Physician profile
Luis Guada
NPI 1598297988
$17,118.78
in general payments reported to CMS, 2019-2025
12 companies · $3,140 in 2025
The $3,140 reported for 2025 was more than what 75% of Neurological Surgery providers received nationally (typical 2025 total: $604).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2021: $299 · 2022: $1,431 · 2023: $1,195 · 2024: $11K · 2025: $3,140.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $8,970 · Travel and Lodging: $6,307 · Entertainment: $111.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $8,970.38 |
| Travel and Lodging | $6,306.77 |
| Entertainment | $111.33 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Penumbra, INC. | $7,374.66 | 2022-2025 | Penumbra System, Red 72, Benchmark |
| Stryker Corporation | $2,981.87 | 2024-2025 | Target, Surpass Evolve, Neuroform Ez 3 |
| Balt USA, LLC | $2,430.76 | 2024-2025 | Optima Coil System, Carrier Delivery Catheter, Raptor Aspiration Catheter |
| Medtronic, INC. | $2,044.84 | 2024-2025 | Pipeline, Reacttm, Solitaire X |
| Scientia Vascular | $868.25 | 2025 | Aristotle, Socrates 38 |
| Astrazeneca Pharmaceuticals LP | $520.53 | 2021-2023 | |
| Microvention, INC. | $309.69 | 2024 | Web Aneurysm Embolization System |
| Depuy Synthes Sales INC. | $192.40 | 2023 | Embotrap |
| Qapel Medical INC | $147.99 | 2024 | |
| Route 92 Medical, INC. | $111.33 | 2024 | 8f Base Camp Sheath System |
| Imperative Care, INC | $105.89 | 2023-2025 | Zoom 88-T Large Distal Platform |
| Neurelis, INC. | $30.57 | 2021 |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Luis Guada listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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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.