Who Paid My Doc
Karina Vila Rivera
Rheumatology Barceloneta, PR Medical Doctor
NPI 1497952584 CMS profile 113771
Carr. 20 Km 56.1, Barrio Afuera, Barceloneta, PR 00617
General payments
$14,405
Research payments
$19,596
Ownership & investment interest
$0
Research they led as principal investigator
$4,984,410
Through program year 2025, Karina Vila Rivera of Barceloneta, PR is reported in the CMS Open Payments database as having received $14,405 across 238 general payments and $19,596 in research payments paid to them. Separately, studies naming them as principal investigator received $4,984,410 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 87th percentile of Rheumatology profiles with reported payments. Percentile describes the distribution, not the conduct.
By program year
14 rows| Year | Kind | Relative to this record's peak year | Amount | Records |
|---|---|---|---|---|
| 2025 | General | $3,255 | 49 | |
| 2025 | Research | $2,423 | 9 | |
| 2024 | General | $1,225 | 31 | |
| 2024 | Research | $114 | 1 | |
| 2023 | General | $1,020 | 30 | |
| 2023 | Research | $1,257 | 7 | |
| 2022 | General | $4,083 | 40 | |
| 2022 | Research | $7,003 | 5 | |
| 2021 | General | $1,989 | 25 | |
| 2021 | Research | $4,485 | 2 | |
| 2020 | General | $2,202 | 30 | |
| 2020 | Research | $2,810 | 3 | |
| 2019 | General | $631 | 33 | |
| 2019 | Research | $1,504 | 8 |
Beside peers
- Karina Vila Rivera
- Rheumatology median
- Middle half of Rheumatology
- National median
In program year 2025, general payments to Karina Vila Rivera were reported at $3,255. Among 4,454 Rheumatology profiles paid that year, the median was $903 and the middle half received between $171 and $2,775.
Show as a table
| Year | Karina Vila Rivera | Rheumatology median | Middle half | National median |
|---|---|---|---|---|
| 2019 | $631 | $744 | $153–$2,687 | $163 |
| 2020 | $2,202 | $462 | $98–$2,027 | $114 |
| 2021 | $1,989 | $531 | $101–$2,153 | $132 |
| 2022 | $4,083 | $627 | $125–$2,303 | $149 |
| 2023 | $1,020 | $741 | $145–$2,524 | $160 |
| 2024 | $1,225 | $830 | $166–$2,660 | $164 |
| 2025 | $3,255 | $903 | $171–$2,775 | $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 · 85 drugsPart D claims
6,035
Drug cost
$5,462,880
Branded share of claims
35.1%
| Drug | Type | Relative to their largest | Claims | Drug cost |
|---|---|---|---|---|
| Humira(Cf) Pen Adalimumab | Brand | 164 | $1,459,644 | |
| Rinvoq Upadacitinib | Brand | 157 | $1,018,378 | |
| Enbrel Sureclick Etanercept | Brand | 80 | $588,671 | |
| Xeljanz Xr Tofacitinib Citrate | Brand | 97 | $560,473 | |
| Orencia Clickject Abatacept | Brand | 82 | $466,546 | |
| Humira Pen Adalimumab | Brand | 22 | $264,100 | |
| Benlysta Belimumab | Brand | 54 | $258,740 | |
| Otezla Apremilast | Brand | 26 | $129,047 | |
| Orencia Abatacept | Brand | 22 | $125,247 | |
| Prolia Denosumab | Brand | 54 | $95,341 |
The 10 drugs with the highest cost, of 85 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 104,182 Part D prescribers listed as Internal Medicine; they describe a distribution and say nothing about conduct.
Payments and prescribing
First 5 of 12 products · payments 2024Two 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.
| Product | Paid by | Related payments | Part D claims | Part B services |
|---|---|---|---|---|
| RINVOQ |
|
$375 | 157 | — |
| EVENITY |
|
$278 | — | — |
| PURIFIED CORTROPHIN GEL |
|
$213 | — | — |
| SAPHNELO |
|
$173 | — | — |
| Enbrel |
|
$55 | 91 | — |
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.
See all 12 in the dashboard with a free accountRecords
273 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 Rheumatology in Puerto Rico
Related records
Rheumatology in Puerto Rico
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All Rheumatology
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.