PlainPharmaWatch

CMS Open Payments · Program Year 2024

Puerto Rico

Puerto Rico received $7,471,842.29 in pharmaceutical-industry payments to 6,354 physicians and 6 teaching hospitals across 59,986 transactions.

$7.5M
Total payments
$7.3M
To physicians
$116.9K
To teaching hospitals
#43
of 59 states

In CMS Open Payments Program Year 2024, pharmaceutical and medical-device companies reported $7.5M in payments to 6,354 physicians and 6 teaching hospitals in Puerto Rico. That ranks Puerto Rico #43 of 59 states and territories (0.1% of the US total), averaging $1.2K per physician. Figures are company-reported under the Physician Payments Sunshine Act; a reported payment is a financial relationship, not evidence of wrongdoing.

The verdict

Puerto Rico pairs below-median payment volume with an overwhelmingly physician-directed payment mix.

#43
of 59 states
0.1%
of the national total
98.1%
to physicians vs. hospitals
6,354
physicians paid

What the Data Shows for Puerto Rico

Puerto Rico's Open Payments file is physician-weighted: 98.1% of $7.5M went to 6,354 physicians ($1.2K each), with 1.6% on 6 teaching hospitals.

On the national dollar ranking it is #43 of 59, so the mix skew is larger than the volume rank. Average transaction $124.56. Leading nature of payment: "Compensation for Services Other Than Consulting" at $3.5M (46.2% of the state file; top-three natures 83.8%).

Puerto Rico sits in the 29th percentile (lower-volume tier). Just above: Rhode Island ($8.0M). Just below: South Dakota ($7.3M). For context: top-ranked California ($342.4M) is 45.8× larger than Puerto Rico. CMS Sunshine Act framework and methodology.

Physician vs Hospital Payments

How pharmaceutical payments in Puerto Rico are distributed between physicians and teaching hospitals.

Physician Payments

$7.3M

98.1% of total · 6,354 recipients · $1.2K avg

Teaching Hospital Payments

$116.9K

1.6% of total · 6 hospitals · $19.5K avg

Payment Breakdown by Type

Puerto Rico has 14 types of pharmaceutical payments. "Compensation for Services Other Than Consulting" accounts for 46.2%.

Nature concentration in Puerto Rico

Top three Open Payments natures are 83.8% of state dollars; residual is every other reported nature

Compensation for Services Ot…$3.5MFood and Beverage$2.0MConsulting Fee$763.1KAll other natures (11)$1.2M

Payment categories in Puerto Rico

Top categories by total reported dollar volume

1. Compensation for Services…$3.5M2. Food and Beverage$2.0M3. Consulting Fee$763.1K4. Travel and Lodging$529.9K5. Royalty or License$272.7K6. Education$195.5K7. Grant$74.0K8. Honoraria$41.4K9. Compensation for Faculty …$39.9K10. Space Rental or Facility…$35.0K
Payment Type Amount Transactions
Compensation for Services Other Than Consulting $3.5M 1,403
Food and Beverage $2.0M 55,533
Consulting Fee $763.1K 425
Travel and Lodging $529.9K 1,801
Royalty or License $272.7K 11
Education $195.5K 704
Grant $74.0K 15
Honoraria $41.4K 23
Compensation for Faculty or Speaker (Medical Education) $39.9K 30
Space Rental or Facility Fees $35.0K 8
Debt Forgiveness $17.4K 10
Entertainment $1.2K 4
Long-Term Medical Supply or Device Loan $398.80 4
Gift $346.93 15

Data Source: Centers for Medicare & Medicaid Services (CMS) Open Payments, Program Year 2024. Data includes general payments, research payments, and physician ownership/investment interests as required by the Physician Payments Sunshine Act. Total industry payments: $13.9B across 1,925 companies.

Source: CMS Open Payments Database Industry payments to physicians and teaching hospitals · 2024

What Puerto Rico totals can and cannot tell you

The aggregate payment figure for Puerto Rico measures reportable industry–physician engagement inside this state's geographic footprint for Program Year 2024, not any one physician's or hospital's relationship with industry. CMS collects the data under the Physician Payments Sunshine Act; manufacturers must report transfers of value above the de minimis threshold. The file does not capture DTC advertising, internal R&D, wholesale drug pricing, or salary support that is not a reportable transfer of value.

Correlations between payment receipt and prescribing appear in peer-reviewed work for specific drugs and specialties, but this page's state total does not establish causation. Open the company and recipient detail pages for category and year-over-year cuts.

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Every figure on PlainPharmaWatch is rendered directly from federal source data, no number is typed in by an editor. This page draws directly on federal source data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of 2026-07-26.