringe And Needle,insulin,1ml | 25 | suppressed |
| Diltiazem Hcl | Diltiazem Hcl | 24 | suppressed |
| Humulin R | Insulin Regular, Human | 24 | suppressed |
| Hydrocortisone | Hydrocortisone | 24 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 23 | 23 |
| Fluoxetine Hcl | Fluoxetine Hcl | 23 | suppressed |
| Ultiguard Safepack-Pen Needle | Pen Needle, Diabetic,disp Unit | 23 | suppressed |
| Atenolol-Chlorthalidone | Atenolol/Chlorthalidone | 22 | suppressed |
| Humulin R U-500 | Insulin Regular, Human | 22 | suppressed |
| Jentadueto Xr | Linagliptin/Metformin Hcl | 22 | suppressed |
| Mounjaro | Tirzepatide | 22 | suppressed |
| Risedronate Sodium | Risedronate Sodium | 22 | suppressed |
| Repatha Sureclick | Evolocumab | 21 | suppressed |
| Sucralfate | Sucralfate | 21 | suppressed |
| Sure Comfort | Syringe And Needle,insulin,1ml | 21 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 21 | suppressed |
| Diclofenac Potassium | Diclofenac Potassium | 20 | suppressed |
| Flecainide Acetate | Flecainide Acetate | 20 | suppressed |
| Humulin N | Insulin Nph Human Isophane | 20 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 20 | suppressed |
| Novolin 70-30 | Insulin Nph Hum/Reg Insulin Hm | 20 | suppressed |
| Chlorthalidone | Chlorthalidone | 19 | suppressed |
| Alprazolam | Alprazolam | 18 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 18 | suppressed |
| Betamethasone Dipropionate | Betamethasone Dipropionate | 17 | suppressed |
| Ursodiol | Ursodiol | 17 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 16 | suppressed |
| Insulin Syringe | Syring-Needl,disp,insul,0.3 Ml | 16 | suppressed |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 16 | 16 |
| Ranolazine Er | Ranolazine | 16 | suppressed |
| Verapamil Hcl | Verapamil Hcl | 16 | suppressed |
| Brilinta | Ticagrelor | 15 | suppressed |
| Trandolapril-Verapamil Er | Trandolapril/Verapamil Hcl | 15 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 15 | suppressed |
| Trueplus Insulin Syringe | Syring-Needl,disp,insul,0.3 Ml | 15 | suppressed |
| Vytorin | Ezetimibe/Simvastatin | 15 | suppressed |
| Bumetanide | Bumetanide | 14 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 14 | suppressed |
| Fludrocortisone Acetate | Fludrocortisone Acetate | 14 | suppressed |
| Levobunolol Hcl | Levobunolol Hcl | 14 | suppressed |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 13 | suppressed |
| Crestor | Rosuvastatin Calcium | 13 | suppressed |
| Dexlansoprazole Dr | Dexlansoprazole | 13 | suppressed |
| Etodolac | Etodolac | 13 | suppressed |
| Pregabalin | Pregabalin | 13 | suppressed |
| Sure Comfort | Syring-Needl,disp,insul,0.3 Ml | 13 | suppressed |
| Amlodipine-Olmesartan | Amlodipine Bes/Olmesartan Med | 12 | suppressed |
| Captopril | Captopril | 12 | suppressed |
| Colchicine | Colchicine | 12 | suppressed |
| Fosinopril Sodium | Fosinopril Sodium | 12 | suppressed |
| Fosinopril-Hydrochlorothiazide | Fosinopril/Hydrochlorothiazide | 12 | suppressed |
| Humulin 70/30 Kwikpen | Insulin Nph Hum/Reg Insulin Hm | 12 | suppressed |
| Insulin Glargine-Yfgn | Insulin Glargine-Yfgn | 12 | suppressed |
| Leflunomide | Leflunomide | 12 | suppressed |
| Linzess | Linaclotide | 12 | suppressed |
| Rivastigmine | Rivastigmine | 12 | suppressed |
| Telmisartan | Telmisartan | 12 | suppressed |
| Amlodipine-Valsartan | Amlodipine Besylate/Valsartan | 11 | suppressed |
| Bisoprolol Fumarate | Bisoprolol Fumarate | 11 | suppressed |
| Humalog Kwikpen U-200 | Insulin Lispro | 11 | suppressed |
| Letrozole | Letrozole | 11 | suppressed |
| Memantine Hcl Er | Memantine Hcl | 11 | suppressed |
| Naproxen | Naproxen | 11 | suppressed |
Timeline
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $193.47 · 3 records | Madrigal Pharmaceuticals | FREESTYLE LIBRE 3, Kerendia, REZDIFFRA | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error