Guard Medical INC.

Reporting payments is a legal requirement; large totals often reflect large product portfolios.

$168Kgeneral payments (2019-2025)
$0.00research payments (2019-2025)
556clinicians paid

General and research payments are shown separately, never blended. Research payments are often institution-directed and tied to clinical trials.

General payments by year

2021 $866
2022 $11K
2023 $41K
2024 $78K
2025 $38K

General payments only, as reported to CMS. Research payments are totaled above and not included in these bars.

Products most associated with its payments

Specialties it works with most

Colon & Rectal Surgery $56K
Orthopaedic Surgery $34K
Surgery $33K
Plastic Surgery $8,129
Vascular Surgery $4,485
Urology $4,425

Clinicians with the largest reported totals

Often long-running consulting, speaking, or advisory relationships, which companies must report by law. A large total is not evidence of anything improper.

ClinicianLocationSpecialtyGeneral payments (2019-2025)
Asit Shah Englewood, NJ Orthopaedic Surgery $31,371.59
David Rivadeneira Woodbury, NY Colon & Rectal Surgery $17,055.30
Nivedh Paluvoi Miami, FL Surgery $15,398.99
Sang Lee Los Angeles, CA Colon & Rectal Surgery $10,525.24
Erik Noren Sacramento, CA Colon & Rectal Surgery $7,568.80
Joongho Shin Los Angeles, CA Colon & Rectal Surgery $6,601.82
Carlos Ortiz-Ortiz Celebration, FL Surgery $5,019.13
Kent Hasen Naples, FL Plastic Surgery $5,018.66
Anna Serur Westbury, NY Surgery $4,541.01
Siamak Daneshmand Los Angeles, CA Urology $4,250.00

Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.