Osiris R Persia Paulino, MD

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

• Cape Coral Hospital Hospital · Cape Coral, FL
• Lee Memorial Hospital Hospital · Fort Myers, FL

Colleagues at Lee Health System Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1375 clinicians in the practice; 12 are shown here.

• Oluwadamilola Adeyemo Student in an Organized Health Care Education/Training Program · Fort Myers, FL
• Lavinia C Boboescu, FNP-C Family Nurse Practitioner · Naples, FL
• Mrs. Shannon Cragin, FNP-BC Family Nurse Practitioner · Cape Coral, FL
• Magdy Ahmed Raof El-Din, MD Hospitalist Physician · Cape Coral, FL
• Mrs. Janelle Alyssa Garnique, APRN Family Nurse Practitioner · Fort Myers, FL
• Douglas L Jarrett, APRN Acute Care Nurse Practitioner · Fort Myers, FL
• Mariela Laluz, ACNPC-AG Acute Care Nurse Practitioner · Cape Coral, FL
• Mrs. Pamela Margaret Ledward, PAC Physician Assistant · Fort Myers, FL
• Yoandris Maikel Lorente Milan Nurse Practitioner · Fort Myers, FL
• Eleonor Rongo, DO Family Medicine Physician · Fort Myers, FL
• Andy Sam, DO Internal Medicine Physician · Miami, FL
• Dr. Ermias Yohannes, MD Hospitalist Physician · Fort Myers, FL

Other providers in Cape Coral

• Alfonso Garcia-Bello, MD

  Individual Hospitalist Physician · NPI 1093972713

  629 SW 4th St, Cape Coral, FL 33991-1971 · (239) 800-3028

• Dr. Iasmina Jivanov, MD

  Individual Hospitalist Physician · NPI 1265782247

  224 Santa Barbara Blvd Ste 102, Cape Coral, FL 33991-2038 · (239) 424-1900

• Ana Luchin, MD

  Individual Hospitalist Physician · NPI 1801114483

  636 Delprado Blvd S, Cape Coral, FL 33990-2668 · (239) 424-3123

• Dr. Victor Orosco Macias, MD

  Individual Hospitalist Physician · NPI 1093095929

  636 Del Prado Blvd S, Cape Coral, FL 33990-2668 · (239) 628-3192