Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

RUBEN GUZMAN

Allopathic & Osteopathic Physicians Obstetrics & Gynecology

NPI
1316051881
CMS profile
332107
Location
PUNTA GORDA, FL

General Payments · PY2018–2024

$17,632.86

  • Reported across 187 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$7,704.84

53 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Travel and Lodging $5,948.42 18
Food and Beverage $1,681.43 34
Education $74.99 1

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $635.64 35
PY2019 $349.31 15
PY2020 $28.58 2
PY2021 $6,996.32 42
PY2022 $1,426.92 22
PY2023 $491.25 18
PY2024 $7,704.84 53

Payment records · PY2024 (53)

Sorted by paying entity, then date · as published by CMS

Program year 2024 201820192020202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Astellas Pharma US Inc $74.99 02/20/2024 Education Undisputed 01/23/2026 1139343602 CMS
Astellas Pharma US Inc $16.02 03/26/2024 Food and Beverage Undisputed 01/23/2026 1139303846 CMS
Astellas Pharma US Inc $20.58 06/06/2024 Food and Beverage Undisputed 01/23/2026 1139352231 CMS
Astellas Pharma US Inc $23.12 09/04/2024 Food and Beverage Undisputed 01/23/2026 1139382992 CMS
Axonics, Inc. $14.21 01/10/2024 Food and Beverage Undisputed 01/23/2026 1142358484 CMS
Axonics, Inc. $12.03 01/25/2024 Food and Beverage Undisputed 01/23/2026 1142358486 CMS
Axonics, Inc. $115.35 02/07/2024 Food and Beverage Undisputed 01/23/2026 1142358470 CMS
Axonics, Inc. $8.06 02/21/2024 Food and Beverage Undisputed 01/23/2026 1142358472 CMS
Axonics, Inc. $5.63 04/29/2024 Food and Beverage Undisputed 01/23/2026 1142358502 CMS
Axonics, Inc. $148.62 04/30/2024 Food and Beverage Undisputed 01/23/2026 1142358528 CMS
Axonics, Inc. $0.92 05/01/2024 Food and Beverage Undisputed 01/23/2026 1142358520 CMS
Axonics, Inc. $21.58 05/09/2024 Food and Beverage Undisputed 01/23/2026 1142358547 CMS
Axonics, Inc. $149.80 05/16/2024 Food and Beverage Undisputed 01/23/2026 1142358549 CMS
Axonics, Inc. $106.53 06/11/2024 Food and Beverage Undisputed 01/23/2026 1142358565 CMS
Axonics, Inc. $522.98 06/18/2024 Travel and Lodging Undisputed 01/23/2026 1142358623 CMS
Axonics, Inc. $598.97 06/18/2024 Travel and Lodging Undisputed 01/23/2026 1142358625 CMS
Axonics, Inc. $50.20 07/18/2024 Food and Beverage Undisputed 01/23/2026 1142358587 CMS
Axonics, Inc. $307.60 07/18/2024 Travel and Lodging Undisputed 01/23/2026 1142358635 CMS
Axonics, Inc. $111.20 07/19/2024 Food and Beverage Undisputed 01/23/2026 1142358589 CMS
Axonics, Inc. $284.35 07/19/2024 Travel and Lodging Undisputed 01/23/2026 1142358631 CMS
Axonics, Inc. $307.60 07/19/2024 Travel and Lodging Undisputed 01/23/2026 1142358637 CMS
Axonics, Inc. $114.29 07/20/2024 Food and Beverage Undisputed 01/23/2026 1142358567 CMS
Axonics, Inc. $50.00 07/20/2024 Travel and Lodging Undisputed 01/23/2026 1142358627 CMS
Axonics, Inc. $180.00 07/20/2024 Travel and Lodging Undisputed 01/23/2026 1142358629 CMS
Axonics, Inc. $114.25 07/21/2024 Travel and Lodging Undisputed 01/23/2026 1142358633 CMS
Axonics, Inc. $96.27 07/23/2024 Food and Beverage Undisputed 01/23/2026 1142358591 CMS
Axonics, Inc. $133.54 09/04/2024 Food and Beverage Undisputed 01/23/2026 1142358581 CMS
Axonics, Inc. $10.46 10/23/2024 Food and Beverage Undisputed 01/23/2026 1142358657 CMS
Axonics, Inc. $54.94 10/23/2024 Travel and Lodging Undisputed 01/23/2026 1142358659 CMS
Axonics, Inc. $33.00 10/23/2024 Travel and Lodging Undisputed 01/23/2026 1142358661 CMS
Axonics, Inc. $113.52 11/06/2024 Food and Beverage Undisputed 01/23/2026 1142358597 CMS
Bayer Healthcare Pharmaceuticals Inc. $27.59 01/25/2024 Food and Beverage Undisputed 01/23/2026 1086226540 CMS
Bayer Healthcare Pharmaceuticals Inc. $26.70 03/22/2024 Food and Beverage Undisputed 01/23/2026 1086220737 CMS
COLOPLAST CORP $656.40 01/10/2024 Travel and Lodging Undisputed 01/23/2026 1117426547 CMS
COLOPLAST CORP $73.35 01/25/2024 Food and Beverage Undisputed 01/23/2026 1117426523 CMS
COLOPLAST CORP $203.95 01/26/2024 Travel and Lodging Undisputed 01/23/2026 1117426549 CMS
COLOPLAST CORP $34.02 01/27/2024 Food and Beverage Undisputed 01/23/2026 1117426525 CMS
COLOPLAST CORP $8.01 02/20/2024 Food and Beverage Undisputed 01/23/2026 1117426529 CMS
CVRx, Inc. $51.96 08/12/2024 Food and Beverage Undisputed 01/23/2026 1128563352 CMS
Hologic Sales and Service, LLC $24.71 09/23/2024 Food and Beverage Undisputed 01/23/2026 1084916604 CMS
Impulse Dynamics (USA) Inc. $27.54 07/31/2024 Food and Beverage Undisputed 01/23/2026 1100410290 CMS
INTUITIVE SURGICAL, INC. $6.00 02/27/2024 Travel and Lodging Undisputed 01/23/2026 1137209606 CMS
INTUITIVE SURGICAL, INC. $1,019.46 03/15/2024 Travel and Lodging Undisputed 01/23/2026 1137105019 CMS
INTUITIVE SURGICAL, INC. $6.00 07/08/2024 Travel and Lodging Undisputed 01/23/2026 1137255885 CMS
INTUITIVE SURGICAL, INC. $952.36 07/16/2024 Travel and Lodging Undisputed 01/23/2026 1137086451 CMS
INTUITIVE SURGICAL, INC. $6.00 10/24/2024 Travel and Lodging Undisputed 01/23/2026 1137257937 CMS
INTUITIVE SURGICAL, INC. $644.56 11/12/2024 Travel and Lodging Undisputed 01/23/2026 1137223206 CMS
Janssen Pharmaceuticals, Inc $33.93 01/03/2024 Food and Beverage Undisputed 01/23/2026 1077976084 CMS
Laborie Medical Technologies Corp. $12.03 03/05/2024 Food and Beverage Undisputed 01/23/2026 1154321110 CMS
Laborie Medical Technologies Corp. $15.03 03/06/2024 Food and Beverage Undisputed 01/23/2026 1154321112 CMS
Lilly USA, LLC $24.77 10/10/2024 Food and Beverage Undisputed 01/23/2026 1135406476 CMS
MERZ NORTH AMERICA, INC. $22.51 07/15/2024 Food and Beverage Undisputed 01/23/2026 1146374640 CMS
Sumitomo Pharma America, Inc. $27.35 08/29/2024 Food and Beverage Undisputed 01/23/2026 1148860127 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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