Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Freddy Madera

Thoracic Surgery (Cardiothoracic Vascular Surgery) Mayaguez, PR Medical Doctor

NPI 1568849859 CMS profile 1332491

Ave Hostos # 410, Carretera 2, Bo Sabalos, Mayaguez, PR 00682

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General payments

$3,417

83 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Freddy Madera of Mayaguez, PR is reported in the CMS Open Payments database as having received $3,417 across 83 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 43rd percentile of Thoracic Surgery (Cardiothoracic Vascular Surgery) profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $950 27
2024 General $1,559 33
2023 General $571 11
2022 General $77 4
2021 General $124 4
2020 General $68 3
2019 General $68 1

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Freddy Madera
  • Thoracic Surgery (Cardiothoracic Vascular Surgery) median
  • Middle half of Thoracic Surgery (Cardiothoracic Vascular Surgery)
  • National median

In program year 2025, general payments to Freddy Madera were reported at $950. Among 4,073 Thoracic Surgery (Cardiothoracic Vascular Surgery) profiles paid that year, the median was $791 and the middle half received between $208 and $3,074.

Show as a table
Year Freddy Madera Thoracic Surgery (Cardiothoracic Vascular Surgery) median Middle half National median
2019 $68 $886 $178–$3,167 $163
2020 $68 $341 $108–$1,605 $114
2021 $124 $453 $125–$1,886 $132
2022 $77 $695 $180–$2,566 $149
2023 $571 $745 $205–$2,662 $160
2024 $1,559 $799 $214–$2,967 $164
2025 $950 $791 $208–$3,074 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Medtronic, Inc. $1,849 47 payments
  2. Smith+Nephew, Inc. $329 4 payments
  3. Janssen Pharmaceuticals, Inc $222 3 payments
  4. Abbott Laboratories $169 6 payments
  5. Edwards Lifesciences Corporation $164 1 payment
  6. Boston Scientific Corporation $119 3 payments
  7. AstraZeneca Pharmaceuticals LP $119 2 payments
  8. PBG Puerto Rico LLC $91 5 payments
  9. Boehringer Ingelheim Pharmaceuticals, Inc. $88 2 payments
  10. Bayer Puerto Rico Inc. $72 3 payments
  11. Other $195 7 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $3,221 81 payments
  2. Education $195 2 payments
Products named General payments · program years 2019–2025
  1. ENDURANT IIS $735 21 payments
  2. COREVALVE EVOLUT R $434 13 payments
  3. RENASYS Touch $261 3 payments
  4. ACTICOAT 4" X 4" $261 3 payments
  5. XARELTO $192 2 payments
  6. Micra $191 4 payments
  7. Iodosorb Ointment 40g USA $184 2 payments
  8. INSPIRIS RESILIA AORTIC VALVE $164 1 payment
  9. PICO 7 $159 2 payments
  10. Kerendia $138 4 payments
  11. Other $1,526 36 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 2 drugs

Part D claims

27

Median for Thoracic Surgery: 42

Drug cost

$434

Median for Thoracic Surgery: $318

Branded share of claims

0%

Median for Thoracic Surgery: 0%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Cilostazol Generic 11 $354
Warfarin Sodium Generic 16 $81

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 910 Part D prescribers listed as Thoracic Surgery; they describe a distribution and say nothing about conduct.

Payments and prescribing

5 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
XARELTO
  • Janssen Pharmaceuticals, Inc $192
$192 — —
LOKELMA
  • AstraZeneca Pharmaceuticals LP $100
$100 — —
JARDIANCE
  • Boehringer Ingelheim Pharmaceuticals, Inc. $88
$88 — —
Kerendia
  • Bayer Puerto Rico Inc. $21
$21 — —
VYNDAQEL
  • PBG PUERTO RICO LLC $18
$18 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

Records

83 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) in Puerto Rico

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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