Who Paid My Doc
Ismael Toro Grajales
Geriatric Medicine Bayamon, PR Medical Doctor
NPI 1063487171 CMS profile 450530
B7 Calle Santa Cruz, Urb. Santa Cruz, Bayamon, PR 00961
General payments
$4,741
Research payments
$0
Ownership & investment interest
$0
Research they led as principal investigator
$1,208,388
Through program year 2023, Ismael Toro Grajales of Bayamon, PR is reported in the CMS Open Payments database as having received $4,741 across 12 general payments and $0 in research payments paid to them. Separately, studies naming them as principal investigator received $1,208,388 in research payments, paid to institutions rather than 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. The principal-investigator line is research money paid to institutions for studies they led — not to them — and is not added to anything either.
General payments for this record sit in the 92nd percentile of Geriatric Medicine profiles with reported payments. Percentile describes the distribution, not the conduct.
By program year
5 rows| Year | Kind | Relative to this record's peak year | Amount | Records |
|---|---|---|---|---|
| 2023 | General | $199 | 2 | |
| 2022 | General | $3,083 | 4 | |
| 2021 | General | $1,253 | 2 | |
| 2020 | General | $80 | 1 | |
| 2019 | General | $125 | 3 |
Beside peers
- Ismael Toro Grajales
- Geriatric Medicine median
- Middle half of Geriatric Medicine
- National median
In program year 2025, general payments to Ismael Toro Grajales were reported at $0. Among 512 Geriatric Medicine profiles paid that year, the median was $120 and the middle half received between $37 and $350.
Show as a table
| Year | Ismael Toro Grajales | Geriatric Medicine median | Middle half | National median |
|---|---|---|---|---|
| 2019 | $125 | $96 | $28–$339 | $163 |
| 2020 | $80 | $99 | $28–$262 | $114 |
| 2021 | $1,253 | $94 | $27–$318 | $132 |
| 2022 | $3,083 | $103 | $34–$338 | $149 |
| 2023 | $199 | $109 | $39–$320 | $160 |
| 2024 | $0 | $125 | $36–$371 | $164 |
| 2025 | $0 | $120 | $37–$350 | $169 |
Breakdown
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 · 94 drugsPart D claims
9,058
Drug cost
$249,146
Branded share of claims
16.4%
| Drug | Type | Relative to their largest | Claims | Drug cost |
|---|---|---|---|---|
| Eliquis Apixaban | Brand | 67 | $34,396 | |
| Jardiance Empagliflozin | Brand | 33 | $25,744 | |
| Trulicity Dulaglutide | Brand | 14 | $13,812 | |
| Trijardy Xr Empaglifloz/Linaglip/Metformin | Brand | 22 | $11,128 | |
| Jentadueto Linagliptin/Metformin Hcl | Brand | 13 | $10,009 | |
| Irbesartan-Hydrochlorothiazide Irbesartan/Hydrochlorothiazide | Brand | 251 | $8,847 | |
| Synthroid Levothyroxine Sodium | Brand | 108 | $7,873 | |
| Arnuity Ellipta Fluticasone Furoate | Brand | 37 | $7,843 | |
| Lumigan Bimatoprost | Brand | 27 | $7,367 | |
| Humulin R Insulin Regular, Human | Brand | 92 | $6,839 |
The 10 drugs with the highest cost, of 94 counted.
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 1,814 Part D prescribers listed as Geriatric Medicine; they describe a distribution and say nothing about conduct.
Records
12 reportedEvery 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 Geriatric Medicine in Puerto Rico
Antolin Padilla
Geriatric Medicine · Guaynabo, PR
Deric Lopez
Geriatric Medicine · Manati, PR
Francisco Torres Lozada
Geriatric Medicine · Ponce, PR
Carmen Marrero
Geriatric Medicine · San Juan, PR
Alejandro Medina
Geriatric Medicine · Bayamon, PR
Jaime Rodriguez-Arias
Geriatric Medicine · Ponce, PR
Related records
Geriatric Medicine in Puerto Rico
Practitioners in the same specialty and state, ranked by reported value.
All Geriatric Medicine
Everyone recorded under this specialty, nationwide.
Doctors in Puerto Rico
Every practitioner in the state with a reported payment.
How to read this page
What each amount means, and what it does not mean.
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.