Physician profile
Michael Guerena
NPI 1841222171
$14,795.40
in general payments reported to CMS, 2019-2025
58 companies · $2,506 in 2025
The $2,506 reported for 2025 was more than what 95% of providers received nationally.
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $1,463 · 2020: $1,307 · 2021: $2,114 · 2022: $2,007 · 2023: $3,049 · 2024: $2,350 · 2025: $2,506.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $7,475 · Education: $412 · Entertainment: $17.35.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $7,475.10 |
| Education | $411.97 |
| Entertainment | $17.35 |
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 |
|---|---|---|---|
| Astellas Pharma US INC | $2,074.50 | 2019-2025 | Xtandi, Myrbetriq, Veozah |
| Janssen Biotech, INC. | $1,638.04 | 2019-2025 | Erleada, Rybrevant, Carvykti |
| Dendreon Pharmaceuticals LLC | $1,169.95 | 2019-2025 | Provenge |
| Abbvie INC. | $933.77 | 2019-2025 | |
| Biotissue Holdings INC. | $678.33 | 2023-2025 | |
| Procept Biorobotics Corporation | $566.77 | 2023-2025 | Aquabeam Robotic System, Aquabeam System |
| Myriad Genetic Laboratories, INC. | $507.15 | 2021-2024 | Prolaris |
| Allergan, INC. | $504.15 | 2019-2021 | |
| Sumitomo Pharma America, INC. | $497.57 | 2023-2025 | Gemtesa, Orgovyx |
| Pfizer INC. | $488.91 | 2019-2025 | |
| Endo Pharmaceuticals INC. | $478.62 | 2019-2024 | Xiaflex |
| Urogen Pharma, INC. | $477.05 | 2021-2025 | Jelmyto |
| Coloplast Corp | $447.93 | 2019-2025 | Speedicath, Saffron |
| Bayer Healthcare Pharmaceuticals INC. | $446.02 | 2022-2025 | |
| Progenics Pharmaceuticals, INC. | $332.63 | 2021-2025 | Pylarify |
Show all 58 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Blue Earth Diagnostics | $301.37 | 2019-2025 | Posluma |
| Myovant Sciences INC. | $274.02 | 2021-2022 | |
| Astrazeneca Pharmaceuticals Lp | $248.73 | 2020-2025 | |
| Immunitybio, INC. | $241.78 | 2024-2025 | |
| Accord Healthcare, INC. | $184.07 | 2023-2025 | |
| Amgen INC. | $181.48 | 2019-2022 | |
| Merck Sharp & Dohme LLC | $169.90 | 2020-2025 | Keytruda, Lynparza, Welireg |
| Olympus America INC. | $167.46 | 2019-2024 | Itind System |
| Axonics, INC. | $154.21 | 2021-2024 | Axonics |
| Endo USA, INC. | $133.08 | 2024-2025 | Xiaflex, Aveed |
| Teleflex LLC | $131.86 | 2022-2024 | Urolift, Solesta |
| Novartis Pharmaceuticals Corporation | $128.06 | 2022-2024 | |
| Ferring Pharmaceuticals INC. | $123.68 | 2019-2025 | Adstiladrin |
| Alnylam Pharmaceuticals INC. | $117.46 | 2021-2023 | Oxlumo |
| Boston Scientific Corporation | $115.64 | 2022-2024 | Ams 700 Cxr Rte Kit, Rezum Generator |
| Telix Pharmaceuticals | $99.39 | 2023-2024 | Illuccix |
| Hollister Incorporated | $85.29 | 2020-2022 | |
| C. R. Bard, INC. & Subsidiaries | $78.94 | 2023-2025 | Bard Urinary Drainage Bag |
| Urovant Sciences INC | $69.41 | 2022 | |
| Sagent Pharmaceuticals | $45.12 | 2020-2022 | |
| Acerus Pharmaceuticals Corporation | $40.64 | 2020-2021 | |
| Duchesnay USA Incorporated | $33.49 | 2019 | |
| Palette Life Sciences, INC. | $32.00 | 2022 | |
| Convatec INC. | $28.78 | 2025 | |
| Foundation Medicine, INC. | $28.67 | 2023 | |
| Halozyme INC | $25.39 | 2023 | |
| Calyxo, INC. | $25.13 | 2025 | Cvac Aspiration System |
| Tempus Ai, INC | $25.11 | 2024 | |
| Abc Home Medical Supply, INC. | $24.99 | 2022 | |
| Dentsply Ih Ab | $22.24 | 2025 | Lofric |
| Innovation Technologies INC | $21.63 | 2022 | |
| Travere Therapeutics, INC. | $21.01 | 2021 | |
| Ethicon US, LLC | $18.75 | 2024 | Enseal X1, Ethicon, Vistaseal |
| Mission Pharmacal Company | $18.01 | 2020 | |
| 180 Medical, INC. | $17.95 | 2023 | Gentlecath Glide |
| Provepharm INC. | $17.35 | 2024 | Bludigo |
| Avadel Specialty Pharmaceuticals, LLC | $16.52 | 2019 | |
| Antares Pharma, INC. | $15.57 | 2022 | |
| Azurity Pharmaceuticals, INC. | $14.88 | 2025 | Azmiro |
| Photocure INC | $14.24 | 2025 | Cysview |
| Millicent US INC | $14.22 | 2025 | Intrarosa |
| Medtronic, INC. | $13.70 | 2021 | |
| Zyla Life Sciences, INC. | $12.79 | 2019 |
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 Michael Guerena 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.